Will primary health care efforts be allowed to succeed?
Heggenhougen, H.K.
Social Science and Medicine 19(3): 217-224
1984
ISSN/ISBN: 0277-9536 PMID: 6484611 DOI: 10.1016/0277-9536(84)90213-2Document Number: 405421
It is suggested that the consequence of following primary health care (PHC) principles as guidelines for health care development must of necessity lead to socioeconomic and political restructuring in most countries. The situation of a PHC programme in Guatemala is presented as an example of PHC efforts which are struggling against strong opposition. This is compared with PHC in Tanzania, where there has been a conscious effort to restructure society, and where national development policies are in tune with PHC principles. It is concluded that the situation in most countries comes closer to that of Guatemala than of Tanzania, and that the promotion of PHC must be considered in relation to its full implications.
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