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The interface between health systems and vertical programmes in Francophone Africa: the managers' perceptions

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dc.contributor.author Keugoung, B.
dc.contributor.author Macq, J.
dc.contributor.author Buvé, A.
dc.contributor.author Meli, J.
dc.contributor.author Criel, B.
dc.date.accessioned 2011-03-23T10:46:49Z
dc.date.available 2011-03-23T10:46:49Z
dc.date.issued 2011
dc.identifier.issn 1360-2276
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2010.02716.x
dc.identifier.other ITG-M3A
dc.identifier.other ITG-HLA
dc.identifier.other MULTI
dc.identifier.other MICRO
dc.identifier.other U-HIVSTD
dc.identifier.other HEALTH
dc.identifier.other U-HPF
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other FTB
dc.identifier.other UPD32
dc.identifier.uri http://hdl.handle.net/10390/6532
dc.description.abstract Objective To explores the interface between vertical programmes (VPs) and general health services (GHS) in sub-Saharan Africa. Methods Using semi-structured interviews, we analysed the perceptions of a selection of experienced mid-level managers of health systems and of VP originating in francophone Africa on the nature and quality of this interface. Results The respondents acknowledged that VPs lead to both positive and negative effects on the functioning of GHS. The overall result, however, cannot be viewed as a simple summation of the positive effects possibly compensating for the negative ones. Indeed, some of the negative effects have a profound impact on the management and operation of the health care delivery system and may undermine the long-term institutional capacity of the general health systems. The quality and the nature of the interface between VP and GHS strongly vary in time, between settings and programmes. Conclusion We argue for more systematic monitoring of the interface between VP and GHS, so as to identify and address, in a timely manner, significant disruptive effects and deficiencies in a perspective of systemic capacity building of health systems. en
dc.language English en
dc.subject Health systems en
dc.subject General en
dc.subject Health services en
dc.subject Vertical health programs en
dc.subject Interfaces en
dc.subject Perceptions en
dc.subject Management en
dc.subject Quality en
dc.subject Impact en
dc.subject Leadership en
dc.subject Health information en
dc.subject Health financing en
dc.subject Health care delivery en
dc.subject Human resources en
dc.subject Equipment en
dc.subject Infrastructure en
dc.subject Determinants en
dc.subject Capacity en
dc.subject Monitoring en
dc.subject Africa, General en
dc.title The interface between health systems and vertical programmes in Francophone Africa: the managers' perceptions en
dc.type Article en
dc.citation.issue 4 en
dc.citation.jtitle Tropical Medicine and International Health en
dc.citation.volume 16 en
dc.citation.pages 478-485 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/21219552
dc.citation.jabbreviation Trop Med Int Health en


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