While we wait for other contributions to issue of Vertical vs. Horizontal approaches to global health challenges, I will like to bring our attention again to the LA Times article "Unintended victims of Gates Foundation generosity" . The GFATM released a statement on that issue on her website...

I think that the diagonal approach will still have the same effect of 'quick wins', 'JUST spend the money, prove it' as the vertical approach. But the truth which I have been trying to run away from is the fact that the issue of Health Systems Strengthenineg to a large extent is the rsponsibilty...

While we deliberate on which approach is best in the design, planning, development and implementation of health interventions and programs, let us have the two persons at the back of our minds; an under-five at risk of not growing up to five years of age because of the threat of these three diseases...