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This is document outlines BCH-Africa's strategic vision to help countries in sub-Saharan Africa to meet three of the millennium goals by 2015. These goals are: to help to reduce child mortality; improve maternal health; and combat HIV and AIDS, malaria and other diseases. The strategy sets out four main areas of focus: promoting social ownership of immunisation, to contribute to a rapid reduction in infant and maternal mortality; promoting national partnership and developing community skills to roll back malaria in Africa sustainably; developing individual and community skills to stop the spread of HIV and AIDS and tuberculosis; and using communication approaches that achieve long-lasting social changes to help control HIV, malaria and tuberculosis and resolve other health problems. Accompanying strategic priorities are: integrating health communication interventions; and building human resource capacity in community health promotion with a firm commitment to involving all the main actors and partners to create greater social ownership and sustainability