Editorials

Primary health care led NHS: learning from developing countries

Over the past 30 years a wide range of developing countries have successfully developed a model of primary health care promoted by theWorld Health Organisation. This is based on the idea of "essential health care based on practical, scientifically sound and socially acceptable methods and technology, made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain."^{1 2} It differs fundamentally from the primary care system in the United Kingdom, which relies more on technical and curative care than the community oriented approach. Many Western countries, including the United Kingdom, are now, however, shifting their policies to strengthen primary health care,³ and there could be lessons to be learnt from the achievements of developing countries.

In the 1950s and '60s many developing countries faced a daunting task. Economic recession meant that many could . . . [Full text of this article]

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