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

Research output: Contribution to journalArticle

30 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)347-355
Number of pages9
JournalSocial Science and Medicine
Volume23
Issue number4
DOIs
StatePublished - 1986

Fingerprint

social status
South Asia
social system
Primary Health Care
primary health care
staff
Community Health Centers
Professional Role
Sri Lanka
Health
Systems Analysis
health
health care
Motivation
India
role conflict
cadre
systems analysis
ideology
planning

Keywords

  • primary health care
  • primary health center
  • South Asia

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)
  • Earth and Planetary Sciences(all)
  • Environmental Science(all)

Cite this

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AB - 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.

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