All of the major preventive and promotive health services are responsible for prenatal, delivery and postnatal services, child immunizations nutrition. family planning and water supply and sanitation activities. Health centers also provide limited treatment of emergency or minor illnesses and refer to district or provincial hospitals. The health center also serves as referral unit at the primary and provides technical support to the village for the development of its PHC programme. Supervision and support to VHC and VHV are of prime Concern. particularly in the self-management of PHC elements and community organization.