The government deserves congratulations for its key role in the launch of an international health partnership to strengthen health systems in poor countries (Report, September 6). But it is one thing to line up good plans and money, another to build the capacity to spend the money in sustainable, useful ways.
That is where health links come in: long-term partnerships between UK health and training institutions and their counterparts in developing countries. Such links build capacity by exchanging knowledge and skills between health workers, trainers and managers. For example, a link between King's College hospital, Somaliland partners, the Royal College of Obstetricians and Gynaecologists, and three UK NGOs is at the heart of a major programme supported by the UK government to rebuild Somaliland's health services and medical education after the civil war. Nor is this one-way charity: the NHS learns and benefits also.
Far more could be done along these lines if the government were to implement generously the recommendations of the former NHS chief executive Lord Crisp in his report to the prime minister on global health partnerships, delivered seven months ago.
Andrew Purkis
Chief executive, Tropical Health and Education Trust
Gordon Brown's announcement represents a move away from just supporting specific diseases to promoting health systems capable of providing for all health needs. This broader approach gives hope for tackling previously forgotten and neglected diseases, including the huge burden of potentially blinding conditions. We welcome this initiative, and hope it provides genuine support for a comprehensive approach.
Caroline Harper
CEO, Sightsavers International
