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if you compare 1990 with today you will say that the number of people that die and the proportion of that I have very much decreased our population has increased the number of people that I have decreased and those gains have been done in the places where it is easier to the things but if you read The Lancet articles and a number of articles that were published at the beginning of this year you will read that today 60% of maternal mortality 53% of infant mortality 44% of neonatal mortality the mortality before the compensation of a chronic non-communicable diseases due to interruption of treatment occurs in the protracted crisis occurs in the fragile and vulnerable context where acute emergencies are recurrent so somehow if we want to have a marginal gain in the different areas where we work the place where this happens is in DRC in Central African Republic in Pakistan in the places where there are protracted crisis where there is conflict and where there is recurring acute events so p