I think the very first thing we need, and we already have it in several African countries--in fact in most African countries, but not all--is a real political willingness in the country to engage, to make commitments, including commitments to their own health budgets so this can materialize.
Then after that it's a question of what support they need. With the limited information we have.... It's actually quite good information in terms of quantity; its quality may be questioned, but we do have quite a lot of information on the health of children and even on mothers. We could do with more. What can we do with that at the country level that will help inform the priorities for that country, and how will that then be responded to in terms of international aid? It has to start with the country. You can't have an initiative that wants to go somewhere where there's still conflict, for instance. You can't build a public health system in a country where there is still significant conflict.
When you have no health system to speak of except in a major city, such as perhaps Ethiopia at the moment, your approach would be very different from what it would be in a situation where you might well have some distribution of health facilities, weak though they might be. I think it isn't a question that you answer with any one approach.