reaching the children with the most basic of pelts services and then he put in place on the bottom mckenzie polio patrol from and a red sticker across the bottom showing this district leader has failed to vaccinate his children and people with phone in and say my district leader is neither and very quickly things started to change but again basic management processes have to be in place and you've got to close the loop and hold people accountable and we don't do that enough in public health. the second thing and i try to plug some of the things that are maybe a little if not controversial lobbying practice in the second thing you need to do i believe at this point with the experience is you have to invest heavily on the ground type of assistance. we all want to buy a bed nets, we all want to buy vaccines and contribute that way, but in many of the places where we got to operate with the children being messed is because of the basic capacities are not there to be able to manage the resources you are putting at their disposal and need to invest in building that capacity. polio eradication is