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Emphasizing practical considerations in designing and carrying out primary health care programs, this is a superb introductory text for public health students. It will be of particular interest to those working with rural populations in developing countries with limited resources. Part I covers policy issues and the conceptual framework for planning, management and evaluation. Part II reviews essential methods for effective implementation, considering the economic, political, epidemiologic, demographic and other components that contribute to the assessment of health needs and resource allocation. Part III discusses specific tools and techniques in program management related to decision analysis, network analysis, survey techniques, cost-effectiveness appraisal, and much more. Comprehensive and informative, this highly practical work is the result of many years of experience in teaching and working with health care planners from around the world.
Operations research aims to assist managers faced with problems of coordinating activities; improving the quality of care of services delivered; making optimal resource allocation decisions and generally, managing services and institutions. Operations research (or O.R.) was originally developed in response to the problems of the second World War. It was characterised then by a unifying and clear objective; clear problems that had to be solved and the use of inter-disciplinary teams to analyse and solve identified problems. This analysis often drew on mathematical techniques. After the war, operations research moved in two separate but related directions. In England, the emphasis on inter-disciplinary approaches and problem solving teams remained. The operations researcher still used mathematical techniques but these were not systematised into a volume of standard formulae. The emphasis of operations research was on the approach not the tools used (see, for example, Luckman & Stringer, 1974; also Luck, Luckman, Smith & Stringer 1971; and McLachlan, 1975). In the United States, the emphasis was placed on the use of mathematical techniques. Operations research became a mathematically based science relying on standardised models (e. g. queuing, allocation) and formulae. This approach was facilitated by the availability of computers.