| On the attainment of independence in developing countries there has been a tendency to decentralize health services and place major responsibility in the hands of local authorities for the administration of rural medical and health services. Ministries have become advisory agencies, but retain inspectorial duties under the law. Although auxiliaries take over a great deal of the medical duties, professional workers are needed to guide auxiliaries. Relations between professional and auxiliary workers will necessarily be determined by tasks and priorities of the health programme. In Uganda, the great majority of diseases are preventable. Domiciliary midwifery and home nursing are top priority tasks for paraprofessionals in developing countries. |