Abstract
Summary Planning for health care in less developed countries must differ from that in more highly developed countries because of the greater scarcity of manpower and facilities, the differences in population structure, and the different disease patterns. Because poor countries usually do not have more than 10s. per head per annum to spend for health care, it would be unrealistic to plan for hospital‐based medical care delivery systems. It is equally inappropriate to attempt to make the medical doctor responsible for the care of each and every patient. The training of medical doctors must reflect the economic, demographic and health patterns of low‐income countries. Health problems in these countries are aspects of poverty rather than of the tropics. Future reduction of morbidity and mortality is more likely to be accomplished through an improved system for the distribution of heath services rather than from further advances in medical science as such.
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