Person:
Secci, Federica

Global Practice on Health, Nutrition and Population, The World Bank
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Fields of Specialization
Health management and policy, Quality of care, Performance measurement, Behavior change
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0000-0003-0977-9711
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Global Practice on Health, Nutrition and Population, The World Bank
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Last updated January 31, 2023
Biography
Federica Secci is a Health Specialist in the Global Engagement unit of the HNP Global Practice. She joined the Bank as a Young Professional in 2013 and has supported operations and analytical work across different countries and regions, including Afghanistan, Bangladesh, Chile, India, and Vietnam. She currently works on the Primary Health Care Performance Initiative (PHCPI), a partnership launched in 2015 to improve measurement and use of data in PHC, and for which she co-leads the country engagement work stream. Prior to the Bank, Federica was a Research Fellow at Imperial College London, focusing mostly on quality of care and behavior change related to infection prevention and control in hospitals. Federica's doctoral research was a comparative, qualitative analysis of the PHC reforms in Estonia and Lithuania drawing from sociology and institutional theory. Federica also contributed to systematic reviews looking at integration of vertical programs into PHC.
Citations 370 Scopus

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2010 2
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    A Systematic Review of the Evidence on Integration of Targeted Health Interventions into Health Systems
    ( 2010) Atun, R. ; de Jongh, T. ; Secci, F. ; Ohiri, K. ; Adeyi, O.
    In this paper we present findings of a systematic review that explores a broad range of evidence on: (i) the extent and nature of the integration of targeted health programmes that emphasize specific interventions into critical health systems functions, (ii) how the integration or non-integration of health programmes into critical health systems functions in different contexts has influenced programme success, (iii) how contextual factors have affected the extent to which these programmes were integrated into critical health systems functions. Our analysis shows few instances where there is full integration of a health intervention or where an intervention is completely non-integrated. Instead, there exists a highly heterogeneous picture both for the nature and also for the extent of integration. Health systems combine both non-integrated and integrated interventions, but the balance of these interventions varies considerably.
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    Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis
    ( 2010) Atun, R. ; de Jongh, T. ; Secci, F. ; Ohiri, K. ; Adeyi, O.
    The benefits of integrating programmes that emphasize specific interventions into health systems to improve health outcomes have been widely debated. This debate has been driven by narrow binary considerations of integrated ( horizontal) versus non-integrated ( vertical) programmes, and characterized by polarization of views with protagonists for and against integration arguing the relative merits of each approach. The presence of both integrated and non-integrated programmes in many countries suggests benefits to each approach. While the terms 'vertical' and 'integrated' are widely used, they each describe a range of phenomena. In practice the dichotomy between vertical and horizontal is not rigid and the extent of verticality or integration varies between programmes. However, systematic analysis of the relative merits of integration in various contexts and for different interventions is complicated as there is no commonly accepted definition of 'integration'-a term loosely used to describe a variety of organizational arrangements for a range of programmes in different settings. We present an analytical framework which enables deconstruction of the term integration into multiple facets, each corresponding to a critical health system function. Our conceptual framework builds on theoretical propositions and empirical research in innovation studies, and in particular adoption and diffusion of innovations within health systems, and builds on our own earlier empirical research. It brings together the critical elements that affect adoption, diffusion and assimilation of a health intervention, and in doing so enables systematic and holistic exploration of the extent to which different interventions are integrated in varied settings and the reasons for the variation. The conceptual framework and the analytical approach we propose are intended to facilitate analysis in evaluative and formative studies of-and policies on-integration, for use in systematically comparing and contrasting health interventions in a country or in different settings to generate meaningful evidence to inform policy.