Mdhluli, L.Q.Gondwe, K.Ngulube, T.J.2007-11-132007-04-132007-11-132005http://hdl.handle.net/10625/27374Despite policy intentions for a “bottom-up approach,” planning and budgeting for primary health care (PHC) in Zambia is still a top-down process. Through fieldwork activities it became clear that issues of power played a key role in implementation outcomes. With an equity focus in mind, this study took place in the four Equity Gauge districts: Chama (the poorest), Choma (semi rural, semi urban), Chingola (urban, light industrial and mining) and Lusaka (capital city). The study thereby examined how policy implementation had progressed across districts with vastly different socioeconomic characteristics and capacity to implement policy.1 digital fileenPRIMARY HEALTH CAREACCESS TO HEALTH CAREGOVERNANCEPOLICY MAKINGHEALTH SERVICESZAMBIAMETHODOLOGYINFORMATION NETWORKSHEALTH CARE DELIVERYHEALTH POLICYHEALTH EQUITYSOUTH OF SAHARAWorking Paper