This paper seeks to highlight the recent activities of local government in health care delivery. The literature review reveals the interconnectedness between local government and the sustenance of primary health care in Nigeria. The study traced the historical antecedent of health service delivery from the colonial era to the present day. It identifies the major contradictions in the management of primary health care implementation, using a local government as case study. They include shortage of qualified personnel and finance, inadequate transportation, inaccessibility to communities, lack of maintenance culture, political instability, high degree of leadership turn-over. For the sustainability of health care service delivery at the grassroots, the study recommends increase financial allocation, community mobilization, improved health education, policy consistency and provision of qualified health workers.
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D. O. Adeyemo (2005) studied this question.