Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices

A longstanding debate on health system organization relates to the benefits of integrating programs that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes. This debate has long been chara...

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Main Authors:	Atun, Rifat, Ohiri, Kelechi, Adeyi, Olusoji
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	BEHAVIOUR CHANGE BLINDNESS BULLETIN CENTER FOR HEALTH CHILD HEALTH CLINICAL PRACTICE COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES DECISION MAKING DELIVERY SYSTEMS DEVELOPING COUNTRIES DISEASE CONTROL DISSEMINATION DOCTORS DRUG USERS DRUGS ENVIRONMENTAL IMPACTS EPIDEMIOLOGY FAMILY PLANNING FINANCIAL INCENTIVES FINANCIAL RESOURCES GENERAL HEALTH SYSTEM GLOBAL HEALTH HARM REDUCTION HEALTH AFFAIRS HEALTH CARE MANAGEMENT HEALTH CARE ORGANIZATIONS HEALTH CARE PROFESSIONALS HEALTH CARE REFORMS HEALTH CARE SYSTEM HEALTH CONTROL HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HIV HIV/AIDS HOSPITAL HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS ILLNESSES IMMUNIZATION INCOME INCOME COUNTRIES INJECTING DRUG USERS INSTITUTIONALIZATION INTEGRATION INTERNATIONAL EFFORTS INTERVENTION IRON JA LOCAL COMMUNITIES LOCAL GOVERNMENTS LOW-INCOME COUNTRY MASS TREATMENT MEDICAL INNOVATIONS MILLENNIUM DEVELOPMENT GOALS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVELS NEEDS ASSESSMENT NURSES NUTRITION NUTRITION PROGRAMS OPINION LEADERS OUTREACH WORKERS PATIENT PATIENTS PHYSICIANS POLICY ANALYSIS POLICY MAKERS POPULATION DISCUSSION PRIMARY CARE PRIMARY HEALTH CARE PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH PROGRAMS QUALITY IMPROVEMENT REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH INTERVENTIONS RESOURCE ALLOCATION SERVICE DELIVERY SEX WORKERS SOCIAL CONSEQUENCES SOCIAL NETWORKS SOCIAL SCIENCE SOCIAL WORKERS TUBERCULOSIS TUBERCULOSIS CONTROL VACCINATION VACCINES WORKERS WORLD HEALTH ORGANIZATION
Online Access:	http://documents.worldbank.org/curated/en/2008/08/9930197/integration-health-systems-priority-health-nutrition-population-interventions-framework-analysis-policy-choices http://hdl.handle.net/10986/13713

