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_ About the author Dr Sunday M. Makama He is a Senior Lecturer in the management of Primary Health Care Services at ECWA College of Health Technology Kagoro Nigeria. He is a community Health Professional. He obtained his PhD in 2011 at the Mzumbe University Tanzania. He is involved in teaching, research and consultancy and has published a book on Organization structure and participation of a Non governmental Organization in the delivery of primary health care services in Nigeria. He has worked directly with the rural community providing medical health care services for over 15 years. These include curative, preventive, rehabilitative, and promotive health care services.