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Selective Primary Health Care: An Interim Strategy for Disease Control in Developing Countries
Abstract
Priorities among the infectious diseases affecting the three billion people in the less developed world have been based on prevalence, morbidity, mortality and feasibility of control. With these priorities in mind a program of selective primary health care is compared with other approaches and suggested as the most cost-effective form of medical intervention in the least developed countries. A flexible program delivered by either fixed or mobile units might include measles and diphtheria-pertussis-tetanus vaccination, treatment for febrile malaria and oral rehydration for diarrhea in children, and tetanus toxoid and encouragement of breast feeding in mothers. Other interventions might be added on the basis of regional needs and new developments. For major diseases for which control measures are inadequate, research is an inexpensive approach on the basis of cost per infected person per year.
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Cited by
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Jamison, D. T., Summers, L. H., Alleyne, G., Arrow, K. J., Berkley, S., Binagwaho, A., Bustreo, F., Evans, D., Feachem, R. G. A., Frenk, J., et al. (2013) · The Lancet · doi:10.1016/s0140-6736(13)62105-4 · Cited by 1,220
Perry, H. B., Zulliger, R., & Rogers, M. M. (2014) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-032013-182354 · Cited by 944
Overcoming health-systems constraints to achieve the Millennium Development Goals
Travis, P., Bennett, S., Haines, A., Pang, T., Bhutta, Z., Hyder, A. A., Pielemeier, N. R., Mills, A., & Evans, T. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16987-0 · Cited by 860
Essential medicines for universal health coverage
Wirtz, V. J., Hogerzeil, H. V., Gray, A. L., Bigdeli, M., de Joncheere, C. P., Ewen, M. A., Gyansa-Lutterodt, M., Jing, S., Luiza, V. L., Mbindyo, R. M., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(16)31599-9 · Cited by 661
Atun, R., de Jongh, T., Secci, F., Ohiri, K., & Adeyi, O. (2010) · Health Policy and Planning · doi:10.1093/heapol/czp055 · Cited by 427
Metadata
- Authors
- Walsh, J. A., & Warren, K. S.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1979-11
- Volume
- 301
- Issue
- 18
- Pages
- 967-974
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1998380942
- Cited by
- 1,034
- References
- 0
- FWCI
- 19.41
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Selective Primary Health Care: An Interim Strategy for Disease Control in Developing Countries. https://app.cochat.ai/papers/10.1056/nejm197911013011804
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- Walsh, J. A., & Warren, K. S. (1979). Selective Primary Health Care: An Interim Strategy for Disease Control in Developing Countries. New England Journal of Medicine. https://doi.org/10.1056/nejm197911013011804
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
