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A code of best practice for disease control programmes to avoid damaging health care services in developing countries
Jean-Pierre Unger1, Pierre De Paepe, Andrew Green
1Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium. jpunger@itg.be
Integrating disease control programmes into health systems is essential but requires careful management. Simultaneous operational and administrative integration, alongside general healthcare delivery, is crucial to avoid damaging local health infrastructures.
Area of Science:
- Public Health
- Health Systems Management
- Disease Control
Background:
- Disease control programmes are vital for public health.
- Effective implementation requires integration with existing health systems.
- Managerial perspectives on integration are crucial for success.
Purpose of the Study:
- To re-examine the integration of disease control programmes from a managerial viewpoint.
- To identify mechanisms through which integration can impact healthcare delivery.
- To propose measures for strengthening local health infrastructures.
Main Methods:
- Literature review to establish the necessity of integration.
- Clustering disease control programmes into three categories.
- Assessing the impact of each category on local healthcare facilities.
Main Results:
- Integration is essential in most cases but can jeopardize healthcare delivery if poorly managed.
- Specific programme categories have varying impacts on local facilities.
- Poor integration leads to low service utilization, detection, and cure rates.
Conclusions:
- Simultaneous operational and administrative integration is essential for successful programme implementation.
- Integration with general healthcare delivery, including general practice, is critical.
- Health policies must support, not undermine, integrated disease control and healthcare delivery.
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