ABSTRACT
The chapter were aware of the existence of a substantial disparity in per capita public health expenditure between urban and rural areas of Mali, although the project’s ultimate outcome suggests they may not have fully appreciated the implications of that disparity for the feasibility of the strategy adopted for the PSR. The appearance at one time or another of varying approaches to PSR cost analysis based on the use of different classifications of cost calls for a brief discusses of methodology. Economists currently accept the fact that the rate of a country’s economic development may be as much a function of its expenditure on human capital formation and institutional development as of its rate of physical capital formation plus inventory accumulation. The rural primary health care program establishes in such an environment will give a positive economic return only if it can generate benefits without regular, intensive follow-up on the part of government.
