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BMJ 2004;329 (13 November), doi:10.1136/bmj.329.7475.0-f
Even in the most adverse of circumstances, a few individuals adopt beneficial practices and have better health outcomes than their neighbours, who share similar risks. Marsh and colleagues (p 1177) say that identifying these unusual strategies and promoting them within the community is the core of an approach that has been successful in improving child health and may be of value in many other areas.
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