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The African Development Bank (www.AfDB.org), the World Health Organization Regional Office for Africa and their partners in the Harmonization for Health in Africa Initiative have published A Practical Guide to Value for Money in the Health Sector in Africa. Global public health is increasingly pitting ambition against limited resources. Africa finds itself faced with two extremes: great expectations for the future, and very little financing for the health sector to count on. The African health sector remains underfunded. Governments currently invest $4.5 billion[1] in public health capital exp…