2003
DOI: 10.1002/jid.966
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Delivery of priority health services: searching for synergies within the vertical versus horizontal debate

Abstract: 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 req… Show more

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Cited by 98 publications
(66 citation statements)
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References 31 publications
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“…These results are consistent with the findings of former studies [17][18][19][20][21]22]. The literature on training and education programs for healthcare personnel in developing countries shows a significant change in knowledge and skills, and so the positive outcome observed in this study in those areas could be anticipated.…”
Section: Discussionsupporting
confidence: 93%
“…These results are consistent with the findings of former studies [17][18][19][20][21]22]. The literature on training and education programs for healthcare personnel in developing countries shows a significant change in knowledge and skills, and so the positive outcome observed in this study in those areas could be anticipated.…”
Section: Discussionsupporting
confidence: 93%
“…Horizontal programmes refer to service delivery through the infrastructure of the regular healthcare system. 7 PMTCT programmes were initially viewed as independent services unrelated to continuous maternal and child care. However, during recent years, more calls for collaboration and synergy between PMTCT programmes and maternal healthcare services have been made, because of the recognition that PMTCT programmes cannot be delivered without a functioning healthcare system, and arguing that such relationships would benefit mutual gain.…”
Section: Effect Of Level Of Verticalitymentioning
confidence: 99%
“…If survivors of sexual violence are to access the range of basic services they require, existing links between vertical and horizontal programmes involved in post-rape care require strengthening (Table 1). 10,11 Links with the judiciary in Kenya are weaker still, compounding difficulties faced by the health sector in the collection, analysis and delivery of evidence to the justice system.…”
Section: Kenyan Contextmentioning
confidence: 99%