Abstract
WHO's aims are in the best tradition of sustainable intervention—to help countries to build up their own health care infrastructure and professional expertise. As laid down in its constitution, WHO works through national ministries of health. The arrangement has its advantages. Because of it, WHO is accepted in all member countries and avoids the charge of neocolonial interventionalism. But it also combines with WHO's financial woes to create what commentators are calling WHO's “implementation gap.” WHO has neither the mandate nor the means to implement its own programmes. It is entirely dependent on the receptiveness and effectiveness of national ministries of health.

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