[There are too many chefs in Africa]

Available interventions could prevent 6 out of 10 million deaths in children younger than 5 years of age every year. The health sector and donor agencies bear responsibility for not using these interventions. The UN's Millennium Development Goals are a step in the right direction towards a focused approach. The poor and illiterates are most seriously affected by a low quality of care. The hospital sector suffered unreasonably in the 1980's and now has to fight a vicious circle of mistrust, low quality, collapsed administrative and professional institutions and lack of financing. New and old interventions should be evaluated constantly to maximise efficiency.