Abstract: National Standing orders for community health practitioners is a powerful tool in primary health care. It is a basic tool that makes Physicians extension possible. They describe typical symptoms which the patients may present and the way they could be managed. It was drawn up with Nigerian health conditions. The book was a basic tool both in the training of community health practitioners and the services that they subsequently provide to the community. The whole point of developing the national standing orders for community health practitioners is to provide a tool that will allow the physicians extenders to treat 10-20 times more patients.