Local Institutional Development for Primary Health Care

摘要

Results are presented of a literature search on the role of local institutions in primary health care (PHC) delivery. An initial section describes local institutional options (local offices of a national agency, elected local government, self-help groups, cooperative and service organizations, and private providers) which can be used in promoting PHC and notes that a network of local institutions is preferable to a single entity. After discussing the need to enlist prudently the support of indigenous health practitioners, especially women, in PHC delivery, the relation of key PHC issues - access to health care, recurrent costs, preventive versus curative programs, cost/benefit perceptions, and public versus private goods and services - to local institutional alternatives is analyzed.