That's correct.
I wanted to add to my colleague's answer a few other issues related to your earlier question.
There are also issues or gaps in laboratory and diagnostic services. In some of these countries, people are misdiagnosed—quite badly misdiagnosed—for a long period of time while their real illness flourishes. Distribution and delivery networks are in some cases non-existent. Vaccines requiring a cold chain are not always there. In the end, you can have—and we have experienced—situations in which large shipments languish somewhere and expire and then create another problem of disposing of those products when they have expired.