text: sive distribution of certain essential drugs which should be available cheaply or at no cost to the people. With the phenomenal rise in the cost of drugs, the Ministry of Health has 141 E/ECA/CM.9/5 been unable to keep up supplies, and this is likely to undermine public confidence in the system. Secondly, poor transport and commun icat_ion 1 inks hinder the community health worker from visiting his "parish" regularly. Thirdly, a centralized decision-making system inhibits the exercise of initiative at provincial and district levels In solve local problems. This also affected the allocation of :sources and drugs. Fourthly, problems witl-1 tl1e organizational structure were identified, and the establishment of a powerful co-ordinating body to pool per­ sonnel anc.l institutions V.'as recommended. Lastly, manpower train­ ing to re-orient existing medical and paramedical staff as well as community health workers was needed. 18. For some time the introduction of PHC will have teething prol>l ems, and many approaches are pcss ibl e. Central control may weaken community enthusiasm to participate and contribute. A balance will need to be struck between central surveillance of the system, to ensure tlwt it is working and no bottle-necks are created, and encouragement of grass-roots support and participa­ tion. 19. The importance of educating the entire population to show concern and practise the various health measures needed for com­ munity welfare must be evident. Personal hygiene, environmental sanitation, immunization and nutrition should be seen as matters for community concern. If tr;e general level of awareness of these matters is ruised in br:Jt1l school and community, much can be achieved in promotin·~ ti :,,>llth of the people. 20. Education continues to be granted prlor:i_i:.y l;y many African Governments. Tl1is reflects recognition of the key role education plays in human resource development, and its consequent effect on national development. Maintaining tbe momentum of educational 
analysis: The text primarily discusses issues related to healthcare, education, and organizational structure, which are all interconnected and interdependent. The text highlights the challenges faced by the Ministry of Health, including the lack of resources, poor infrastructure, and inadequate training of medical staff. It also emphasizes the importance of community participation and education in promoting public health. The text does not mention economic development, natural resources, or industry, which suggests that these categories are not directly relevant.