Improving Rural Health: The Lessons of Mississippi and Tanzania

Abstract

This article summarized major features and processes of a radical improvement in health, especially for black people, in Mississippi since 1965. It stresses the need for initial epidemiological, social-structural and social-psychological surveys in poorly known areas prior to intervention. Also essential is a progressive shift from external to local control, accompanied by modifications of organization and operating mode facilitating local accommodation, consistant with public health goals. An evaluation of chemoprophylaxis against malaria in Tanzania indicates that problems in developing sensitive, effective programs are widespread. In its entirety, this article seeks to improve approaches to community health in rural areas.