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Poor, illiterate, and powerless, rural communities often have no control over their local health facilities and may find that they lack essential supplies and resources. This useful book provides step-by-step guidance on preparing health care providers and communities for the effective management of their own local health services. Outlined are the four competencies needed to â€œoverseeâ€ the effective running of a local dispensary: managing health care, managing people, managing money and managing assets. The knowledge and experience contained in this handbook show how community members and health care professionals can work together to empower community committees to take charge of their local health facilities.