The implementation of a diarrheal disease control program in Honduras: is it 'selective primary health care' or 'integrated primary health care'?
International public health scientists have debated the distinction of selective and integrated primary health care since the development of new selective primary health care interventions such as the Expanded Programme on Immunizations and the Diarrhoeal Disease Control Programme of the World Health Organization were developed. This paper argues that the codification offered by the identification of two incompatible paradigms is not a productive one for describing the implementation of national-level primary health care programs. This paper will explore these concerns by reviewing case materials of the implementation of a diarrheal diseases control program in Honduras.
Kendall
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Department of International Health, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205.
D003967:Diarrhea / Q000517:prevention & control*; D003968:Diarrhea, Infantile / Q000517:prevention & control; D006721:Honduras; D006801:Humans; D007223:Infant; D011320:Primary Health Care / Q000458:organization & administration*