The Silo Effect – And What We Can Do About It At the recent Child Survival: Call to Action event in Washington, D.C, a new child survival goal of 20 or fewer child deaths per 1,000 live births by 2035 was set. Through multiple partnerships, focus on high-burden populations, implementing high impact solutions, empowerment of women and mutual accountability, this ambitious target can be achieved. Attending the event myself, I was struck by the fact that health interventions – and thus the treatment rather than the prevention of disease – were the focus of attention. The importance of nutrition as a foundation for health and development was barely mentioned, even by the few participants working both in the health and the nutrition sectors. How can this narrow approach address the pressing problem of child mortality and morbidity? Why do we continue to work in silos in this way?
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