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Putting people first: a primary health care success in rural India. | LitMetric

Putting people first: a primary health care success in rural India.

Indian J Community Med

Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Canada.

Published: April 2010

AI Article Synopsis

  • The World Health Report, 2008, reviews primary health care achievements and challenges over 30 years, comparing them to WHO standards.
  • The study analyzes data from a rural health center in Western Maharashtra, using both qualitative and quantitative methods, focusing on WHO-defined reforms.
  • Findings indicate significant progress in areas like family planning and immunization despite not fully implementing all WHO reforms, leading to high community satisfaction with health services.

Article Abstract

Background: The World Health Report, 2008, contains a global review of primary health care on the 30th anniversary of the Declaration of Alma-Ata. The period covered by the study reported on here corresponds with that of the Report, allowing for a comparison of achievements and challenges in one primary health care centre vis-a-vis the WHO standards.

Materials And Methods: This study uses qualitative and quantitative data from a rural primary care facility in Western Maharashtra, collected over three decades. It analyzes the four groups of reforms defined by WHO in the context of the achievements and challenges of the study facility.

Results: According to the WHO Report, health systems in developing countries have not responded adequately to people's needs. However, our in-depth observations revealed substantial progress in several areas, including in family planning, safe deliveries, immunization and health promotion. Satisfaction with services in the study area was high.

Conclusion: Adequate primary health care is possible, even when all recommended WHO reforms are not fully in place.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940196PMC
http://dx.doi.org/10.4103/0970-0218.66896DOI Listing

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