Planning for primary health care: the case of the Sierra Leone National Action Plan.
The National Action Plan for Primary Health Care, a planning document of the Sierra Leonean Ministry of Health for the restructuring of the country's rural health services, is analyzed in its social, economic, and historical context. It appears to be an attempt of the national government to gain control over the highly devolved health care delivery system, but the state has neither the political will nor the power to achieve this goal. The utility of the document is therefore in doubt, which raises two important questions: Whose interests does this plan serve, and at whose cost?
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D006285:Health Planning; D006287:Health Planning Guidelines; D006801:Humans; D009313:National Health Programs / Q000458:organization & administration*; D011057:Politics; D011320:Primary Health Care / Q000458:organization & administration*; D012424:Rural Population; D012807:Sierra Leone; D012959:Socioeconomic Factors