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Learning from primary care in developing countries

BMJ 1996; 312 doi: (Published 27 January 1996) Cite this as: BMJ 1996;312:249

Innovations in developing countries have had worldwide relevance

  1. William A M Cutting
  1. Senior lecturer in tropical child health Department of Child Life and Health, University of Edinburgh, Edinburgh EH9 1UW

    EDITOR,—Paul Johnstone and Isobel McConnan point out that the health service in Britain can learn many lessons from health services in poorer countries,1 and I agree. However, the push for community based rather than hospital services has been difficult both to initiate and to sustain. In the authors' example of Tanzania, although in the early 1970s the expenditure in hospitals may have been reduced to less than 20% of the health budget, this was difficult to maintain and the proportion has …

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