Effectiveness, efficiency and sustainability of the World Bank health projects in developing countries

Background: To achieve his objectives of poverty reduction, the World Bank recognized in the late 80s the importance to invest in the health sector of his client countries, making it the world's largest international financing organization in Health, Nutrition and Population activities (HNP). However, the household poverty had doubled during the last 20 years, the mortality rate among children had increased, and HIV/Aids still ravage most African countries… So, what is wrong? How to achieve effectiveness and sustainability in World Bank Health projects in developing countries? Methods: Two field researches with…