{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T10:18:21Z","timestamp":1794565101548,"version":"4.9.1"},"reference-count":84,"publisher":"Massachusetts Medical Society","issue":"18","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["N Engl J Med"],"published-print":{"date-parts":[[1979,11]]},"DOI":"10.1056\/nejm197911013011804","type":"journal-article","created":{"date-parts":[[2010,7,28]],"date-time":"2010-07-28T21:04:23Z","timestamp":1280351063000},"page":"967-974","source":"Crossref","is-referenced-by-count":652,"title":["Selective Primary Health Care"],"prefix":"10.1056","volume":"301","author":[{"given":"Julia A.","family":"Walsh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth S.","family":"Warren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"150","reference":[{"key":"r001","unstructured":"World Health Organization: Declaration of Alma Ata (Report on the International Conference on Primary Health Care, Alma Ata, USSR, September 6\u201312, 1978). Geneva, World Health Organization, 1978"},{"key":"r002","unstructured":"McNamara RS: Address to the Board of Governors of the World Bank. Washington, DC, World Bank, 1978"},{"key":"r003","unstructured":"Geographic Medicine for the Practitioner: Algorithms in the diagnosis and management of exotic diseases. Edited by KS Warren, AAF Mahmoud. Chicago, University of Chicago Press, 1978"},{"key":"r004","unstructured":"Tropical Medicine. Edited by GW Hunter III, JC Swartzwelder, DF Clyde. Fifth edition. Philadelphia, WB Saunders Company, 1976"},{"key":"r005","first-page":"1","volume":"585","year":"1976","journal-title":"WHO Tech Rep Ser"},{"key":"r006","unstructured":"Viral Infections of Humans: Epidemiology and control. Edited by AS Evans. New York, Plenum Medical Book Company, 1976"},{"key":"r007","unstructured":"Peters W: Medical aspects \u2014 comments and discussion II, The Relevance of Parasitology to Human Welfare Today (Symposia of the British Society for Parasitology. Vol 16). Edited by ERA Taylor, R Muller. Oxford, Blackwell Scientific Publications, 1978, pp 25\u201341"},{"key":"r008","doi-asserted-by":"crossref","first-page":"230","DOI":"10.4269\/ajtmh.1977.26.230","volume":"26","author":"Arfaa","year":"1977","journal-title":"Am J Trop Med Hyg"},{"key":"r009","first-page":"1","volume":"549","year":"1974","journal-title":"WHO Tech Rep Ser"},{"key":"r010","doi-asserted-by":"crossref","unstructured":"Preston SH, Keyfitz N, Schoen R: Causes of Death: Life tables for national populations. New York, Seminar Press, 1972","DOI":"10.1080\/03461238.1972.10404630"},{"key":"r011","doi-asserted-by":"crossref","unstructured":"Wyon JB, Gordon JE: The Khana Study: Population problems in the rural Punjab. Cambridge, Massachusetts, Harvard University Press, 1971","DOI":"10.4159\/harvard.9780674594098"},{"key":"r012","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(72)90118-6"},{"key":"r013","first-page":"389","volume":"35","author":"Farooq","year":"1966","journal-title":"Bull WHO"},{"key":"r014","doi-asserted-by":"crossref","first-page":"273","DOI":"10.4269\/ajtmh.1976.25.273","volume":"25","author":"Siongok","year":"1976","journal-title":"Am J Trop Med Hyg"},{"key":"r015","unstructured":"Hull TH, Rohde JE: Prospects for Rapid Decline of Mortality Rates in Java: A study of causes of death and the feasibility of policy interventions for mortality control. Yogyakarta, Indonesia, Population Institute, Gadjah Mada University, 1978"},{"key":"r016","first-page":"481","volume":"56","author":"Bulla","year":"1978","journal-title":"Bull WHO"},{"key":"r017","first-page":"282","volume":"30","author":"Dyson","year":"1977","journal-title":"World Health Stat Rep"},{"key":"r018","unstructured":"Preston SH: Mortality Patterns in National Populations: With special reference to recorded causes of death. New York, Academic Press, 1976"},{"key":"r019","unstructured":"United Nations Demographic Yearbook 1974. New York, United Nations, 1975"},{"key":"r020","first-page":"625","volume":"55","author":"Sob\u011bslavsk\u00fd","year":"1977","journal-title":"Bull WHO"},{"key":"r021","unstructured":"Taylor CE, Kielmann AA, Parker RL, et al: Malnutrition, Infection, Growth and Development: The Narangwal experience: final report. Washington, DC, World Bank, 1978"},{"key":"r022","first-page":"845","volume":"111","author":"Fox","year":"1975","journal-title":"Am Rev Respir Dis"},{"key":"r023","first-page":"1","volume":"607","year":"1977","journal-title":"WHO Tech Rep Ser"},{"key":"r024","unstructured":"Kane TT, Myers PF: 1978 World Population Data Sheet. Washington, DC, Population Reference Bureau, 1978"},{"key":"r025","unstructured":"United