| 1. Title: Selective primary health care: an interim strategy for disease control in developing countries. Author: Walsh JA; Warren KS Source: SOCIAL SCIENCE AND MEDICINE. MEDICAL ECONOMICS. 1980 Jun;14C(2):145-63. Abstract: Because the goal of providing total primary health care to the 3 billion people of the less developed world is likely to remain elusive for the foreseeable future due to resource constraints of various kinds, services targeted to the few most important diseases may be the most effective means of improving the health of the greatest number of people. A method of establishing priorities based on prevalence, morbidity, mortality and feasibility of control is outlined and illustrated through a classification of the major infections of the developing world into high, medium and low priority categories. A program of selective primary health care is compared with other interventions including total primary health care, basic primary health care, multiple disease control through horizontal programs, and research into diseases for which control is impossible or prohibitively expensive at present. The categorical disease control program would target children 0-3 years old and women of childbearing age. Services to be provided by fixed or mobile units could include measles and DPT vaccination, malaria treatment and oral rehydration for diarrhea in children, and tetanus toxoid and encouragement of breastfeeding in mothers. Services offered could be modified at any time on the basis of mortality and morbidity patterns in the target areas, but would concentrate on a minimum number of severe problems affecting large numbers of people and for which low cost, efficacious treatment exists. Language: English Keywords: COST EFFECTIVENESS | HEALTH SERVICES | INTEGRATED PROGRAMS | DEVELOPING COUNTRIES | HEALTH AND WELFARE PLANNING | SUMMARY REPORT | MORBIDITY | MORTALITY | Evaluation Indexes | Quantitative Evaluation | Evaluation | Delivery of Health Care | Health | Programs | Organization and Administration | Social Planning | Economic Factors | Diseases | Population Dynamics | Demographic Factors | Population Document Number: 801300 |
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