The second challenge is to ensure that health is prioritized within overall development and economic policies. This means looking beyond the health system and addressing the broad determinants of ill-health - low levels of education, poverty, unequal gender relations, high risk behaviours, and an unhealthy environment - as well as raising the profile of health within national poverty reduction and government reform processes. Chapter 3 looks at the practical implications of addressing health within the context of poverty reduction, and makes the point that within the group of developing countries there are very different experiences and needs. Fragile states, and those emerging from conflict, require particular attention. .