Nations Demographic Yearbook 1976. Geneva, World Health Organization, 1977"},{"key":"r026","unstructured":"Burki SJ, Voorhoeve JJC, Layton R, et al: Global Estimates for Meeting Basic Needs: Background paper (Basic Needs Paper No. 1). Washington, DC, World Bank, 1977"},{"key":"r027","unstructured":"Institute of Development Studies Research Reports: Health Needs and Health Services in Rural Ghana. Brighton, England, University of Sussex, 1978"},{"key":"r028","first-page":"1085","volume":"2","year":"1978","journal-title":"Lancet"},{"key":"r030","unstructured":"Fisek NH: An Account of the Activities of the Etimesgut Rural Health District 1967, 1968, and 1969. Ankara, Hacettepe Press and Hacettepe University School of Medicine, Institute of Community Medicine, 1970"},{"key":"r031","unstructured":"Idem: An Account of the Activities of the Etimesgut Rural Health District 1970\u20131974. Ankara, Ayyildiz Matbaasi and Hacettepe University School of Medicine, Institute of Community Medicine, 1975"},{"key":"r032","unstructured":"Arole M, Arole R: A comprehensive rural health project in Jamkhed (India), Health by the People. Edited by KW Newell. Geneva, World Health Organization, 1975, pp 70\u201390"},{"key":"r033","unstructured":"Gwatkin DR, Wilcox JR, Wray JD: Can Intervention Make a Difference? The policy implications of field experiment experience: a report to the World Bank. Washington, DC, World Bank, 1978"},{"key":"r034","unstructured":"Working Group on Rural Medical Care: Delivery of primary care by medical auxiliaries: techniques of use and analysis of benefits achieved in some rural villages in Guatemala, Medical Auxiliaries: Proceedings of a symposium held during the twelfth meeting of the PAHO Advisory Committee on Medical Research, June 25, 1973. Washington, DC, Pan American Health Organization, 1973, pp 24\u201340"},{"key":"r035","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(73)91158-6"},{"issue":"1","key":"r036","first-page":"20","volume":"21","author":"Alderman","year":"1972","journal-title":"West Indian Med J"},{"key":"r037","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/24.1.7"},{"key":"r038","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/24.1.13"},{"key":"r039","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1177\/004947557700700216","volume":"7","author":"Kouznetsov","year":"1977","journal-title":"Trop Doct"},{"key":"r040","first-page":"369","volume":"54","author":"Payne","year":"1976","journal-title":"Bull WHO"},{"key":"r041","first-page":"445","volume":"56","author":"Fontaine","year":"1978","journal-title":"Bull WHO"},{"key":"r042","doi-asserted-by":"crossref","first-page":"877","DOI":"10.4269\/ajtmh.1977.26.877","volume":"26","author":"Jordan","year":"1977","journal-title":"Am J Trop Med Hyg"},{"key":"r043","first-page":"17","volume":"38","author":"Zaheer","year":"1962","journal-title":"J Indian Med Assoc"},{"key":"r044","first-page":"19","volume":"51","author":"Azurin","year":"1974","journal-title":"Bull WHO"},{"key":"r045","first-page":"952","volume":"41","author":"Wolff","year":"1969","journal-title":"Bull WHO"},{"key":"r046","doi-asserted-by":"crossref","first-page":"2100","DOI":"10.1093\/ajcn\/31.11.2100","volume":"31","author":"Briscoe","year":"1978","journal-title":"Am J Clin Nutr"},{"key":"r047","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(72)92401-4"},{"key":"r048","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(76)92299-6"},{"key":"r049","doi-asserted-by":"crossref","first-page":"2089","DOI":"10.1093\/ajcn\/31.11.2089","volume":"31","author":"Schneider","year":"1978","journal-title":"Am J Clin Nutr"},{"key":"r050","unstructured":"Feachem R, Burn E, Cairncross S, et al: Water, Health and Development. London, Tri-Med Books, 1978"},{"key":"r051","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.45.3.354"},{"key":"r052","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1177\/146642402604700309","volume":"47","author":"Khalil","year":"1926","journal-title":"J R Sanit Inst"},{"key":"r053","doi-asserted-by":"crossref","first-page":"59","DOI":"10.4269\/ajtmh.1954.3.59","volume":"3","author":"Chandler","year":"1954","journal-title":"Am J Trop Med Hyg"},{"key":"r054","unstructured":"Schliessmann DJ, Atchley FO, Wilcomb MJ Jr, et al: Relation of Environmental Factors to the Occurrence of Enteric Diseases in Areas of Eastern Kentucky (PHS Publication No. 591). Washington, DC, Government Printing Office, 1958, pp 1\u201335"},{"key":"r055","unstructured":"Appropriate Technology for Waste Supply and Waste Disposal in Developing Countries. Washington, DC, World Bank, 