Organizing and managing tropical disease control program-lessons of succes

Bh, Liese; Ps, Sachdeva; Dg, Cochrane

doi:10.1590/s0037-86821991000300013

Cited by 7 publications

(8 citation statements)

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“…As stated in a World Bank technical paper: 'Successful control programmes are largely centralized in formulating strategy and decentralized in operations (tactics). No single structural pattern applies universally, but the tendency is toward decentralized, and categorical or partially integrated organizations' (Liese et al, 1991).…”

Section: Indirect Programmesmentioning

confidence: 99%

A code of best practice for disease control programmes to avoid damaging health care services in developing countries

Unger

Paepe²,

Green

2003

Int. J. Health Plann. Mgmt.

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SUMMARYHow should we implement disease control programmes so as to strengthen existing health systems? To answer this question, we re-examined the integration of these programmes from a managerial perspective. Based on a literature review, we concluded that integration is essential in the majority of cases. We went on to examine the mechanisms whereby the integration of disease control activities can jeopardize health care delivery, resulting in low service utilization, low detection and cure rates, and patient delays. To do this we clustered disease control programmes into three categories and assessed the impact of each on local health care facilities. From these results, we suggest a series of measures designed to help aid agencies and national governments support local health care infrastructures or, as a minimum, avoid damaging them. Whilst some vertical programmes should never be integrated, two conditions are essential to the integration of others: (1) Disease control needs to be integrated with general health care delivery-which implies the possibility to deliver general practice/family medicine care in publicly oriented health services. (2) Integration of both operational and administrative aspects should take place simultaneously. Any health policies in developing countries tending to allocate disease control programmes to government facilities and general health care to private facilities preclude their integration. They risk unravelling the fabric on which both disease control and health care delivery depend.

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Section: Indirect Programmesmentioning

confidence: 99%

A code of best practice for disease control programmes to avoid damaging health care services in developing countries

Unger

Paepe²,

Green

2003

Int. J. Health Plann. Mgmt.

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“…A disease control programme can be organized in a parallel managerial structure, in the form of a semi-autonomous organization, for instance, and deliver health services directly to the communities or individuals. An example of such a programme (vertical managerial structure and service delivery) was the Superintendence for Public Health Campaigns 5 (SUCAM) in Brazil, in charge of the control of endemic diseases (Liese et al, 1991).…”

Section: Vertical and Horizontal Approaches: Key Concepts And Termsmentioning

confidence: 99%

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

Oliveira-Cruz

Kurowski

Mills

2003

J of Intl Development

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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.

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“…Sabe-se, ainda, que o fenômeno da urbanização e a ascenção social de antigas áreas endêmicas também muito contribuem para o descenso dos índices triatomínico-tripanossômicos (Dias, 1985;Silva et al, 1979). Não obstante, a intervenção de programas específicos e bem organizados de luta antivetorial costuma produzir resultados positivos imediatos, beneficiando especialmente populações pobres e desvalidas (Liese et al, 1991;Marsden, 1983).…”

Section: A Transmissão Pelo Vetorunclassified

“…As reformulações político-sociais que resultem num status econômico e sociocultural mais elevado para as populações rurais latino-americanas serão certamente a solução definitiva para a doença de Chagas a longo prazo. A implantação e manutenção -por um tempo mínimo de 5 a 10 anos -de programas antitriatomínicos específicos e de boa qualidade também é capaz de interromper a transmissão da enfermidade em praticamente qualquer região do Continente, conforme demonstrado através de inúmeros exemplos (Dias, 1987;Liese et al, 1991;WHO, 1991). A opção tem características técnicas, políticas e econômicas e, ao longo dos anos, tem dependido principalmente de uma vontade política que também emana da informação e da pressão exercidas pela comunidade científica de cada país.…”

Section: A Transmissão Pelo Vetorunclassified

A doença de Chagas e seu controle na América Latina: uma análise de possibilidades

Dias

1993

Cad. Saúde Pública

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Chagas' disease is still a major public health problem in Latin America, affecting about 15 million individuals and leaving tens of millions of others at risk, most of whom are from rural areas and are socially marginalized. The main strategies and tools for the control of the disease are related to the vectorial and transfusional transmission of the parasite. Regular programs have proven effective, as in Brazil, and they depend basically on political will and basic technical and financial conditions. Epidemiologic and operational aspects of Chagas' disease control are discussed in this study, involving the reformulation and improvement of the health systems in affected countries. The fact that control can be attained is emphasized as a challenge to Latin American governments and public health officials. Control of Chagas' disease may be an additional part of the dream of Latin American unity.

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Organizing and managing tropical disease control program-lessons of succes

Cited by 7 publications

References 0 publications

A code of best practice for disease control programmes to avoid damaging health care services in developing countries

A code of best practice for disease control programmes to avoid damaging health care services in developing countries

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

A doença de Chagas e seu controle na América Latina: uma análise de possibilidades

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