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Health systems, communicable diseases and integration
Altynay Shigayeva1, Rifat Atun, Martin McKee
1Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK. altynay.shigayeva@lshtm.ac.uk
Health Policy and Planning
|October 23, 2010
Summary
Integrating communicable disease control programs into health systems is crucial but poorly defined. This study proposes a new framework to better understand and evaluate health system integration for effective disease management.
Area of Science:
- Public Health
- Health Systems Research
- Communicable Disease Control
Background:
- Global pandemics like HIV/AIDS, tuberculosis, and malaria strain health systems.
- Integrating disease control programs into broader health and social care systems is proposed as a solution.
- Current understanding and evaluation of health system integration are hampered by a lack of clear definitions and common approaches.
Purpose of the Study:
- To define health system integration in the context of communicable disease control.
- To critically review existing literature on concepts, definitions, and methodologies of integration.
- To develop an analytical framework for evaluating health system integration.
Main Methods:
- Critical literature review of published research on health system integration.
- Analysis of existing typologies and frameworks for integration.
- Evaluation of frameworks based on driving forces, affected structures/functions, and interactional influences.
Main Results:
- Integration is conceptualized and implemented in diverse ways across different health systems.
- Existing frameworks do not fully address the 'why,' 'what,' and 'how' of integration comprehensively.
- A continuum of interactions, from no interaction to full integration, was identified.
Conclusions:
- A novel analytical framework is proposed to guide the definition and evaluation of health system integration.
- This framework aims to facilitate sustainable and effective responses to communicable diseases.
- The proposed framework can serve as a basis for future evaluations of integrated health programs.
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