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The study was paid for by the Bill & Melinda Gates Foundation, WHO, and the U.S. Agency for International Development.
Some officials insisted the U.N. needed even more money for the program.
In an accompanying commentary in the Lancet, Trevor Duke of the University of Papua New Guinea called for an extra US$5-8 billion for the program to be expanded in 40 of the world's poorest countries.
Stevens said the U.N. should first prove its strategies work.
"If a private company produced results like this, it would rapidly go out of business," he said. "Yet in U.N. land, failure is used as a justification to ask for more money to do more of the same."
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