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I read with great interest the recent paper by Osrin and Prost on global child health.1 I was pleased to note that the authors believe community-based interventions should not divert the attention of policy makers from health system improvements.
It has been obvious to me, with my experience of working in different settings in India, that social or systems interventions might have the most impact.2 3 I wish to illustrate how system failures happen with specific situations which I faced. These will raise ethical dilemmas and I am willing to take criticism.
In a …