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The primary health center as a social system: PHC, social status, and the issue of team-work in South Asia

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  • Nichter, Mark A.

Abstract

Primary health care ideology is considered from the vantage point of health center field staff in South India and Sri Lanka. It is argued that professional and organizational role conflicts are fostered by primary health care inspired programs introduced without regard to the status and motivations of existing cadres of staff. Attention is focused on the health center as a social system and the need for social systems analysis as a preliminary step in planning for team-work at the health center-community level. Inasmuch as team-work is the cornerstone of PHC implementation, more thought need be given to staff response to potential programs.

Suggested Citation

  • Nichter, Mark A., 1986. "The primary health center as a social system: PHC, social status, and the issue of team-work in South Asia," Social Science & Medicine, Elsevier, vol. 23(4), pages 347-355, January.
    • Handle: RePEc:eee:socmed:v:23:y:1986:i:4:p:347-355
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    Cited by:

    1. Rahi Jain & Bakul Rao, 2016. "Taxonomy of Challenges in Medical Laboratory Diagnostic Services," Proceedings of International Academic Conferences 3506096, International Institute of Social and Economic Sciences.
    2. Magrath, Priscilla & Nichter, Mark, 2012. "Paying for performance and the social relations of health care provision: An anthropological perspective," Social Science & Medicine, Elsevier, vol. 75(10), pages 1778-1785.
    3. Riviere-Cinnamond, Ana, 2004. "A Public Choice Approach to the Economic Analysis of Animal Healthcare Systems," PPLPI Working Papers 23786, Food and Agriculture Organization of the United Nations, Pro-Poor Livestock Policy Initiative.
    4. Riviere-Cinnamond, Ana, 2005. "Animal Health Policy and Practice: Scaling-up Community-based Animal Health Systems, Lessons from Human Health," PPLPI Working Papers 23775, Food and Agriculture Organization of the United Nations, Pro-Poor Livestock Policy Initiative.

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