Outreach programme in Kenya was based on extensive community participation

EDITOR,—Paul Johnstone and Isobel McConnan suggest that a wealth of knowledge about primary health care exists in developing countries and is now relevant to the NHS.1 I learnt much from supporting a successful community based health care programme in sub-Saharan Africa for six years. Chogoria Hospital provides complete medical care for 350000 people in Meru district of Kenya. Having gained local credibility because of its effective curative services, the hospital developed an outreach programme for maternal and child …