36 SOCIAL SCIENTIST ints. The primary concern of those who are interested in exploiting this potential should be to identify political organizatians and movements representing working class interests. They should then evolve the content of their alternative within the larger social context and be able to show how the liberal and radical components (both programatic and human) of their alternative can be made use of for advancing the working class movement. This brings us to the dilemma of the politically conscious community health experts. To them good community health work means organizing efficient and effective health services for large populations. For this they try to exploit state resources and are, therefore, forced to accept the constraints imposed by the state. The constraints arc accepted in the hope of ultimately changing the system. Attempts to reject the constraints by creating a health system as part of a political movement raise the issues of manpower, resources and infrastructure. Hence it undermines the possibility of organizing effective health services for the community. The experts are, therefore, faced with a choice between an experiment which stimulates their ideal concept of community health which has to function within the constraints of the system and a system which may not fulfil the established creteria of community health work though it makes the political alternative (of which it is a part) more attractive for the people and offers strong challenges to the establishment. While the former is a stepping stone towards planning community health services in the future, the latter, though not a model for tommorrow, brings the future nearer. "Another Development in Health" therefore must have the resilience to encompass both these dimensions of community health work and the vision of strengthening working class movement rather than initiating them. 1 Primary Health Care, Working Paper No. 7, Meeting of the Ad-hoc Group of the Executive Board on Promotion of National Healh Services, WHO, Geneva, 8-9 April 1975. 2 What Now, Report of the Dag Hammarskjold Foundation, 1975. B Ibid. 4 Ibid. s Ibid. 6 Alternatives in Health, Report of the Dag Hammarskjold Foundation, 1975. 7 D Banerji, "A Generalised Model of Another Development in Health Services Based on the Indian Experience'', paper presented at the Dag Hammarskjold Seminar on Another Development in Health, 1977 (a). ^ D Banerji, "Political Dimensions of Health: Health Services as a Lever for Social and Economic Development", paper presented at the Dag Hammarskjold Seminar on Another Development in Health, 1977 (b). 9 D Banerji "Health Services as a Vehicle for Initiating Change", paper presented at the consultative meeting on Development of Basic Community Services, Bangkok, 30 January-3 February 1978 under the joint sponsorhip of APDI and UNICEF