this is largely due to the limited attention which ghps have given to support activities and technical assistance in beneficiary countries which has made it difficult for the poorest countries to maximize benefits from the ghps programmes in spite of the important achievements accomplished on hiv aids it should be recalled that today the top killer diseases in most poor countries are respiratory and intestinal diseases leading to child deaths from pulmonary failure or diarrhoea see table yet there is very little advocacy for addressing these problems and there is no ghp to support them