The Lancet   |  April 18, 2009

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The dissonance between the public health services provided in developed countries compared with those promoted by donors in developing countries is curious and costly. Population-wide services are a core component of publicly funded health services in developed countries, and are underpinned by a framework of public health regulations to reduce exposure to communicable diseases.1 In developing countries, donors and international aid agencies have prioritised clinical services above population-wide services.

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