Problems of access to health care facing Appalachia mountain communities are confounded by unemployment, poverty, low education, and local religious beliefs that barrier people from receiving medical care. This proceedings addresses the issues related to health access and health needs. It contains 20 papers and 12 synopses of presentation. The…

The Bureau of Primary Health Care (BPHC) was developed to increase access to comprehensive primary and preventive health care, to improve the health status of medically underserved populations, and to assist communities to identify populations at risk. The needs of women of racial and ethnic minority populations are BPHC's newest initiative;…

This article presents the major issues, trends, interpretations, and difficulties facing Primary Health Care (PHC) personnel in taking the drastic steps required to reform the health care system. The author argues that PHC aims to enable people to take responsibility for their own health and further the redistribution of resources. (SSH)

Instead of increasing institutionalization of the elderly, the author suggests increasing life enhancing programs with preventive health care. She discusses various health and social services in New York City, including outreach projects, day care programs for the elderly, and the value of senior center-hospital cooperative services. (MF)

In the last 2 years, the State of the World's Children report has drawn worldwide attention to the fact that four simple and low-cost methods could enable parents to halve the rate of child deaths and child disability in the developing world. Part I of this year's statement reports on the progress of these strategies in different parts of the…