id	okr-10986-13713
recordtype	oai_dc
spelling	okr-10986-137132021-04-23T14:03:09Z Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices Atun, Rifat Ohiri, Kelechi Adeyi, Olusoji BEHAVIOUR CHANGE BLINDNESS BULLETIN CENTER FOR HEALTH CHILD HEALTH CLINICAL PRACTICE COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES DECISION MAKING DELIVERY SYSTEMS DEVELOPING COUNTRIES DISEASE CONTROL DISSEMINATION DOCTORS DRUG USERS DRUGS ENVIRONMENTAL IMPACTS EPIDEMIOLOGY FAMILY PLANNING FINANCIAL INCENTIVES FINANCIAL RESOURCES GENERAL HEALTH SYSTEM GLOBAL HEALTH HARM REDUCTION HEALTH AFFAIRS HEALTH CARE MANAGEMENT HEALTH CARE ORGANIZATIONS HEALTH CARE PROFESSIONALS HEALTH CARE REFORMS HEALTH CARE SYSTEM HEALTH CONTROL HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HIV HIV/AIDS HOSPITAL HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS ILLNESSES IMMUNIZATION INCOME INCOME COUNTRIES INJECTING DRUG USERS INSTITUTIONALIZATION INTEGRATION INTERNATIONAL EFFORTS INTERVENTION IRON JA LOCAL COMMUNITIES LOCAL GOVERNMENTS LOW-INCOME COUNTRY MASS TREATMENT MEDICAL INNOVATIONS MILLENNIUM DEVELOPMENT GOALS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVELS NEEDS ASSESSMENT NURSES NUTRITION NUTRITION PROGRAMS OPINION LEADERS OUTREACH WORKERS PATIENT PATIENTS PHYSICIANS POLICY ANALYSIS POLICY MAKERS POPULATION DISCUSSION PRIMARY CARE PRIMARY HEALTH CARE PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH PROGRAMS QUALITY IMPROVEMENT REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH INTERVENTIONS RESOURCE ALLOCATION SERVICE DELIVERY SEX WORKERS SOCIAL CONSEQUENCES SOCIAL NETWORKS SOCIAL SCIENCE SOCIAL WORKERS TUBERCULOSIS TUBERCULOSIS CONTROL VACCINATION VACCINES WORKERS WORLD HEALTH ORGANIZATION A longstanding debate on health system organization relates to the benefits of integrating programs that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes. This debate has long been characterized by polarization of views and ideologies, with protagonists for and against integration arguing relative merits of each approach. Recently, the debate has been rekindled due to substantial rises in externally funded programs for priority health, nutrition, and population (HNP) interventions and an increase in international efforts aimed at health system strengthening. In this paper the author present a conceptual framework and an analytical approach to define and assess the nature and extent of integration in relation to critical health system functions. The framework can also be used to systematically compare and contrast programs in different settings to generate meaningful evidence to inform policy. In this framework, the author defines integration as the extent, pattern, and rate of adoption and eventual assimilation of priority health interventions into each of the critical functions of a health system, which include, inter alia: (i) governance, (ii) financing, (iii) planning, (iv) service delivery, (v) monitoring and evaluation, and (vi) demand generation. The framework and the analytical approach are intended for evaluative and formative studies of policies, systems, and programs. 2013-05-30T19:02:07Z 2013-05-30T19:02:07Z 2008-08 http://documents.worldbank.org/curated/en/2008/08/9930197/integration-health-systems-priority-health-nutrition-population-interventions-framework-analysis-policy-choices http://hdl.handle.net/10986/13713 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	BEHAVIOUR CHANGE BLINDNESS BULLETIN CENTER FOR HEALTH CHILD HEALTH CLINICAL PRACTICE COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES DECISION MAKING DELIVERY SYSTEMS DEVELOPING COUNTRIES DISEASE CONTROL DISSEMINATION DOCTORS DRUG USERS DRUGS ENVIRONMENTAL IMPACTS EPIDEMIOLOGY FAMILY PLANNING FINANCIAL INCENTIVES FINANCIAL RESOURCES GENERAL HEALTH SYSTEM GLOBAL HEALTH HARM REDUCTION HEALTH AFFAIRS HEALTH CARE MANAGEMENT HEALTH CARE ORGANIZATIONS HEALTH CARE PROFESSIONALS HEALTH CARE REFORMS HEALTH CARE SYSTEM HEALTH CONTROL HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HIV HIV/AIDS HOSPITAL HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS ILLNESSES IMMUNIZATION INCOME INCOME COUNTRIES INJECTING DRUG USERS INSTITUTIONALIZATION INTEGRATION INTERNATIONAL EFFORTS INTERVENTION IRON JA LOCAL COMMUNITIES LOCAL GOVERNMENTS LOW-INCOME COUNTRY MASS TREATMENT MEDICAL INNOVATIONS MILLENNIUM DEVELOPMENT GOALS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVELS NEEDS ASSESSMENT NURSES NUTRITION NUTRITION PROGRAMS OPINION LEADERS OUTREACH WORKERS PATIENT PATIENTS PHYSICIANS POLICY ANALYSIS POLICY MAKERS POPULATION DISCUSSION PRIMARY CARE PRIMARY HEALTH CARE PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH PROGRAMS QUALITY IMPROVEMENT REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH INTERVENTIONS RESOURCE ALLOCATION SERVICE DELIVERY SEX WORKERS SOCIAL CONSEQUENCES SOCIAL NETWORKS SOCIAL SCIENCE SOCIAL WORKERS TUBERCULOSIS TUBERCULOSIS CONTROL VACCINATION VACCINES WORKERS WORLD HEALTH ORGANIZATION
