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The UNDP report on the Millennium Development Goals or MDGs (UNDP 2005) cautions that the Goals will not be met by 2015 in the most needy countries and in fact warns that the situation in Africa may actually worsen. What can be done to secure some measure of success in the health-MDGs effort? Should strengthening health systems be regarded a first-order goal within higher-order MDGs to secure at least the institutional and system prerequisites of better health for all in the future perhaps after 2015 -- a second-best result in the absence of a first best MDG outcome? (excerpt)

Strengthening health systems to meet MDGs