text: tal budgetary constraints and to in- crease community involvement in matters affecting public health, Work- shops have addressed these issues in South-East Asia and African coun- tries in particular, where the Bamako Initiative has dramatically changed perspectives on PHC. In order to retain and expand PHC services despite economic difficulties, interest has focused on ways of ensuring the sustainability of im- munization programmes, of decen- tralizing health services, of strength- ening district management systems and of integrating die various ele- ments of PHC into national and com- munity-based systems. Other areas also receiving attention are health management information, logistics and referral services. The decentralization of health man- agement to local levels has continued in all regions, although the pace has picked up significantly in Africa, where the district has become the primary focus. Countries such as Kenya, Sierra Leone, Somalia, Zaire and Zambia have reinforced this ap- proach with improved training pro- grammes to build management capac- ity at district, subnational and nation- al levels. Local strategies have also made strong gains in South-East Asia and the Western Pacific (India and the Philippines). In an endeavour to improve health infrastructure and expand me cov- erage, 'countries including Angola, the Gambia and Zimbabwe are either re- habilitating or constructing rural health centres, and UNICEF has assist- ed with diagnostic, laboratory and other clinical functions. UNICEF has also provided equipment support in 13 provinces of Viet Nam for 200 community health centres, 80 poly- clinics and 20 district hospitals. United Nations agencies have been active in Angola, Ethiopia and Mozambique. In Angola, clinical equipment has been supplied for 40 health centres and 300 health posts. Mvires remains a priority in till tries, with TRAs itt bijjb ind, Saff nuitlwrfwitfi is n tnnfftr ttfnt.it, tvgcrhfr with amfrnt for <cnrrat health (ifat-rifik
analysis: The text appears to be discussing the challenges and strategies related to healthcare systems in various countries, particularly in Africa and South-East Asia. It mentions budgetary constraints, community involvement, and the need for sustainability of immunization programs, decentralization of health services, and integration of various elements of primary healthcare. The text also highlights the role of international organizations, such as UNICEF, in providing support and equipment to healthcare facilities. Given the focus on healthcare systems and the challenges they face, it is likely that the text belongs to the category of Health.