Primary health care in Sierra Leone.

Two pilot primary health care programmes are compared. One is primarily concerned with covering the national population by the year 2000; the other is more concerned with community participation and culturally-appropriate health care organisation. Strengths and weaknesses of the two pilot programmes are assessed in relation to national financial constraints, epidemiological patterns, and the socio-cultural structure of rural chiefdoms. The comparison concludes with specific recommendations for a national programme which incorporates the best of both pilot programmes.