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reality, often means ‘‘establish’’) basic primary health-care services that deal with the full gamut of health issues than spend huge sums to eradicate a single disease, but she does not delve into the difficulties and costs this entails. Model pilot programs often appear to be successful, while the reality, in the poor, rural countryside, is all too frequently poorly trained and supervised health workers who are only occasionally at their posts, with little in the way of vital drugs and equipment. Focused eradication programs, generally vertical in nature, have the advantage of focusing a government’s commitment and subjecting it to international scrutiny and accountability.
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