Abstract
The criteria that define primary health care (PHC) dictate that PHC programs be instituted in response to both the clients perspective and needs. However the clients perspective and role in PHC has been supported in theory but not in reality. The purpose of this volume is to emphasize the importance of this perspective to the success of PHC programs by exploring a series of cases in different settings. The papers are limited to 2 areas Latin America and India where PHC has a longer history. Most PHC programs suffer from failure to accomodate 3 basic facts: 1) clients perceived needs may vary widely from planners epidemiologic definition of needs; 2) PHC is inextricably interwoven with socioeconomic and political processes; and 3) the effectiveness of PHC programs depends in large part on prospective clients perception and use of PHC services in combination with other Western and traditional health care services. This series is aimed at the health planner who might perceive through these anthropological case studies how client-oriented research and services could contribute to more successful PHC programs.
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