PHA-Exch> Funding for primary health care in developing countries (2)

[Claudio Schuftan]

.From: Beatus K. Leon beatusleon at yahoo.co.uk
.
This is a brilliant idea! I wouldn't however advocate for the 15% to go to a
central government common fund, but rather to support local communities'
capacity to manage and control issues related to their health. Primary Care
in Tanzania is largely decentralized, and this appears to work well, given
the vast geographical size and limitations in transport and communication
infrastructure. Local Communities (through their health committees from
village to district level) participate in the planning and prioritization of
their health care needs, using policy guidelines from the Ministry of Health
which also oversees quality issues. However, the greatest limitation is
always scarcity of resources (human resources, finances, equipment etc). Of
all the limitations, the human resource crisis is currently the most
crippling.

The idea in general about supporting the health system is brilliant, and I'm
in full agreement with it. If there is anything I can do to put more
strength in the movement to make 15by2015 a success, I am ready.

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