Oxford Handbook of Tropical MedicineBMJ 2000; 320 doi: https://doi.org/10.1136/bmj.320.7236.721/a (Published 11 March 2000) Cite this as: BMJ 2000;320:721
- John Hartley, specialist registrar in microbiology.
- University College London Hospital
Michael Eddleston, Stephen Pierini
Oxford University Press, £19.95, pp 666 ISBN 0 19 262772 4
Arriving at a district hospital in Zambia in 1991, I quickly became aware of the struggle for resources between social and environmental interventions, primary preventive care, and secondary medicine. Health reforms were under way: the “district” was the focus, and the hospital sector was receiving less attention. However, ordinary people want help when they need it, and a healthcare system that cannot …