With the sad reversal of the effective eradication of cholera in Haiti we can see that, yes, you have to get things right at the lower levels if you want a regional or national public health initiative to succeed. But the notion that many or most public health issues is a micro issue is just incorrect. For example, what can be done about MDR–TB at the local level besides treat and isolate infected individuals?
I don’t disagree, but I nowhere said that the West had to be involved at all.
The Musevini-lead anti-HIV/AIDS campaign in Uganda is an example of success at that kind of work, and one which the West (unless you count Cuba, whose role was minor in any case, as the West) did little to formulate or execute.
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