Clinic-based PHC auxiliaries: an overlooked category of health worker?

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Abstract
The author's personal negative experience of village-based primary health care (PHC) auxiliaries has recently been corroborated internationally by a number of other authors. In this paper, it is argued that health planners and policy-makers should critically reassess the potentials and problems of village-based auxiliaries. The reasons for their introduction into PHC services are discussed, and the likelihood of their being successful is explored. The possibility of introducing specially trained clinic-based PHC auxiliaries is then suggested as a strategy to overcome some of the problems often associated with the more ‘fashionable’ village-based auxiliaries. Finally, the author mentions some specific precautions which should be taken to prevent misuse of clinic-based PHC auxiliaries.

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