1977"},{"key":"r056","unstructured":"White GF, Bradley DJ, White AU: Drawers of Water: Domestic water use in East Africa. Chicago, University of Chicago Press, 1972"},{"key":"r057","first-page":"157","volume":"9","author":"Wolman","year":"1975","journal-title":"Bull Pan Am Health Organ"},{"key":"r058","first-page":"21","volume":"31","author":"Gordon","year":"1964","journal-title":"Bull WHO"},{"key":"r059","unstructured":"Puffer RR, Serrano CV: Patterns of Mortality in Childhood. Washington, DC, Pan American Health Organization, 1973"},{"key":"r060","unstructured":"Mata LJ: The Children of Santa Mari\u00e1 Cauqu\u00e9: A prospective field study of health and growth. Cambridge, Massachusetts, MIT Press, 1978"},{"key":"r062","first-page":"311","volume":"42","author":"Mata","year":"1976","journal-title":"Ciba Found Symp"},{"key":"r063","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.67.7.651"},{"key":"r064","first-page":"1296","volume":"129","author":"Martorell","year":"1975","journal-title":"Am J Dis Child"},{"key":"r065","doi-asserted-by":"publisher","DOI":"10.1098\/rspb.1977.0118"},{"key":"r066","doi-asserted-by":"publisher","DOI":"10.1079\/BJN19770047"},{"key":"r067","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-195903000-00012"},{"key":"r068","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(75)91758-4"},{"key":"r069","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6145.1113"},{"key":"r070","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1093\/ajcn\/31.8.1363","volume":"31","author":"Murray","year":"1978","journal-title":"Am J Clin Nutr"},{"key":"r071","first-page":"571","volume":"2","year":"1977","journal-title":"Lancet"},{"key":"r072","first-page":"21","volume":"55","year":"1977","journal-title":"Bull WHO"},{"key":"r073","first-page":"773","volume":"56","author":"Mahieu","year":"1978","journal-title":"Bull WHO"},{"key":"r074","first-page":"906","volume":"66","author":"Kielmann","year":"1977","journal-title":"Indian J Med Res"},{"key":"r075","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/23.4.197"},{"key":"r076","doi-asserted-by":"crossref","first-page":"2258","DOI":"10.1093\/ajcn\/31.12.2258","volume":"31","author":"Rohde","year":"1978","journal-title":"Am J Clin Nutr"},{"key":"r077","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(78)91686-0"},{"key":"r078","doi-asserted-by":"publisher","DOI":"10.1136\/adc.53.4.284"},{"key":"r079","first-page":"197","volume":"132","author":"Mahalanbis","year":"1973","journal-title":"Johns Hopkins Med J"},{"key":"r080","unstructured":"Foege WH: Evaluation of Smallpox Eradication\/Measles Control Program \u2014 The Gambia. Atlanta, National Communicable Disease Center, 1968"},{"key":"r081","unstructured":"Idem: Measles Vaccination in Africa: Proceedings \u2014 International Conference on the Application of Vaccines against Viral, Rickettsial, and Bacterial Diseases of Man. Washington, DC, Pan American Health Organization, 1971, pp 207\u2013221"},{"key":"r082","unstructured":"Gonzalez CL: Mass Campaigns and General Health Services. Geneva, World Health Organization, 1965"},{"key":"r083","first-page":"449","volume":"26","author":"Van Der Mei","year":"1974","journal-title":"Trop Geogr Med"},{"key":"r084","first-page":"14","volume":"70","author":"Wilkinson","year":"1967","journal-title":"J Trop Med Hyg"},{"key":"r085","doi-asserted-by":"crossref","unstructured":"Gish O, Walker G: Mobile Health Services. London, Tri-Med Books, 1977","DOI":"10.1097\/00005650-197704000-00001"},{"key":"r086","unstructured":"World Health Organization: Report of the Meeting of Technical Review Group III, Geneva, 28 Aug. \u2014 1 Sept. 1978: UNDP\/World Bank\/WHO Special Programme for Research and Training in Tropical Diseases. Geneva, World Health Organization, 1978"}],"container-title":["New England Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.nejm.org\/doi\/pdf\/10.1056\/NEJM197911013011804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T17:15:29Z","timestamp":1591722929000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.nejm.org\/doi\/abs\/10.1056\/NEJM197911013011804"}},"subtitle":["An Interim Strategy for Disease Control in Developing Countries"],"short-title":[],"issued":{"date-parts":[[1979,11]]},"references-count":84,"journal-issue":{"issue":"18","published-print":{"date-parts":[[1979,11]]}},"alternative-id":["10.1056\/NEJM197911013011804"],"URL":"https:\/\/doi.org\/10.1056\/nejm197911013011804","relation":{},"ISSN":["0028-4793","1533-4406"],"issn-type":[{"value":"0028-4793","type":"print"},{"value":"1533-4406","type":"electronic"}],"subject":[],"published":{"date-parts":[[1979,11]]}}}