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Date of Award

9-1980

Degree Type

Thesis

Degree Name

Master of Science (MS)

Department

Design, Measurement and Evaluation: Medical Sciences

Supervisor

D.L. Sackett

Abstract

The purpose of this thesis is to describe a research design for evaluating the effectiveness of comprehensive primary health care in rural areas of Sierra Leone.

Comprehensive primary health care, which is based on community participation within the framework of a policy of self-reliance and self-development is seen by many as the answer to solving the health problems of deveIoping countries.

In setting the scene for evaluating the effectiveness of comprehensive primary health care in rural Sierra Leone, a description of the background of the country is given highlighting the major geographical, demographical and socioeconomical features. The state of health in the developing countries as a whole is also reviewed (Chapter 3).

Chapter 4 explores the concept of comprehensive primary health care and reviews the operational aspects in the African context.

In an attempt to establish some basis for the design of an effectiveness evaluation of comprehensive primary health care, the main methodologic issues in the presented setting are explored (Chapter 5).

Having identified the main methodologic issues specific solutions and their justifications are proposed (Chapters 6,8,9).

Finally, a specific protocol of the proposed research design is presented.

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