โ Scribed by J.-P. Unger; Bart Criel
No coin nor oath required. For personal study only.
This article proposes a number of key principles for health infrastructure planning, based on a literature review on the one hand, and on a process of internal deduction on the other. The principles discussed are the following: an integrated health system; a thrifty planning of tiers within that health system; a specificity of tiers; a homogeneity of the tiers' structures; a minimum package of activities; a territorial responsibility and/or an explicit and discrete responsibility for a well-defined population; a necessary and suflicient population basis; a partial separation of administrative and public health planning bases; and, finally, rules for a geographical division and integration of nongovernmental organizations. The definition of two strategies, primary health care and district health systems, is also revisited.
๐ SIMILAR VOLUMES
Rural road planning in developing countries is defined and differentiated from other types of road investments. Various approaches to the problem are assessed; a new network modelling approach is proposed and a combinatorial tree design problem is formulated as the basic decision model; solution tec
Widespread concern exists about the recurrent cost problems faced in the health sector of developing countries, and about the difficulties likely to be faced in the 1990s and beyond in seeking t o expand further the movement to primary health care. The article accepts that the problem is a real one,