System, for their support of the research. We would also like to acknowledge all district managers and their management teams for their assistance and support throughout; the fieldworkers for their tireless effort; and all the facility management and staff for their assistance and participation during data collection. We would like to thank the Italian Health Cooperation for their financial contribution to make the study possible. Lastly we would like to thank the Maternal, Child & Women's Health Sub-Directorate for the central role they played in making the study possible. The KwaZulu Natal Department of Health aims to achieve optimal health status for all persons in KZN by developing sustainable, coordinated, integrated and comprehensive health systems at all levels, based on the primary health care approach through the district health system.
In 1985 there were 14,057 physicians in all health services in Saudi Arabia. Of these, 8,239 worked in Ministry of Health facilities, and the overall physician:population ratio was 1:750. The Ministry of Health has had a moderate shortage of physicians as evidenced by a low physician:population ratio and a high number of patient visits annually to each doctor. The shortage has been greater in the northern and southern regions of the Kingdom. The targeted physician:population ratio in the fourth development plan (1:550) calls for an increase in the number of physicians in 1990 to 22,000. With the same target ratio for 1995, the number of physicians needed is estimated to be over 25,000. The shortage of Saudi physicians is severe. Their present proportion is 10% of all physicians in the Kingdom. To achieve the goal of the fourth development plan, the proportion of Saudi physicians in the Kingdom will need to increase to about 23% by 1995. This would imply a real need for expansion in medical education facilities to achieve adequate medical manpower in a reasonable time.
In addition, the stakeholders in the project including representatives from the local, provincial, and national levels of government; representatives from the Carletonville AIDS Action Committee; mining companies; and trade unions, have played a vital role in increasing the community acceptability of the project and in contributing to its sustainability. The contributions of Progressus cc., the organization contracted to conduct the surveys, the data collectors, and the respondents who participated in the study, are also acknowledged.
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