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PHC in Bangladesh--too much to ask?

In Bangladesh where the number of those without land is increasing; 30% of the budget (national) goes for "maintaining law and order'; there is massive illiteracy; the common people and more specifically, women, are not involved in decision-making. It is unrealistic to think that PHC has a chance to survive or succeed. Should Government (with all good intentions) try to run a PHC while socio-economic and political factors remain unchanged, it ( PHC) will not succeed. Its fate is either a collision, in which PHC will be the victim, or a compromise of some type. In most Third World countries, it is a compromised PHC that one sees. In spite of this, we still believe that community-oriented health care can help to bring about social, economic and political changes, provided such changes are accompanied by structural reform in the political economy of the country.[1]

References

  1. PHC in Bangladesh--too much to ask? Islam, K., Bachman, S. Social science & medicine (1982) (1983) [Pubmed]
 
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