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And in many parts of the country, systems remain to be built and tested.
This includes being transparent, taking risks, using country systems, and ensuring timely and predictable aid.
Using country systems has real consequences, according to Richard Horton writing in the Lancet.
But this would require reliable country systems that satisfy the criteria of the donor community.
"Donors must act to disclose aid data, work through country systems to strengthen them, and fully untie their aid.
Whatever the risks of aid leakage in using country systems, experts argue that they are worth taking.
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"We think the country system is broken, and we don't feel that our future is best if we remain in that system".
Note, however, that this paper does not consider flows outside the 19 country system, or those that are missing.
Similarities are easily drawn between the two countries' systems.
They have fitted into their own countries' systems.
Other countries' systems offer a variety of contrasts: In France, the retirement age is 60, rising to 62 in 2017.
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