Urban primary health care in Africa: A comparative analysis of city-wide public sector projects in Lusaka and Dar es Salaam

Few, Roger, Harpham, Trudy and Atkinson, Sarah (2003) Urban primary health care in Africa: A comparative analysis of city-wide public sector projects in Lusaka and Dar es Salaam. Health and Place, 9 (1). pp. 45-53. ISSN 1353-8292

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Abstract

Since the 1980s, a number of health system interventions in Sub-Saharan Africa have targeted urban areas, reflecting increasing attention to the contextual contrasts between urban and rural health settings. This article compares attempts in two projects-in Zambia and Tanzania-to strengthen urban primary health care in the public sector and make it more inclusive in a dual sense: making quality services more accessible to the poor; and fostering community involvement in health care and health-related activity. The paper reveals that the projects have produced many similar outcomes (both positive and negative), despite differences in their managerial arrangements. After identifying issues that may need to be considered in other health initiatives, the discussion revisits the urban/rural dimension of health care in relation to three key aspects: the by-passing of primary services, community participation and inter-sectoral action.

Item Type:	Article
Uncontrolled Keywords:	consumer participation,great britain,health services accessibility,humans,poverty,primary health care,public health administration,public sector,tanzania,urban health services,zambia,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
UEA Research Groups:	Faculty of Social Sciences > Research Groups > Climate Change Faculty of Social Sciences > Research Groups > Health and Disease University of East Anglia Schools > Faculty of Science > Tyndall Centre for Climate Change Research Faculty of Science > Research Centres > Tyndall Centre for Climate Change Research Faculty of Social Sciences > Research Centres > Water Security Research Centre Faculty of Social Sciences > Research Groups > Global Environmental Justice
Depositing User:	Pure Connector
Date Deposited:	27 Jan 2014 15:42
Last Modified:	20 Oct 2023 00:56
URI:	https://ueaeprints.uea.ac.uk/id/eprint/45595
DOI:	10.1016/S1353-8292(02)00029-1

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