Introduction

Throughout the African continent, rural health care delivery - more than elsewhere in the world - has come to drift into a situation of crisis. Despite the high technological state of westernstyled, cosmopolitan medicine and the allocation of substantial funds to health services, the majority of nations in Sub-Saharan Africa in the course of the eighties are facing an expanding volume of unmet needs, where 70 to 80% of the population have little or no access to primary health care.