The book "Sustaining Primary Health Care" by Anne LaFond examines the role and impact of aid in the health sector of resource-poor, developing countries. The 1980s and 1990s saw economic recessions and structural adjustment programs that significantly reduced public health budgets, leading to increased reliance on external aid. LaFond defines sustainability as the capacity of a health system to function effectively over time with minimal external input. She explores the complexities of health system development, the interactions between different stakeholders, and the challenges faced by governments and donors. The book uses case studies from Uganda, Ghana, Nepal, Pakistan, and Vietnam to illustrate the opportunities and obstacles in health sector investments. It highlights the tensions between ministries of health and donor agencies, the financial insecurity affecting policymaking, and the need for strategic investment practices to ensure sustainability. The book is valuable for policymakers and donors interested in understanding the policy environment and the complexities of health sector decisions.The book "Sustaining Primary Health Care" by Anne LaFond examines the role and impact of aid in the health sector of resource-poor, developing countries. The 1980s and 1990s saw economic recessions and structural adjustment programs that significantly reduced public health budgets, leading to increased reliance on external aid. LaFond defines sustainability as the capacity of a health system to function effectively over time with minimal external input. She explores the complexities of health system development, the interactions between different stakeholders, and the challenges faced by governments and donors. The book uses case studies from Uganda, Ghana, Nepal, Pakistan, and Vietnam to illustrate the opportunities and obstacles in health sector investments. It highlights the tensions between ministries of health and donor agencies, the financial insecurity affecting policymaking, and the need for strategic investment practices to ensure sustainability. The book is valuable for policymakers and donors interested in understanding the policy environment and the complexities of health sector decisions.