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Clearing the Global Health Fog : A Systematic Review of the Evidence on Integration of Health Systems and Targeted Interventions

Author

Listed:
  • Rifat Atun
  • Thyra de Jongh
  • Federica V. Secci
  • Kelechi Ohiri
  • Olusoji Adeyi

Abstract

A longstanding debate on health systems organization relates to benefits of integrating health programs that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes This paper is organized in five chapters. This introduction is followed by the methodology chapter, which includes a brief section on the conceptual framework used to analyze the studies retrieved and the programs presented within these to map the nature and extent of integration into critical health system functions. The results chapter includes: a summary of the outcomes for each study grouped by the disease area or the clinical problem the intervention seeks to address, including the reported success; for each program, analysis and mapping of the nature and extent of integration into critical health system functions; and an analysis of how contextual factors either created opportunities for introducing or integrating a program or influenced the desirability or feasibility of program integration. The discussion chapter provides an overview of the implication of findings for policy makers, practitioners and researchers. The final chapter draws conclusions.

Suggested Citation

  • Rifat Atun & Thyra de Jongh & Federica V. Secci & Kelechi Ohiri & Olusoji Adeyi, 2009. "Clearing the Global Health Fog : A Systematic Review of the Evidence on Integration of Health Systems and Targeted Interventions," World Bank Publications - Books, The World Bank Group, number 5946, December.
    • Handle: RePEc:wbk:wbpubs:5946
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    References listed on IDEAS

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    5. Warren, Kenneth S., 1988. "The evolution of selective primary health care," Social Science & Medicine, Elsevier, vol. 26(9), pages 891-898, January.
    6. Amin, Ruhul, 1996. "Immunization coverage and child mortality in two rural districts of Sierra Leone," Social Science & Medicine, Elsevier, vol. 42(11), pages 1599-1604, June.
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    Cited by:

    1. Lê, Gillian & Morgan, Rosemary & Bestall, Janine & Featherstone, Imogen & Veale, Thomas & Ensor, Tim, 2016. "Can service integration work for universal health coverage? Evidence from around the globe," Health Policy, Elsevier, vol. 120(4), pages 406-419.
    2. Helle M. Alvesson & Menno Mulder-Sibanda, 2013. "The Potential for Integrating Community-Based Nutrition and Postpartum Family Planning: Review of Evidence and Experience in Low-Income Settings," Health, Nutrition and Population (HNP) Discussion Paper Series 85743, The World Bank.

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