Medicine And Books

Sustaining Primary Health Care

BMJ 1995; 311 doi: (Published 12 August 1995) Cite this as: BMJ 1995;311:460
  1. Veena Soni Raleigh

    Anne LaFond Earthscan, £13.95, pp 218 ISBN 1 85383 202 2

    Although notable health gains have been achieved in developing countries by improving preventive and curative care, most developing countries are still unable to provide sustainable and affordable quality health care for the majority of their populations. Health care interventions are often short lived, and health gains transient, because national governments cannot afford to maintain the recurrent costs of such interventions. Reconciling short term “quick fixes” with building long term local capabilities for delivering health care--and the financial mechanisms to sustain them--is a goal that has eluded most developing countries, particularly the poorest ones. Foreign assistance has all too often exacerbated these tensions rather than easing them.

    In Sustaining Primary Health …

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