Soc. Sci. Med. Vol. 17, No. 24, pp. 1971-1981, 1983 Printed in Great Britain 0277-9536/83 $3.00 + 0.00 Pergamon Press Ltd VERTICAL VS HORIZONTAL HEALTH PROGRAMMES IN AFRICA: IDEALISM, PRAGMATISM, RESOURCES AND EFFICIENCY* ANNE MILLS Evaluation and Plannine Centre, London School of Hygiene and Tropical Medicine, Keppel Street (Gower Street), London WC I …