[EQ] When do vertical (stand-alone) programmes have a place in health systems?

When do vertical (stand-alone) programmes have a place in health systems?

 

Rifat A. Atun, Centre for Health Management, Imperial College London, United Kingdom

Sara Bennett, Alliance for Health Policy and Systems Research, Health Systems and Services, World Health Organization

Antonio Duran, Director, Técnicas de Salud, Sevilla, Spain

Editor: Govin Permanand

WHO Regional Office for Europe and European Observatory on Health Systems and Policies, 2008

 

Available online PDF [36p.] at: http://www.euro.who.int/document/hsm/5_hsc08_ePB_8.pdf

 

“….. The terms vertical and integrated are widely used in health service delivery, but each describes a range of phenomena. In practice, the dichotomy between

them is not rigid, and the extent of verticality or integration varies between programmes – including:
(1) a vertically funded, managed, delivered and monitored programme;
(2) one with integrated funding, organization and management but separate delivery; and
(3) a fully integrated approach comprising comprehensive primary health care services.

Most health services combine vertical and integrated elements, but the balance between programmes in these elements varies considerably. Hence, when vertical and horizontal and programme design are being discussed, clarity is needed on the programme element being referred to: (1) governance arrangements,

(2) organization, (3) funding and (4) service delivery….”

 

Contents

Key messages

Executive summary

Policy brief

Policy issue

What is meant by vertical versus integrated programmes?

Arguments for and against vertical programmes

Review of research findings

Integration in three programme areas: some findings

Lessons and policy implications

Conclusions

References

 

 

 

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