Similarly, a debate over the degree to which the objectives of primary health care can be translated into effective programmes resulted in the emergence of ‘‘selective primary health care’’ (7). This new strategy, which targeted the control of diseases identified as the most important contributors to increasedmortality, was intended to bemore focused and more feasible. A number of specific, more vertical programmes (so named because of the self- contained way they appear on organizational charts and, more importantly, in budget lines of health ministries) were promoted to channel relatively meagre resources into areas in which demonstrable success could be achieved in the medium-term. Furthermore, the emphasis was clearly put on programmes that would contribute to.
