ABSTRACT
The focus of this study arose out of my own experiences of community nursing both in the UK and overseas. Following a period as a district nurse/midwife in central England I worked in two developing countries in health care development. I spent over three years in each programme followed by short spells in other programmes in two other countries. In total 10 years in which I was involved in a wide variety of activities with both government and non-government organisations (NGO).
