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 f...

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Bibliographic Details
Main Authors:	Atun, Rifat, de Jongh, Thyra, Secci, Federica V., Ohiri, Kelechi, Adeyi, Olusoji
Format:	Publication
Language:	English
Published:	World Bank 2012
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.

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

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