people--suffer overwhelmingly the world's burden of unavoidable illness and premature death. Increasingly, citizens of developing countries are coming to believe that at the root of such inequity lies an attempt to apply "first world" solutions without sufficient adaptation to the realities of the third world. This landmark report of the Commission of Health Research for Development gives voice to such concerns, documents current inequalities in health, and outlines a new strategy for meeting health needs. Based on a two-year global investigation of health research and its actual and potential role in development, the report synthesizes data to show emerging and problematic epidemiological trends, under-resourced national health programs and persisting health disparaties. It also documents numerous examples of strong, effective health programs based on scientific research carried out or applied in developing countries. Finally, the Commission's report articulates an agenda for action, providing specific recommendations for the improvement of health in developing countries.

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