Atkinson, Sarah; Ngwengwe, Alasford; Macwan'gi, Mubiana; … - In: Social Science & Medicine 49 (1999) 1, pp. 27-38
Much of the current reform of urban health systems in sub-Saharan Africa focuses upon the referral system between different levels of care. It is often assumed that patients are by-passing primary facilities which leads to congestion at hospital outpatient departments. Zambia is well advanced in...