Integration of targeted health interventions into health systems: a conceptual framework for analysis

Health Policy and Planning
Rifat AtunOlusoji Adeyi

Abstract

The benefits of integrating programmes that emphasize specific interventions into health systems to improve health outcomes have been widely debated. This debate has been driven by narrow binary considerations of integrated (horizontal) versus non-integrated (vertical) programmes, and characterized by polarization of views with protagonists for and against integration arguing the relative merits of each approach. The presence of both integrated and non-integrated programmes in many countries suggests benefits to each approach. While the terms 'vertical' and 'integrated' are widely used, they each describe a range of phenomena. In practice the dichotomy between vertical and horizontal is not rigid and the extent of verticality or integration varies between programmes. However, systematic analysis of the relative merits of integration in various contexts and for different interventions is complicated as there is no commonly accepted definition of 'integration'-a term loosely used to describe a variety of organizational arrangements for a range of programmes in different settings. We present an analytical framework which enables deconstruction of the term integration into multiple facets, each corresponding to a critical health sy...Continue Reading

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Citations

Sep 1, 2011·International Health·Jennifer BryceRobert E Black
Aug 4, 2012·Lancet·Peter HowittElizabeth Wilson
Jul 3, 2013·Lancet·Rifat AtunRecep Akdağ
Apr 11, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·E CharaniA Holmes
Oct 19, 2010·Health Policy and Planning·George ShakarishviliRifat Atun
Oct 4, 2012·Health Policy and Planning·Rifat Atun
Jun 17, 2011·The Journal of Infectious Diseases·P HanvoravongchaiU K Griffiths
Jul 16, 2010·Journal of Epidemiology and Community Health·Ryuichi KomatsuRifat Atun
Sep 14, 2012·BMC Public Health·Josefien van OlmenPeter S Hill
Mar 20, 2013·BMC Health Services Research·Rènée du ToitPaul Courtright
May 8, 2013·BMC Health Services Research·Heidi W Reynolds, Elizabeth G Sutherland
Jul 18, 2012·Globalization and Health·Eduardo J Gómez, Rifat Atun
Oct 29, 2013·Italian Journal of Pediatrics·Carlo Corchia, Pierpaolo Mastroiacovo
Jan 1, 2012·Infectious Diseases of Poverty·Charles CollinsShenglan Tang
Aug 3, 2012·Global Health Action·Isabel GoicoleaMiguel San Sebastian
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Mar 17, 2012·Bulletin of the World Health Organization·Dale HuntingtonZenaida Dy Recidoro
Feb 26, 2016·Bulletin of the World Health Organization·Grace J ChanRifat Atun
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Nov 6, 2012·The International Journal of Health Planning and Management·David BeranJohn S Yudkin
May 28, 2016·Journal of Global Health·Grace J ChanStephen Wall

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