Primary health care: the basis for malaria control in Hubei, China.

By 1992 malaria morbidity in Hubei, China had decreased steadily to its lowest level since 1970. Much of this achievement was through an integration of the primary health services with malaria control activities. However, in some areas malaria has been unstable due to weaknesses in the three tier health network. This has particularly been at the township and village level. The future of village doctors and appropriate measures of malaria control at the village levels are threatened by the change to a market economy. As part of the provincial health program, primary care services need to be improved in service provision, service organization and service quality.