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Comment — WHO's weakness is not technical, but due to lack of accountability
  1. David G Legge1,
  2. Claudio Schuftan2,
  3. Fran E Baum1,
  4. Remco van de Pas3,
  5. David Sanders4,
  6. Lori Hanson1,
  7. David McCoy4,
  8. Amit Sengupta1
  1. 1People's Health Movement, Cape Town, South Africa
  2. 2People's Health Movement, Ho Chi Minh City, Vietnam
  3. 3Department of Public Health, Institute of Tropical Medicine, Antwerp, Antwerpen, Belgium
  4. 4Cape Town, South Africa
  1. Correspondence to Dr David G Legge, People's Health Movement, Cape Town 7705, South Africa; d.legge{at}

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Negin and Dhillon's proposal that functions presently carried out by WHO should be ‘outsourced’ to the Gates Foundation, the Gates-funded Institute for Health Metrics and Evaluation (IHME), Medicins Sans Frontieres and national drug regulatory agencies such as the US Food and Drug Administration (FDA), lacks evidence, relies on flawed logic and serves to obscure critical causes of WHO's failures, in particular the donor chokehold.

Negin and Dhillon cite a Cochrane review of outsourcing of healthcare in low-income and middle-income countries.1 Yet this review found only three studies that met its inclusion criteria all of which had a low quality of evidence and showed a high risk of bias.

WHO's accountability is …

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