Why penalising the producers whilst they are only answering the demands for cheap goods of Western consummers? Another demonstration of someone who takes the effect for the cause ...
It is somewhat sad that it takes HIV for the world goodoers to notice that such things are happening in the developing world. In 2006 I reported from Cambodia about the impact of globalisation on Agoravox (http://www.agoravox.com/article.php3?id_article=4923). Then the BBC had reported http://news.bbc.co.uk/1/hi/world/asia-pacific/5269584.stm
The issue here is about making a choice between developing a comprehensive primary healthcare programme of specific intervention programme. A GF for maternal health falls into the second category. Such decisions have been at the centre of an ongoing debate about development in general. The problem is that no primary health care system has never been established properly because of limited funding and attempt at developing one usually results in specific intervention.
The difference between efficient and impact is better understood when looking at a specific intervention programme, like vaccination. A vaccination programme may be very efficient in a developing country and end up protecting a population against a disease, but when there is no clean water, malnutrition and other disease, protecting children against let's say measles is great but has no little impact when most chid will die of diarrhoea.
Most importantly the intervention must lead be sustainable.
Maternal and child health care are part of a comprehensive primary health care and we should better invest in developing proper health care than only maternal health. This will just disrupt further a system already fragile.