PHC in Bangladesh--Too much to ask?

Kamal Islam and Sally Bachman

Social Science & Medicine, 1983, vol. 17, issue 19, 1463-1466

Abstract: 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.

Date: 1983
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