EVALUATION OF A NATIONAL HEALTH PROGRAMME AT THE PRIMARY CARE LEVEL

National health programmes  are often judged by whether  planned  activities were completed, yet  effective evaluation at the primary care level requires a broader view. Primary care is where many  national policies become real services: vaccination, maternal and child health, screenin g, infectious  disease control, chronic disease management, health education and referral. This narrative review  explains how a national health programme can be evaluated at this level using a practical framework  that  connects  resources  and  implementation  p rocesses  with  service  coverage,  quality,  equity,  continuity and health outcomes.