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SUMMARY As governments attempt to focus more intently on how to deal with alarming measures of health disadvantage and inequities a reformist gaze seems to have settled on the primary care sector Simultaneously in literature about this area whether intended or not primary health care and primary cares managements are increasingly interchanged which yield mess while implementing PHC through primary care Primary health care and health promotion seek far-reaching solutions to problems that defy biological genetic or biochemical solutions problems that demand new thinking innovative approaches and values one of which is implementation and management This paper argues that management of primary health care has its own peculiarities for its real and optimal implementation it is therefore understandable that managers of PHC need skills that are not only different form conventional managerial tasks but capable of generating the transformative potential of strategies and approaches of PHC This is important to realise that implementing PHC ensures the fundamental changes necessary to improve health status and only skilled PHC mangers can do this in the most effective way because the structures and services of health care sector are not necessarily compatible with notions of primary health care management Management of PHC services is a challenge due to various structural and functional factors In most countries management system is basically bureaucratic centralized and hierarchical This paper explores the managerial skills that can accelerate the current organizational system and management process of PHC Specifically it discusses the critical skills to maintain structure culture and process of management of PHC in an organization In this context few managerial skills are described that are based on the PHC principles drawing support from the relevant literature To approach this paper the author try to triangulates the theory skills and practices in the context of PHC management 10-INTRODUCTION The term primary health care PHC is commonly interchanged with primary care Wass 2000 Swerissen 2000 as if their philosophies and practices were
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