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Primary health care, community participation and community-financing: experiences of two middle hill villages in Nepal

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posted on 2014-07-01, 10:25 authored by Ardeshir Sepehri, Judith PettigrewJudith Pettigrew
Although community involvement in health related activities is generally acknowledged by international and national health planners to be the key to the successful organization of primary health care, comparatively little is known about its potential and limitations. Drawing on the experiences of two middle hill villages in Nepal, this paper reports on research undertaken to compare and contrast the scope and extent of community participation in the delivery of primary health care in a community run and financed health post and a state run and financed health post. Unlike many other health posts in Nepal these facilities do provide effective curative services, and neither of them suffer from chronic shortage of drugs. However, community-financing did not appear to widen the scope and the extent of participation. Villagers in both communities relied on the health post for the treatment of less than one-third of symptoms, and despite the planners' intentions, community involvement outside participation in benefits was found to be very limited.

History

Publication

Health Policy and Planning;11 (1), pp. 93-100

Publisher

Oxford University Press

Note

peer-reviewed

Rights

This is a pre-copyedited, author-produced PDF of an article accepted for publication in Health Policy and Planning following peer review. The definitive publisher-authenticated version,Primary health care, community participation and community-financing: experiences of two middle hill villages in Nepal, Health Policy and Planning, 1996 11 (1), pp. 93-100 is available online at http://dx.doi.org/10.1093/heapol/11.1.93

Language

English

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