International Journal of Applied Science and Engineering Research

The fragile national rural health, care system in developing countries is partly responsible to rural poverty. The primary health care institution contributes to the rural development. However, reasonable access of primary health care has not been attained in most of the African nations. Incorporating the community based management project in rural health care strategies, seems to be the best approach to run rural primary health care project. Study used both qualitative and quantitative research techniques to obtain data on the implementation of LEEMP (local empowerment primary health care delivery project) in Adamawa State of Nigeria. The result shows that the Project has impacted positively to some rural communities in the state. However, there still issues in terms of distribution and access of medical facilities non-implementation of health care strategies, improper management of resources, and improper participation of the communities. This paper implies that effective incorporation of rural communities in health care strategies require full community participation. This requires collective action, which ties the community on maintenance of rural health care infrastructures, and improvements, in cultures, of personnel training as well as facilities improvement and benefits into rural health care development, with balancing the aim of sustaining rural health care delivery, personnel welfare and wellbeing of rural dwellers.