... health in Latin America and theCaribbean: challenges and opportunities] Mexico,Inter American Development Bank, Population Council, InstitutoNacional de Salud Publica, 2000, (in Spainsh, in press) .3. ... facing increasingpressure from donors to achieve financial sustain-ability, which, in turn, is forcing some to chargeclients escalating prices for care. Indeed, a number ofNGOs are relying increasingly ... wellcoordinated, and such fragmentation has resulted in overlapping policies and lagging programmes. Policy and programme development have also beenhindered by inadequate human and financial...