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

Author

Listed:
  • Valeria Oliveira-Cruz

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • Christoph Kurowski

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

  • Anne Mills

    (Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK)

Abstract

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.

Suggested Citation

  • Valeria Oliveira-Cruz & Christoph Kurowski & Anne Mills, 2003. "Delivery of priority health services: searching for synergies within the vertical versus horizontal debate," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 67-86.
    • Handle: RePEc:wly:jintdv:v:15:y:2003:i:1:p:67-86
    DOI: 10.1002/jid.966
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    References listed on IDEAS

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    1. M. Kent Ranson & Kara Hanson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Constraints to expanding access to health interventions: an empirical analysis and country typology," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 15-39.
    2. Gaspar Kilala Munishi, 2003. "Intervening to address constraints through health sector reforms in Tanzania: some gains and the unfinished business," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 115-131.
    3. Valeria Oliveira-Cruz & Kara Hanson & Anne Mills, 2003. "Approaches to overcoming constraints to effective health service delivery: a review of the evidence," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 41-65.
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    6. Kaspar Wyss & Daugla Doumagoum Moto & Bart Callewaert, 2003. "Constraints to scaling-up health related interventions: the case of Chad, Central Africa," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 87-100.
    7. Shreelata Rao Seshadri, 2003. "Constraints to scaling-up health programmes: a comparative study of two Indian states," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 101-114.
    8. Kara Hanson & M. Kent Ranson & Valeria Oliveira-Cruz & Anne Mills, 2003. "Expanding access to priority health interventions: a framework for understanding the constraints to scaling-up," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(1), pages 1-14.
    9. Smith, Duane L. & Bryant, John H., 1988. "Building the infrastructure for primary health care: An overview of vertical and integrated approaches," Social Science & Medicine, Elsevier, vol. 26(9), pages 909-917, January.
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    5. Marc Bonenberger & Moses Aikins & Patricia Akweongo & Xavier Bosch-Capblanch & Kaspar Wyss, 2015. "What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-15, June.
    6. Anand, Sudhir & Bärnighausen, Till, 2012. "Health workers at the core of the health system: Framework and research issues," Health Policy, Elsevier, vol. 105(2), pages 185-191.
    7. Anna Cavalli & Sory I Bamba & Mamadou N Traore & Marleen Boelaert & Youssouf Coulibaly & Katja Polman & Marjan Pirard & Monique Van Dormael, 2010. "Interactions between Global Health Initiatives and Country Health Systems: The Case of a Neglected Tropical Diseases Control Program in Mali," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 4(8), pages 1-7, August.

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