Building the infrastructure for primary health care: An overview of vertical and integrated approaches

Smith, Duane L.; Bryant, John H.

doi:10.1016/0277-9536(88)90411-x

Cited by 44 publications

(26 citation statements)

References 6 publications

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“…There are also cases where PHC is reported to be managed as a vertical programme (Smith and Bryant, 1988;Mills, 1983) such as in Nigeria (Cairncross et al, 1997). For some time in Nepal, there was a national project which sought to integrate various vertical programmes but which itself was organized vertically (Mills, 1983).…”

Section: Vertical and Horizontal Approaches: Key Concepts And Termsmentioning

confidence: 96%

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Delivery of priority health services: searching for synergies within the vertical versus horizontal debate

Oliveira-Cruz

Kurowski

Mills

2003

J of Intl Development

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A key issue in the expansion of access to priority health services is how best to implement scaling up efforts. In this paper, we explore the relative merits of vertical and horizontal delivery modes; review the literature on the impact of vertical programmes on health systems and on experiences of integrating these programmes; and analyse health interventions in terms of their different modes of delivery within the health system infrastructure. We conclude that expanding access to priority health services requires the concerted use of both modes of delivery, according to the capacity of health systems as it changes over time. Copyright © 2003 John Wiley & Sons, Ltd.

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Section: Vertical and Horizontal Approaches: Key Concepts And Termsmentioning

confidence: 96%

“…In addition, they may duplicate existing efforts as well as undermine them. For instance, it is argued that vertical programmes divert the time and attention of health workers from their usual tasks (Smith and Bryant, 1988).…”

Section: Health Sector Policy and Strategic Managementmentioning

confidence: 99%

Delivery of priority health services: searching for synergies within the vertical versus horizontal debate

Oliveira-Cruz

Kurowski

Mills

2003

J of Intl Development

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“…8 The over-arching responsibility for policy and capacity development in the delivery of post-rape care services lies centrally with the government's Division of Reproductive Health. It functions through provincial and district systems, where the District Health Management Teams are the primary unit of planning and managing post-rape care in health facilties.…”

Section: Kenyan Contextmentioning

confidence: 99%

Delivering post-rape care services: Kenya's experience in developing integrated services

Kilonzo

Theobald

Nyamato

et al. 2009

Bull World Health Org

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Problem Comprehensive service delivery models for providing post-rape care are largely from resource-rich countries and do not translate easily to resource-limited settings such as Kenya, despite an identified need and high rates of sexual violence and HIV. Approach Starting in 2002, we undertook to work through existing governmental structures to establish and sustain health sector services for survivors of sexual violence. Local setting In 2003 there was a lack of policy, coordination and service delivery mechanisms for post-rape care services in Kenya. Post-exposure prophylaxis against HIV infection was not offered. Relevant changes A standard of care and a simple post-rape care systems algorithm were designed. A counselling protocol was developed. Targeted training that was knowledge-, skills-and values-based was provided to clinicians, laboratory personnel and trauma counsellors. The standard of care included clinical evaluation and documentation, clinical management, counselling and referral mechanisms. Between early 2004 and the end of 2007, a total of 784 survivors were seen in the three centres at an average cost of US$ 27, with numbers increasing each year. Almost half (43%) of these were children less than 15 years of age. Lessons learned This paper describes how multisectoral teams at district level in Kenya agreed that they would provide post-exposure prophylaxis, physical examination, sexually transmitted infection and pregnancy prevention services. These services were provided at casualty departments as well as through voluntary HIV counselling and testing sites. The paper outlines which considerations they took into account, who accessed the services and how the lessons learned were translated into national policy and the scale-up of post-rape care services through the key involvement of the Division of Reproductive Health.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español.

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“…Five structures of decentralization can actually be distinguished, each of which could in principle be created at regional, district and village/community level. Furthermore, it is quite likely that there will be more than one form of decentralization at any given level, especially devolution alongside deconcentration (®eld administration) (Smith and Bryant, 1988;Mogedal et al, 1995, p. 355).…”

Section: Components Of Decentralizationmentioning

confidence: 97%

The decentralization of health care in developing countries: organizational options

Smith

1997

Public Admin. Dev.

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Building the infrastructure for primary health care: An overview of vertical and integrated approaches

Cited by 44 publications

References 6 publications

Delivery of priority health services: searching for synergies within the vertical versus horizontal debate

Delivery of priority health services: searching for synergies within the vertical versus horizontal debate

Delivering post-rape care services: Kenya's experience in developing integrated services

The decentralization of health care in developing countries: organizational options

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