Village-level health buildings in Uganda and Sierra Leone

What opportunities are there, within Primary Health Care (PHC) programmes, for village communities to become involved with the process of conceiving, constructing and maintaining their own health facilities? This paper looks at three PHC projects in Sierra Leone and Uganda involving NGOs, governments and host communities in the construction of health buildings; one each from those supported by Save the Children Fund, Action Aid and Oxfam. These examples are used to draw out issues which require monitoring and evaluation within those PHC programmes aiming to promote community involvement in the process of producing and sustaining village level health buildings.