A longstanding debate on health system organization relates to the benefits of integrating programs that emphasize specific interventions into mainstream health systems to increase access and improve health outcomes. This debate has long been characterized by polarization of views and ideologies, with protagonists for and against integration arguing relative merits of each approach. Recently, the debate has been rekindled due to substantial rises in externally-funded programs for priority health, nutrition, and population (HNP) interventions and an increase in international efforts aimed at health system strengthening.However, all too frequently these arguments have not been based on hard evidence. In this book we present findings of a systematic review that explores a broad range of evidence on:  (i) the extent and nature of integration of targeted health programs that emphasize specific interventions into critical health systems functions; (ii) how the integration or non-integration of health programs into critical health systems functions in different contexts have influenced program success; and (iii) how contextual factors have affected the extent to which these programs were integrated into critical health systems functions. The findings provide a new synthesis of evidence to inform the debate on health systems and targeted interventions. In practice a rich mix of solutions exists. While the discussion on the relative merits of integrating health interventions will no doubt continue, discussions should move away from the highly-reductionist approach that has polarized this debate.

Clearing the Global Health Fog: A Systematic Review of the Evidence on Integration of Health Systems and Targeted Interventions (166) (World Bank Working Papers)

Business & Money

Atun,Rifat

Adeyi, Olusoji

de Jongh, Thyra

Secca, Federica V.

Ohiri, Kelechi

Economics

World Bank Publications

Global Health In Practice: Investing Amidst Pandemics, Denial Of Evidence, And Neo-dependency (World Scientific Series In Health Investment And Financing)

<p>"The COVID-19 pandemic has laid bare the worlds vulnerabilities to health and economic ruin from disease outbreaks. But the pandemic merely reveals fundamental weaknesses and contradictions in global health. What are the roots of discontents in global health? How do geo-politics, power dynamics, knowledge gaps, racism, and corruption affect global health? Is foreign aid for health due for a radical overhaul? This book is an incisive guide to the practice of global health in real life. Global health policy is at a crossroads. It is on trial at the interface between the Global North and the Global South. There has been remarkable progress in health outcomes over the past century. Yet, countries face a complex landscape of lofty ambitions in the form of political commitments to Universal Health Coverage, Human Capital, and Global Health Security. These ambitions are tempered by multiple constraints. Investors in global health must navigate a minefield of uneven progress, great expectations, and denials of scientific evidence by entrenched interests. That terrain is further complicated by the hegemonic suppression of innovation that threatens the status quo and by self-perpetuating cycles of dependency of the Global South on the Global North. This book is an unflinching scrutiny of concepts and cases by a veteran of global health policy and practice. It holds a mirror to the world and lays out pathways to a better future. The book is a must-have GPS for policy makers and practitioners as they navigate the maze of global health"--</p>

Finance

WSPC

<p>The COVID-19 pandemic has laid bare the world's vulnerabilities to health and economic ruin from disease outbreaks. But the pandemic merely reveals fundamental weaknesses and contradictions in global health. What are the roots of discontents in global health? How do geo-politics, power dynamics, knowledge gaps, racism, and corruption affect global health? Is foreign aid for health due for a radical overhaul? This book is an incisive guide to the practice of global health in real life. Global health policy is at a crossroads. It is on trial at the interface between the Global North and the Global South. There has been remarkable progress in health outcomes over the past century. Yet, countries face a complex landscape of lofty ambitions in the form of political commitments to Universal Health Coverage, Human Capital, and Global Health Security. These ambitions are tempered by multiple constraints. Investors in global health must navigate a minefield of uneven progress, great expectations, and denials of scientific evidence by entrenched interests. That terrain is further complicated by the hegemonic suppression of innovation that threatens the status quo and by self-perpetuating cycles of dependency of the Global South on the Global North. This book is an unflinching scrutiny of concepts and cases by a veteran of global health policy and practice. It holds a mirror to the world and lays out pathways to a better future. The book is a must-have GPS for policy makers and practitioners as they navigate the maze of global health.</p>

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