Implementation of policies to protect planetary health – Authors’ reply

We agree with Rosalie Schultz that innovation in the health-care sector could, in principle, be led by low-income and middle-income countries (LMICs) and that high-income countries can learn useful lessons from successful approaches to scaling up access to effective health care. Indeed one of us has argued that countries such as the UK should learn from the Brazilian experience of community health workers working in primary care teams.1 However, recent evidence suggests that decision makers from high-income countries may reject evidence from health services in LMICs, often perceiving it to be of little relevance to their circumstances.

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