Abstract
The experience of Tanzania in implementing primary health care (PHC) within the context of an official orientation is examined. Attention is paid in particular to the colonial legacy, health manpower, resource allocation, external aid and pharmaceutical supplies, areas where incongruities with a socialist health system supposedly exist. The author concludes that many micro issues in health care are not resolved even after macro changes in society, and that for PHC to succeed, transformation is neither necessary nor sufficient.
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