"Decentralise malaria diagnosis and treatment in Africa", an article in the Guardian, states that the most effective way to overcome key challenges of access is to focus on community health workers- if people can't come to a health facility, take the health facility to people.
The full article is available through the following link: http://www.guardian.co.uk/global-development-professionals-network/2013/feb/12/malaria-control-prevention-africa-community-health-workers?CMP=twt_gu
What are your thoughts on decentralised health programmes? Have you seen successful examples of this? What are some of the challenges to this approach?