Clearing the Global Health Fog : A Systematic Review of the Evidence on Integration of Health Systems and Targeted Interventions

A longstanding debate on health systems organization relates to benefits of integrating health programs that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes This paper is organized in five chapters. This introduction is followed by the methodology chapter, which includes a brief section on the conceptual framework used to analyze the studies retrieved and the programs presented within these to map the nature and extent of integration into critical health system functions. The results chapter includes: a summary of the outcomes for each study grouped by the disease area or the clinical problem the intervention seeks to address, including the reported success; for each program, analysis and mapping of the nature and extent of integration into critical health system functions; and an analysis of how contextual factors either created opportunities for introducing or integrating a program or influenced the desirability or feasibility of program integration. The discussion chapter provides an overview of the implication of findings for policy makers, practitioners and researchers. The final chapter draws conclusions.

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Bibliographic Details
Main Authors: Atun, Rifat, de Jongh, Thyra, Secci, Federica V., Ohiri, Kelechi, Adeyi, Olusoji
Format: Publication biblioteca
Language:English
Published: World Bank 2012-03-19T10:03:03Z
Subjects:ACQUIRED IMMUNE DEFICIENCY SYNDROME, ADOLESCENT GIRLS, ADOLESCENT HEALTH, ADOLESCENTS, AGED, ANEMIA, ANTENATAL CARE, ANXIETY, ASTHMA, BASIC HEALTH, BASIC HEALTH SERVICES, BCG, CENTER FOR HEALTH, CHAGAS DISEASE, CHEMOTHERAPY, CHILD DEVELOPMENT, CHILD HEALTH, CHILD HEALTH SERVICES, CHILD MORTALITY, CHILD SURVIVAL, CHILDBEARING, CHILDBEARING AGE, CHILDBIRTH, CHILDHOOD ILLNESS, CHOLERA, CLINICS, COCAINE, COMMUNICABLE DISEASES, COMMUNICATION CAMPAIGN, COMMUNITIES, COMMUNITY HEALTH, COMMUNITY INVOLVEMENT, COMMUNITY PARTICIPATION, COUNSELING, COUNSELLING, DECISION MAKING, DEMENTIA, DENGUE, DENGUE HEMORRHAGIC FEVER, DEPRESSION, DESCRIPTION, DEVELOPING COUNTRIES, DEWORMING, DIAGNOSIS, DIARRHEA, DIPHTHERIA, DISEASE, DISEASE BURDEN, DISEASE RESEARCH, DISSEMINATION, DISTRICTS, DOCTORS, DRACUNCULIASIS, DRUGS, EATING DISORDERS, ELEPHANTIASIS, ENDEMIC AREAS, EPIDEMIOLOGICAL PROFILE, ESSENTIAL HEALTH SERVICES, FAMILIES, FAMILY PLANNING, FAMILY PLANNING EDUCATION, FAMILY PLANNING SERVICES, FASCIOLIASIS, GENDER, GENERAL HEALTH SYSTEM, GLOBAL HEALTH, HABITATS, HEALTH AUTHORITIES, HEALTH CARE DELIVERY, HEALTH CENTERS, HEALTH EDUCATION, HEALTH FACILITIES, HEALTH INTERVENTIONS, HEALTH MANAGEMENT, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH POLICIES, HEALTH PROFESSIONALS, HEALTH SERVICE, HEALTH SERVICE UTILIZATION, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH SYSTEMS ORGANIZATION, HEALTH SYSTEMS STRENGTHENING, HEALTH WORKERS, HELMINTHS, HIV, HIV/AIDS, HOUSEHOLDS, HOUSES, HUMAN DEVELOPMENT, HUMAN IMMUNODEFICIENCY VIRUS, HUMAN RESOURCES, HYGIENE, ILLNESS, ILLNESSES, IMMUNE DEFICIENCY, IMMUNIZATION, IMMUNIZATIONS, IMMUNODEFICIENCY, IMPROVEMENTS IN QUALITY OF CARE, INCOME, INEQUITIES, INFANT, INFANT MORTALITY, INFECTION, INFECTIONS, INFORMATION CAMPAIGNS, INSTITUTIONALIZATION, INSURANCE, INTEGRATED