Abstract
Primary health care, as practised in many developing countries, is a set of guidelines for designing health strategies that are both appropriate to the health needs of the population and to cultural and socio-economic contexts. Four aspects of primary health care experience in developing countries may be relevant to Canadian health care: the integration of health and development, participation of the community in problem identification and program planning, the role of the community-based worker, and the use of health information. Canadian physicians may draw on this experience to address present challenges in our health system: providing health services to marginal groups, viewing health in a broader perspective, the escalating costs of health services, and increasing community involvement in planning health services.
Keywords: community medicine, family medicine, international health, primary health care
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Berman P. A., Gwatkin D. R., Burger S. E. Community-based health workers: head start or false start towards health for all? Soc Sci Med. 1987;25(5):443–459. doi: 10.1016/0277-9536(87)90168-7. [DOI] [PubMed] [Google Scholar]
- Hancock T. Developing healthy communities. A five year project report from The Community Health Development Centre. Presented at The International Healthy Cities Conference. September 1994. Can J Public Health. 1988 Nov-Dec;79(6):416–419. [PubMed] [Google Scholar]
- La Forgia G. M. Fifteen years of community organization for health in Panama: an assessment of current progress and problems. Soc Sci Med. 1985;21(1):55–65. doi: 10.1016/0277-9536(85)90287-4. [DOI] [PubMed] [Google Scholar]
- Labonté R. Community empowerment: the need for political analysis. Can J Public Health. 1989 Mar-Apr;80(2):87–91. [PubMed] [Google Scholar]
- Majumdar B., Carpio B. Concept of health as viewed by selected ethnic Canadian populations. Can J Public Health. 1988 Nov-Dec;79(6):430–434. [PubMed] [Google Scholar]
- Stone L. Primary health care for whom? Village perspectives from Nepal. Soc Sci Med. 1986;22(3):293–302. doi: 10.1016/0277-9536(86)90125-5. [DOI] [PubMed] [Google Scholar]
- Ugalde A. Ideological dimensions of community participation in Latin American health programs. Soc Sci Med. 1985;21(1):41–53. doi: 10.1016/0277-9536(85)90286-2. [DOI] [PubMed] [Google Scholar]
- Vaughan J. P., Walt G. Implementing primary health care: some problems of creating national programmes. Trop Doct. 1984 Jul;14(3):108–113. doi: 10.1177/004947558401400304. [DOI] [PubMed] [Google Scholar]