The article focuses on the changes, developments and challenges in the primary health care in Africa in the 21st century. It discusses the state of Africa and other regions in achieving the targets set by the United Nations Millennium Development Goals to be achieved by 2015, wherein, all regions lagged behind the terms of the goals, with child nutrition remains problematic in several parts of Africa. It says that access to health care remains difficult worldwide due to an increasing population particularly in the developing countries. It explores the efforts to address the social determinants of health, to reform the health care system, and the framework of primary care teams with regards to family medicine in Africa, as well as the challenges confronting the primary health care.
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