Editorial

Drasar, Bo

doi:10.1016/j.inhe.2009.06.001

Cited by 37 publications

(55 citation statements)

References 21 publications

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“…The first group includes studies that explore the potential outcome of individual health and nutrition interventions as a result of integrated outreach. For example, Helen Keller International’s survey of immunization and vitamin A coverage in Cambodia found that vitamin A coverage was high in areas where immunization coverage was high [13] (see other examples [1, 15, 34]). Other studies attempt to describe the process of integrating immunization outreach services.…”

Section: Resultsmentioning

confidence: 99%

“…In order to fill a gap, the Centers for Disease Control and Prevention (CDC) [35] is currently undertaking studies to evaluate integration of routine immunization with interventions such as distribution of ITNs [34], care/referral of human immunodeficiency virus–exposed infants, provision of safe water, and family planning, with the aim of helping countries and districts determine which services to integrate onto the immunization platform and to determine the additional staff and resources needed. This supplement includes CDC studies relating to ITNs in Indonesia and to safe water.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Integrated Delivery of Health Services During Outreach Visits: A Literature Review of Program Experience Through a Routine Immunization Lens

Partapuri¹,

Steinglass²,

Sequeira³

2012

Journal of Infectious Diseases

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Background. Outreach services are used systematically to deliver immunization and health services to individuals with insufficient access to health facilities in lower-income countries. Currently, the topic of integrated service delivery during immunization outreach lacks the attention paid to integration at fixed sites or during campaigns. This article explores integrated outreach and risks associated with service integration.Methods. Published and gray literature in public health databases and on organization websites were reviewed, yielding 33 articles and gray literature documents for a literature review of experience integrating other services with routine immunization at outreach sessions.Results. The current policy climate favors service integration as a strategy for increasing the equity and efficiency of important health interventions. However, integration may also present some risk to well-established and resourced interventions, such as immunization, which must be recognized as programs compete for limited resources. Experience reveals integration opportunities in planning and intersectoral coordination, training and supervision, community participation, pooled funding, and monitoring.Conclusions. The reviewed literature indicates that successful integration of health interventions with immunization at routine outreach sessions requires well-planned and implemented steps. It also highlights the need for additional studies or feedback on planning and implementing integrated outreach services in lower-income countries.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Integrated Delivery of Health Services During Outreach Visits: A Literature Review of Program Experience Through a Routine Immunization Lens

Partapuri¹,

Steinglass²,

Sequeira³

2012

Journal of Infectious Diseases

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“…Rarely has there been such a need for leadership, bold thinking, willingness to take calculated risks, and action "to take death away from the young and make it the monopoly of the old, worldwide". 138 Contributors ADH and KMDC were responsible for the outline and the collation of the fi nal report. First drafts of sections of the report were written by: ERSF and RC (patient perspective); ADH and KMDC (interim policy on collaborative tuberculosis and HIV activities); BGW (HIV testing and early start of ART for tuberculosis prevention); ELC (prevention of tuberculosis with the 3Is and BCG vaccination); RZ and SDL (HIV care for HIV-infected patients with tuberculosis); and DM, MH, ETSF, RC, and ADH (health-system strengthening, programmatic collaboration, and fi nancing).…”

Section: Discussionmentioning

confidence: 99%

The HIV-associated tuberculosis epidemic—when will we act?

et al. 2010

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Journal LancetRights Reproduced on this site with permission of Elsevier Ltd. Please see [url] Tuberculosis 3The HIV-associated tuberculosis epidemic-when will we act? Anthony D Harries, Rony Zachariah, Elizabeth L Corbett, Stephen D Lawn, Ezio T Santos-Filho, Rhehab Chimzizi, Mark Harrington, Dermot Maher, Brian G Williams, Kevin M De Cock Despite policies, strategies, and guidelines, the epidemic of HIV-associated tuberculosis continues to rage, particularly in southern Africa. We focus our attention on the regions with the greatest burden of disease, especially sub-Saharan Africa, and concentrate on prevention of tuberculosis in people with HIV infection, a challenge that has been greatly neglected. We argue for a much more aggressive approach to early diagnosis and treatment of HIV infection in aff ected communities, and propose urgent assessment of frequent testing for HIV and early start of antiretroviral treatment (ART). This approach should result in short-term and long-term declines in tuberculosis incidence through individual immune reconstitution and reduced HIV transmission. Implementation of the 3Is policy (intensifi ed tuberculosis case fi nding, infection control, and isoniazid preventive therapy) for prevention of HIV-associated tuberculosis, combined with earlier start of ART, will reduce the burden of tuberculosis in people with HIV infection and provide a safe clinical environment for delivery of ART. Some progress is being made in provision of HIV care to HIV-infected patients with tuberculosis, but too few receive co-trimoxazole prophylaxis and ART. We make practical recommendations about how to improve this situation. Early HIV diagnosis and treatment, the 3Is, and a comprehensive package of HIV care, in association with directly observed therapy, short-course (DOTS) for tuberculosis, form the basis of prevention and control of HIV-associated tuberculosis. This call to action recommends that both HIV and tuberculosis programmes exhort implementation of strategies that are known to be eff ective, and test innovative strategies that could work. The continuing HIV-associated tuberculosis epidemic needs bold but responsible action, without which the future will simply mirror the past.

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“…Across Africa, clinical practices discordant with national malaria guidelines have been widely reported [30]–[33]. Patient nonadherence to lifesaving antimalarial therapies is also common [34]–[37].…”

Section: Text Messaging Interventions To Support Disease Managementmentioning

confidence: 99%