Learning from low income countries: what are the lessons?: Improvement can occur even in resource constrained settings

EDITOR—Berwick's editorial on the lessons from developing nations on improving health care mistakenly abstracts improvement efforts from the complex context of poverty and inequality.1 Improvement is “an inborn human endeavour,” yet an under-nourished or sick child who wants to “jump higher or run faster” cannot do so unless basic needs are met first.1 In Peru we learnt that notable improvement …