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Addis Ababa administrative Africa Alma Ata budget chapter constraints costs decision-making depo-provera devel developing countries distribution doctors donor economic effective equipment essential drugs essential drugs list expenditure experience facilities factors family planning feasible fees financing funds health centres health development health planners health planning health policies health sector health services health system health workers hospitals household IFPMA implementation important increase intrauterine device issues Kasonde kwacha limited Lusaka manpower medicine ment Ministry of Health nomic nurses objectives organisation patients personnel planning process political poor countries population policy poverty practice primary health private sector problems production professional programme psychological contract rural areas short list shortages Siamwiza skills social development planning social planning social policy staff strategies supply tion traditional healers University of Zambia urban World Health World Health Organization Zambia