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

Oliveira-Cruz, V.; Kurowski, Christoph; Mills, Anne

doi:10.1002/jid.966

Cited by 98 publications

(66 citation statements)

References 31 publications

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“…These results are consistent with the findings of former studies [17][18][19][20][21]22]. The literature on training and education programs for healthcare personnel in developing countries shows a significant change in knowledge and skills, and so the positive outcome observed in this study in those areas could be anticipated.…”

Section: Discussionsupporting

confidence: 93%

Effect of the Capacity Building Programs for Vietnamese Nurses

Chang¹

2014

Int J Nurs Clin Pract

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Background: This study identified the effects of capacity building programs on Vietnamese nurses' knowledge, and attitude related to basic-trauma and maternal-child nursing. Methods: The participants were 31 Vietnamese nurse managers in training of trainer program and 320 general nurses from seven hospitals in dissemination education. Data were analyzed using paired t-tests and chi-squared tests on pre-and post-survey data to assess the change in knowledge, and attitude on two categories of core nursing skills in basic-trauma and maternal-child nursing skills. Results: There were some differences on the participants' perception of the need for training based on their duration of work experience. Nurse-managers who had been working for more than 10 years reported a greater need for further training than those who had been working for fewer than 10 years. The pre and post scores for knowledge were increased in both training of trainer program and dissemination program, however there was no significant difference statistically. On attitude, most respondents indicated they believed they had the proper knowledge and skills, but they indicated that their nurses remained in an unskilled state after training of trainer program and dissemination program. Conclusion: There have been multiple training programs implemented for capacity building of healthcare personnels in developing countries. However, it would be more important to motivate their attitude for continuing learning by judge themselves and their peer groups. Even though some minor change on their judgment objectively, it can be explained participants' critical thinking for sustainable development. In this study, the Vietnamese nurses' attitude toward judging their peers showed a significant increase statistically.

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Section: Discussionsupporting

confidence: 93%

Effect of the Capacity Building Programs for Vietnamese Nurses

Chang¹

2014

Int J Nurs Clin Pract

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“…Horizontal programmes refer to service delivery through the infrastructure of the regular healthcare system. 7 PMTCT programmes were initially viewed as independent services unrelated to continuous maternal and child care. However, during recent years, more calls for collaboration and synergy between PMTCT programmes and maternal healthcare services have been made, because of the recognition that PMTCT programmes cannot be delivered without a functioning healthcare system, and arguing that such relationships would benefit mutual gain.…”

Section: Effect Of Level Of Verticalitymentioning

confidence: 99%

The impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care in resource‐poor settings: looking beyond the PMTCT programme—a systematic review

Both¹,

Roosmalen²

2010

BJOG

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Background There is increasing debate about the impact of scaled-up HIV/AIDS programmes on fragile healthcare systems in low-income countries.Objectives To contribute to the understanding of the relation between HIV/AIDS programmes and healthcare systems, this systematic review focuses on the impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care.Search strategy Publications describing the effect of PMTCT programmes on maternal healthcare services were sought through computerised searches in five electronic databases.Selection criteria Abstracts of publications were evaluated for appropriateness for inclusion based on whether they met the inclusion criteria.Data collection and analysis Copies of all selected publications were obtained. A classification system was developed to group the relevant publications.Main results The findings show that empirical evidence of the effect of PMTCT programmes on maternal health care is scarce and further research is badly needed. Twenty-one studies that were included in the systematic review showed that PMTCT programmes are often semi-integrated in maternal health care with positive as well as negative effects on various aspects of maternal health care.Authors' conclusions It appears that PMTCT programmes miss the opportunity to have an overall positive effect on maternal health care because of their verticality.Keywords Maternal health care, maternal healthcare services, mother to child HIV transmission, prevention.Please cite this paper as: Both J, van Roosmalen J. The impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care in resource-poor settings: looking beyond the PMTCT programme-a systematic review.

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“…If survivors of sexual violence are to access the range of basic services they require, existing links between vertical and horizontal programmes involved in post-rape care require strengthening (Table 1). 10,11 Links with the judiciary in Kenya are weaker still, compounding difficulties faced by the health sector in the collection, analysis and delivery of evidence to the justice system.…”

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

Cited by 98 publications

References 31 publications

Effect of the Capacity Building Programs for Vietnamese Nurses

Effect of the Capacity Building Programs for Vietnamese Nurses

The impact of Prevention of Mother to Child Transmission (PMTCT) programmes on maternal health care in resource‐poor settings: looking beyond the PMTCT programme—a systematic review

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

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