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Journal of Tropical Pediatrics 1989 35(1):40-43; doi:10.1093/tropej/35.1.40
© 1989 by Oxford University Press
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Perspectives in Primary Care Lessons for National Health Systems from Small-scale Projects: A Case Study from Tanzania

A. Twaha*, G. J. Ebrahim**,, G. C. J. Vogel*** and E. van Praag{dagger}

*Regional Hospital Tanga, Tanzania
**Tropical Child Health Unit, Institute of Child Health 30 Guilford Street, London WC1N1EH
***Dutch Asthma Foundation Amsterdam
{dagger}Royal Tropical Institute Amsterdam

Correspondence: Dr G. J. Ebrahim.

A number of health projects have helped to establish the conceptual framework for Primary Health Care. Since the main difficulties in establishing Primary Health Care nationally arise with regard to planning, organization, and management, the replicability of such projects nationally is made easy if these difficulties are addressed at the level of the basic administrative unit in the country. In most countries it is the district. District level projects also give a more realistic account of the structures needed for planning, management, the logistics, lines of communication, intersectoral activities, and so on. This paper gives an account of a district level project in Tanzania and the lessons derived from it for the national health system relevant to Primary Health Care.


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