Box 64.2Important Skills and Competencies at the Primary Care Level

The primary care level warrants the following important skills and competencies:

  • Ongoing monitoring of use of services with particular reference to patient access and community coverage, and program adjustment as indicated
  • Continuous linking of general primary care services with community outreach efforts in order to enhance program effects in the defined catchment community
  • Appropriate clinical skills for midlevel workers, especially in the absence of doctors, and practiced judgment regarding timely referral to a hospital
  • Responsiveness to community needs—whether or not directly expressed—and heightened sensitivity to cultural norms and local systems of leadership and authority
  • Facilitatory and responsive managerial styles by district team leadership that support and encourage frontline health workers.

Source: Authors.

From: Chapter 64, General Primary Care

Cover of Disease Control Priorities in Developing Countries
Disease Control Priorities in Developing Countries. 2nd edition.
Jamison DT, Breman JG, Measham AR, et al., editors.
Washington (DC): World Bank; 2006.
Copyright © 2006, The International Bank for Reconstruction and Development/The World Bank Group.

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