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Trop Med Int Health. 2011 Apr;16(4):478-85. doi: 10.1111/j.1365-3156.2010.02716.x. Epub 2011 Jan 10.

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

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  • 1Ministry of Public Health, Yaounde, Cameroun. bkeugoung@itg.be

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.

© 2011 Blackwell Publishing Ltd.

PMID:
21219552
[PubMed - indexed for MEDLINE]
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