spellingShingle	BEHAVIOUR CHANGE BLINDNESS BULLETIN CENTER FOR HEALTH CHILD HEALTH CLINICAL PRACTICE COMMERCIAL SEX COMMERCIAL SEX WORKERS COMMUNICABLE DISEASES DECISION MAKING DELIVERY SYSTEMS DEVELOPING COUNTRIES DISEASE CONTROL DISSEMINATION DOCTORS DRUG USERS DRUGS ENVIRONMENTAL IMPACTS EPIDEMIOLOGY FAMILY PLANNING FINANCIAL INCENTIVES FINANCIAL RESOURCES GENERAL HEALTH SYSTEM GLOBAL HEALTH HARM REDUCTION HEALTH AFFAIRS HEALTH CARE MANAGEMENT HEALTH CARE ORGANIZATIONS HEALTH CARE PROFESSIONALS HEALTH CARE REFORMS HEALTH CARE SYSTEM HEALTH CONTROL HEALTH EDUCATION HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH REFORM HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEM STRENGTHENING HEALTH SYSTEMS HEALTH WORKERS HIV HIV/AIDS HOSPITAL HOSPITALS HUMAN DEVELOPMENT HUMAN RIGHTS ILLNESSES IMMUNIZATION INCOME INCOME COUNTRIES INJECTING DRUG USERS INSTITUTIONALIZATION INTEGRATION INTERNATIONAL EFFORTS INTERVENTION IRON JA LOCAL COMMUNITIES LOCAL GOVERNMENTS LOW-INCOME COUNTRY MASS TREATMENT MEDICAL INNOVATIONS MILLENNIUM DEVELOPMENT GOALS NATIONAL HEALTH NATIONAL HEALTH SERVICE NATIONAL LEVELS NEEDS ASSESSMENT NURSES NUTRITION NUTRITION PROGRAMS OPINION LEADERS OUTREACH WORKERS PATIENT PATIENTS PHYSICIANS POLICY ANALYSIS POLICY MAKERS POPULATION DISCUSSION PRIMARY CARE PRIMARY HEALTH CARE PROFESSIONAL ASSOCIATIONS PROGRESS PROVIDER PAYMENT PUBLIC HEALTH PUBLIC HEALTH PROGRAMS QUALITY IMPROVEMENT REPRODUCTIVE HEALTH REPRODUCTIVE HEALTH INTERVENTIONS RESOURCE ALLOCATION SERVICE DELIVERY SEX WORKERS SOCIAL CONSEQUENCES SOCIAL NETWORKS SOCIAL SCIENCE SOCIAL WORKERS TUBERCULOSIS TUBERCULOSIS CONTROL VACCINATION VACCINES WORKERS WORLD HEALTH ORGANIZATION Atun, Rifat Ohiri, Kelechi Adeyi, Olusoji Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices
relation	HNP discussion paper series;
description	A longstanding debate on health system organization relates to the benefits of integrating programs that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes. This debate has long been characterized by polarization of views and ideologies, with protagonists for and against integration arguing relative merits of each approach. Recently, the debate has been rekindled due to substantial rises in externally funded programs for priority health, nutrition, and population (HNP) interventions and an increase in international efforts aimed at health system strengthening. In this paper the author present a conceptual framework and an analytical approach to define and assess the nature and extent of integration in relation to critical health system functions. The framework can also be used to systematically compare and contrast programs in different settings to generate meaningful evidence to inform policy. In this framework, the author defines integration as the extent, pattern, and rate of adoption and eventual assimilation of priority health interventions into each of the critical functions of a health system, which include, inter alia: (i) governance, (ii) financing, (iii) planning, (iv) service delivery, (v) monitoring and evaluation, and (vi) demand generation. The framework and the analytical approach are intended for evaluative and formative studies of policies, systems, and programs.
format	Publications & Research :: Working Paper
author	Atun, Rifat Ohiri, Kelechi Adeyi, Olusoji
author_facet	Atun, Rifat Ohiri, Kelechi Adeyi, Olusoji
author_sort	Atun, Rifat
title	Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices
title_short	Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices
title_full	Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices
title_fullStr	Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices
title_full_unstemmed	Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices
title_sort	integration of health systems and priority health, nutrition, and population interventions : a framework for analysis and policy choices
publisher	World Bank, Washington, DC
publishDate	2013
url	http://documents.worldbank.org/curated/en/2008/08/9930197/integration-health-systems-priority-health-nutrition-population-interventions-framework-analysis-policy-choices http://hdl.handle.net/10986/13713
_version_	1764424036655300608

Integration of Health Systems and Priority Health, Nutrition, and Population Interventions : A Framework for Analysis and Policy Choices

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