ABSTRACT
The target sectors for project assistance under the Sahel Development Program was rural health services. The new mission decides to respond favorably inprinciple, but in lieu of simply providing cash to purchase drugs and equipment, United States Agency for International Development (USAID)/Mali chose to use the request as a point of departure for an integrated attack on problems of rural health in Mali. A reduced range of drugs is to be provides to village health workers to give and/or sell to their patients, the proportions of giving and selling to be determines in the PSR’s early stages. The contract is awards to the Harvard Institute for International Development (HIID), which had tracking the project for some time, and supplied the leader as well as the economist. The features systematic disagreement over project design between donors and host country administrators. The outset, certain acts of community participation were regards as prerequisites for successful implementation of the PSR in any village.
