Publication:
Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis

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dc.contributor.authorAtun, R.
dc.contributor.authorde Jongh, T.
dc.contributor.authorSecci, F.
dc.contributor.authorOhiri, K.
dc.contributor.authorAdeyi, O.
dc.date.accessioned2012-03-30T07:31:38Z
dc.date.available2012-03-30T07:31:38Z
dc.date.issued2010
dc.description.abstractThe 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.en
dc.identifier.citationHealth Policy Plan
dc.identifier.issn0268-1080
dc.identifier.urihttps://hdl.handle.net/10986/5170
dc.language.isoEN
dc.relation.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rights.holderWorld Bank
dc.titleIntegration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysisen
dc.title.alternativeHealth Policy Planen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.doctypeJournal Article
okr.externalcontentExternal Content
okr.identifier.doi10.1093/heapol/czp055
okr.identifier.externaldocumentum1869
okr.identifier.internaldocumentumWOS:000274786800005
okr.journal.nbpages104-111
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.volume25
relation.isAuthorOfPublicationcd259a54-cd24-5299-aafc-fcaf146bb237
relation.isAuthorOfPublication.latestForDiscoverycd259a54-cd24-5299-aafc-fcaf146bb237
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