Journal article

Careers and training in tropical health.

I Riley

The Medical Journal of Australia | Published : 1994

Abstract

Tropical health is described as an academic discipline, as an institution, and in terms of professional practice. Poverty, and not climate, is the major determinant of the distribution of tropical disease. A recent World Bank Report analysed global disease and made recommendations about public funding of essential services; this approach emphasised "vertical" programs of disease control. An alternative approach, defined as "primary health care" in the Declaration of Alma Ata, emphasised community development and has had a major influence on health services in developing countries. Conflict between these approaches could be partly resolved by strengthening district health services. A strong t..

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