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Rural Health Service Programs

The impact of community development efforts on rural health services is evaluated by an analytical procedure which pools cross-sectional and time series data, thus taking advantage of both inter-community and inter-temporal variation. Scales of institutional complexity were developed at six time points. To assess the impact of community development efforts, parameters relating health sector growth or decline to existence and type of community development program were obtained using estimation procedures for pooled cross-sectional and time series data. The results indicate that thefull programs did have the predicted positive impact on rural health services. Conversely, the special programs demonstrated no impact.