Between Intent and Achievement in Sector-Wide Approaches: Staking a Claim for Reproductive Health

Hill, Peter S

doi:10.1016/s0968-8080(02)00082-4

Cited by 8 publications

(6 citation statements)

References 30 publications

(43 reference statements)

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“…It is widely considered that sector‐wide approach is the key to reduce maternal mortality and that safer motherhood can be achieved only though a multi‐sectoral approach [25,26]. We describe here a vertical program with, moreover, a vertical and successful financing plan.…”

Section: Discussionmentioning

confidence: 99%

Ensuring financial access to emergency obstetric care: Three years of experience with Obstetric Risk Insurance in Nouakchott, Mauritania

Renaudin

Prual

Vangeenderhuysen

et al. 2007

Intl J Gynecology & Obste

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Section: Discussionmentioning

confidence: 99%

Ensuring financial access to emergency obstetric care: Three years of experience with Obstetric Risk Insurance in Nouakchott, Mauritania

Renaudin

Prual

Vangeenderhuysen

et al. 2007

Intl J Gynecology & Obste

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“…Horizontal approaches, by contrast, tackle several interrelated health issues by strengthening health systems and developing integrated delivery systems. [1][2][3] Despite prolonged efforts to combine vertical and horizontal approaches, vertical programs have dominated and are often found competing with one another for funds and professional recognition. 1,4,5 Authors have warned that disproportionately concentrating funds into disease-based initiatives in developing countries may compromise health systems and fragment complex interventions.…”

Section: Methodsmentioning

confidence: 99%

Collapsing the Vertical–Horizontal Divide: An Ethnographic Study of Evidence-Based Policymaking in Maternal Health

Béhague

Storeng

2008

Am J Public Health

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 FRAMING HEALTH MATTERS  Using the international maternal health field as a case study, we draw on ethnographic research to investigate how public health researchers and policy experts are responding to tensions between vertical and horizontal approaches to health improvement. Despite nominal support for an integrative health system approach, we found that competition for funds and international recognition pushes professionals toward vertical initiatives. We also highlight how research practices contribute to the dominance of vertical strategies and limit the success of evidencebased policymaking for strengthening health systems. Rather than support diseaseand subfield-specific advocacy, the public health community urgently needs to engage in open dialogue regarding the international, academic, and donor-driven forces that drive professionals toward an exclusive interest in vertical programs. (Am J Public Health. 2008;98:644-649.

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“…It is essential to reach consensus on a variety of issues including policy development, shared financing, operating procedures and monitoring and evaluation (Hill, 2002a).…”

Section: Harmonisation Of Implementation Mechanisms and Operating Promentioning

confidence: 99%

Health SWAps and external aid—a case study from Tajikistan

Mirzoev

Green

Newell

2010

Health Planning & Management

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As it moves from a relief to a development phase, the Republic of Tajikistan (RT) needs to attract more external aid and to ensure adequate alignment of this aid with health systems development priorities. A potential response to these two needs is a Sector-Wide Approach (SWAp), a method originating from post-colonial Africa and Asia that is increasingly being introduced in new contexts. However, little is known about whether SWAps are appropriate in the context of the former Soviet Union (FSU). This paper explores SWAps using Tajikistan as a case study. A number of lessons are identified for the Tajik health system, for other FSU countries and for health SWAps in general, covering issues of practical relevance to national and international health policy-makers.We conclude that context-specific SWAps may be developed to suit Tajikistan, and other FSU countries. Tajikistan currently does not yet have all the key SWAp elements in place, but this should be seen as a motive for, rather than an impediment to, developing a SWAp. Other FSU countries have a more favourable environment for implementing health SWAps.

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Between Intent and Achievement in Sector-Wide Approaches: Staking a Claim for Reproductive Health

Cited by 8 publications

References 30 publications

Ensuring financial access to emergency obstetric care: Three years of experience with Obstetric Risk Insurance in Nouakchott, Mauritania

Ensuring financial access to emergency obstetric care: Three years of experience with Obstetric Risk Insurance in Nouakchott, Mauritania

Collapsing the Vertical–Horizontal Divide: An Ethnographic Study of Evidence-Based Policymaking in Maternal Health

Health SWAps and external aid—a case study from Tajikistan

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