ASSESSMENT, INTEGRATION, INTERNATIONAL EFFORTS, INTERVENTION, IRON, LARGE POPULATION, LEGAL STATUS, LEISHMANIASIS, LEPROSY, LIVING STANDARDS, LOCAL COMMUNITY, LOCAL HEALTH AUTHORITIES, LOCAL HEALTH CENTERS, LOCAL POPULATION, LOW BIRTH WEIGHT, MALARIA, MALARIA CONTROL, MALARIA INCIDENCE, MALNOURISHED CHILDREN, MALNUTRITION, MATERNAL AND CHILD HEALTH, MATERNAL CARE, MATERNAL HEALTH, MATERNAL HEALTH SERVICES, MEASLES, MEASLES IMMUNIZATION, MENTAL, MENTAL HEALTH, MICRONUTRIENT SUPPLEMENTATION, MODERN CONTRACEPTIVE METHODS, MODERN CONTRACEPTIVE SERVICES, MORBIDITY, MORBIDITY AND MORTALITY, MORTALITY, NATIONAL GOVERNMENT, NATIONAL GOVERNMENTS, NATIONAL LEVEL, NEEDS ASSESSMENT, NEONATAL TETANUS, NURSES, NURSING, NUTRITION, NUTRITION PROGRAMS, NUTRITIONAL STATUS, ONCHOCERCIASIS, OVERCROWDING, PATIENT, PATIENT SATISFACTION, PATIENTS, PERTUSSIS, PHYSICIANS, POLICY MAKERS, POLIO, POLIO VACCINE, POPULATION DISCUSSION, POPULATION GROUPS, POPULATION GROWTH, POPULATION KNOWLEDGE, PRACTITIONERS, PREGNANCY, PREGNANT WOMEN, PRENATAL CARE, PRESCHOOL CHILDREN, PREVALENCE, PREVENTABLE DISEASES, PRIMARY CARE, PRIMARY HEALTH CARE, PROVIDER PAYMENT, PROVISION OF SERVICES, PUBLIC HEALTH, PUBLIC HEALTH PROGRAMS, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, RATES OF POPULATION, REFERRAL SYSTEMS, REFUGEE, REFUGEE CAMPS, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH INTERVENTIONS, REPRODUCTIVE HEALTH SERVICES, RESOURCE ALLOCATION, RESPECT, RISK FACTORS, RURAL AREAS, SANITATION, SCHISTOSOMIASIS, SCHIZOPHRENIA, SCREENING, SERVICE DELIVERY, SERVICES FOR CHILDREN, SEXUALLY TRANSMITTED DISEASES, SICK LEAVE, SLUM, SLUM-DWELLERS, SOCIAL MOBILIZATION, STD, STIS, SYMPTOMS, TB, TETANUS, TREATMENT, TROPICAL DISEASES, TROPICAL MEDICINE, TRYPANOSOMIASIS, TUBERCULOSIS, ULCER, URBANIZATION, VACCINATION, VACCINES, VECTOR CONTROL, VILLAGES, VOLUNTARY COUNSELLING, VOLUNTARY TESTING, WEIGHT GAIN, WHOOPING COUGH, WORKERS, WORLD HEALTH ORGANIZATION, YAWS,
Online Access:http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000334955_20090402081054
http://hdl.handle.net/10986/2613
http://hdl.handle.net/10986/5946
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Summary:A longstanding debate on health systems organization relates to benefits of integrating health programs that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes This paper is organized in five chapters. This introduction is followed by the methodology chapter, which includes a brief section on the conceptual framework used to analyze the studies retrieved and the programs presented within these to map the nature and extent of integration into critical health system functions. The results chapter includes: a summary of the outcomes for each study grouped by the disease area or the clinical problem the intervention seeks to address, including the reported success; for each program, analysis and mapping of the nature and extent of integration into critical health system functions; and an analysis of how contextual factors either created opportunities for introducing or integrating a program or influenced the desirability or feasibility of program integration. The discussion chapter provides an overview of the implication of findings for policy makers, practitioners and researchers. The final chapter draws conclusions.