Selective primary health care: An interim strategy for disease control in developing countries

An outbreak of gastroenteritis caused by both rotavirus andShigella sonneiin a private school in Rio de Janeiro

“…By one estimate there were 3-5 billion cases of diarrheoa occurring annually in children under the age of 5 in Asia, Africa, and Latin America resulting in at least 5-10 million deaths. (Walsh & Warren, 1979). Besides death it often leads to malnutrition which in turn makes children more susceptible to other infections by impaired body defences.…”

High prevalence of campylobacter excretors among Liberian children related to environmental conditions

“…In developing countries, where diarrhoea is a leading cause of early childhood morbidity and mortality (Walsh & Warren, 1979;Snyder & Merson, 1982), less is known about the clinical significance of campylobacter infection, although most studies have revealed widespread existence of campylobacter with varying prevalences (De Mol & Bosmans, 1978;Bokkenheuser et al 1979;Ringertz et al 1980;Berry, Gracey & Bamford, 1981;Billingham, 1981;Low, Lawande & Hall, 1981;De Mol et al 1983;Glass et al 1983; Guerrant et al 1983;Lloyd-Evans, Drasar & Tomkins, 1983;Olarte & Perez, 1983;Georges et al 1984;Schneider, Parent & Maire, 1984;Rowland et al 1985).…”

Between Intent and Achievement in Sector-Wide Approaches: Staking a Claim for Reproductive Health

“…[13] Both debates echo the ideological struggle between comprehensive and selective primary health care (PHC), with proponents of selective PHC arguing for cost-efficient disease interventions that are able to significantly reduce the burden of disease in the short term [14], while those advocating comprehensive PHC point out that sustainable health outcomes depend on a complex of social, economic and environmental changes, only achieved through community participation in multi-sectoral strategies [15,16].…”