1995
DOI: 10.1177/175797599500200410
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The Paradox of Community Participation in Primary Health Care in Zaire

Abstract: The classic approach fails from the very beginning when District Medical Officers and other health professionals are chosen to manage primary health care programmes. Their attempts to convince the communities of the necessity of following their advice are often far too overbearing, and thus reinforce the "expert to ignorant" situation to a point where maintaining a true partnership becomes difficult, even impossible. It often happens as well that the community representatives in PHC programmes adopt aspects of… Show more

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