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

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 characterize...

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Main Authors:	Atun, R., de Jongh, T., Secci, F., Ohiri, K., Adeyi, O.
Format:	Journal Article
Language:	EN
Published:	2012
Online Access:	http://hdl.handle.net/10986/5170

id	okr-10986-5170
recordtype	oai_dc
spelling	okr-10986-51702021-04-23T14:02:21Z Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis 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. 2012-03-30T07:31:38Z 2012-03-30T07:31:38Z 2010 Journal Article Health Policy Plan 0268-1080 http://hdl.handle.net/10986/5170 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	EN
relation	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description	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.
format	Journal Article
author	Atun, R. de Jongh, T. Secci, F. Ohiri, K. Adeyi, O.
spellingShingle	Atun, R. de Jongh, T. Secci, F. Ohiri, K. Adeyi, O. Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis
author_facet	Atun, R. de Jongh, T. Secci, F. Ohiri, K. Adeyi, O.
author_sort	Atun, R.
title	Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis
title_short	Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis
title_full	Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis
title_fullStr	Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis
title_full_unstemmed	Integration of Targeted Health Interventions into Health Systems : A Conceptual Framework for Analysis
title_sort	integration of targeted health interventions into health systems : a conceptual framework for analysis
publishDate	2012
url	http://hdl.handle.net/10986/5170
_version_	1764394198657662976

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

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