Integrating reproductive health: myth and ideology.
Bull World Health Organ
; 77(9): 771-7, 1999.
Article
em En
| MEDLINE
| ID: mdl-10534902
ABSTRACT
PIP: This paper provides a historical comparison between the health systems in Ghana, Kenya and Zambia and South Africa, to examine progress on integration of HIV/STD services since 1994. Findings gathered from the study conducted during 1997-98 revealed that the primary health care in Ghana, Kenya and Zambia has been used mainly by women and children and that integration has meant adding new activities to these services. For the vertical program which support these services, integration implies enhanced collaboration rather than merged responsibility. This compromise between comprehensive rhetoric and selective reality has resulted in little change to existing structures and processes; problems with integration have been exacerbated by the activities of external donors. By comparison, in South Africa integration has been achieved through political commitment to primary health care rather than expanding vertical programs (top-down management systems).
Palavras-chave
Africa; Africa South Of The Sahara; Delivery Of Health Care; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Ghana; Health; Health Services; Historical Survey; Hiv Infections--prevention and control; Infections; Kenya; Primary Health Care; Reproductive Health; Reproductive Tract Infections; Research Methodology; Retrospective Studies; Sexually Transmitted Diseases--prevention and control; South Africa; Southern Africa; Studies; Viral Diseases; Western Africa; Zambia
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Infecções Sexualmente Transmissíveis
/
Infecções por HIV
/
Medicina Reprodutiva
/
Prestação Integrada de Cuidados de Saúde
Idioma:
En
Ano de publicação:
1999
Tipo de documento:
Article