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Learning from primary care in developing countries

BMJ 1996; 312 doi: (Published 04 May 1996) Cite this as: BMJ 1996;312:1161
  1. P C Gunasekera,
  2. K K Wijew Ardene,
  3. D P Gunasekera
  1. Senior lecturer in obstetrics and gynaecology Senior lecturer in community medicine Senior lecturer in paediatrics University of Kelaniya, PO Box 6, Ragama, Sri Lanka

    EDITOR,—We agree with Paul Johnstone and Isobel McConnan and the subsequent correspondents that Western countries have much to learn from the primary health care systems of the developing countries.1 2 Sri Lanka stands out as an example. It has been the policy of successive Sri Lankan governments to provide free health services to all citizens. However, it is estimated that the private sector, which includes Western and indigenous medicine, accounts for 55% of the patients, who are handled mainly …

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