ABSTRACT
Nigeria became the site of one of Africare's largest, most comprehensive, and longest lived health care efforts. In 1985, working with the Nigerian state and federal ministers of health and funded by United States Agency for International Development, Africare surveyed more than a hundred rural clinics in ten states to assess their need for basic equipment and technical services. One segment of child survival and maternal health programs in all of the nations where Africare had them was an effort to treat people with malaria and to help with the distribution of malaria prevention materials. Many African nations, within two decades of independence, realized that a major constraint in their health plans was the absence of medicines and their inability to manage the purchase, storage, control, and distribution of pharmaceuticals. Since the late 1980s, activities associated with the HIV/AIDS epidemic in Africa have had a prominent role in Africare work throughout sub-Saharan Africa.
