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Health Policy and Planning; 6(2): 166-172
© 1991

review-article

Issues in primary health care development in Vanuatu

MARK HARRIS1, MARINA LAKLOTAL2, EUAN LINDSAYA SMITH3, SIMO TAIGANIVAT4, ROY FEY5 and MYRIAM ABEL6

1University of New South Wales Australia
2Department of Health Vanuatu
3Project Manager, Save the Children Fund Australia
4Primary Health Care Co-ordinator Vanuatu
5Principal Rural Medical Officer Vanuatu
6Department of Health Vanuatu

Correspondence: Mark Harris, Associate Professor, School of Community Medicine, University of New South Wales, PO Box 1, Kensington 2033, Australia

The primary health care (PHC) approach has been adopted as a means of achieving health for all in Vanuatu since 1984. This has proved remarkably successful as a guiding force for primary care especially at the national level. It has, however, proved more difficult than at first anticipated to devolve planning and management to the regional and district levels. A task force, which was set up in 1989, appears to have been successful, at least initially, in developing concrete plans for greater co-ordination at the regional level. This article reviews some of the issues involved in implementing the objectives of PHC in Vanuatu, with particular reference to a regional review and planning process begun in 1989. Problems and future directions in the practical application of the principles of PHC are discussed.


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