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Niger is not an isolated island of desperation. It lies within a sea of problems across Africa - particularly the 'forgotten emergencies' in poor countries or regions with little strategic or material appeal.

Nigeria and Pakistan are two countries that have had a lot of trouble with polio. And part of the reason is that there's a lot of political unrest, and people really distrust what the government is doing. That has an effect on people's health, and it has an effect on the health of children.

Nigeria, with the oil sector, had the reputation of being corrupt and not managing its own public finances well. So what did we try to do? We introduced a fiscal rule that de-linked our budget from the oil price.