Book contents
- Frontmatter
- Contents
- Preface
- Biographies
- Notices
- Acknowledgements
- List of abbreviations
- Reviews
- Introduction: Overview and purpose
- Section 1 Paradigms of international policies
- Section 2 The failure of the aid paradigm: poor disease control in developing countries
- Section 3 Impact of international health policies on access to health in middle-income countries: some experiences from Latin America
- Section 4 Determinants and implications of new liberal health policies: the case of India, China and Lebanon
- Section 5 Principles for alternative, publicly oriented health care policies, planning, management and delivery
- 12 Paradigm shifts in the health sector: mission and methods
- 13 Principles for an alternative, social and democratic health policy
- 14 Quality standards for health care delivery and management in publicly oriented health services
- 15 Principles of publicly oriented health planning
- 16 A code of good practice for the management of disease-control programmes
- Section 6 A public health, strategic toolkit to implement these alternatives
- Conclusions
- Glossary
- Index
- References
16 - A code of good practice for the management of disease-control programmes
Published online by Cambridge University Press: 06 December 2010
- Frontmatter
- Contents
- Preface
- Biographies
- Notices
- Acknowledgements
- List of abbreviations
- Reviews
- Introduction: Overview and purpose
- Section 1 Paradigms of international policies
- Section 2 The failure of the aid paradigm: poor disease control in developing countries
- Section 3 Impact of international health policies on access to health in middle-income countries: some experiences from Latin America
- Section 4 Determinants and implications of new liberal health policies: the case of India, China and Lebanon
- Section 5 Principles for alternative, publicly oriented health care policies, planning, management and delivery
- 12 Paradigm shifts in the health sector: mission and methods
- 13 Principles for an alternative, social and democratic health policy
- 14 Quality standards for health care delivery and management in publicly oriented health services
- 15 Principles of publicly oriented health planning
- 16 A code of good practice for the management of disease-control programmes
- Section 6 A public health, strategic toolkit to implement these alternatives
- Conclusions
- Glossary
- Index
- References
Summary
This chapter is extracted from:
Unger J.-P., De Paepe P., Green A. A code of best practice for disease control programmes to avoid damaging health care services in developing countries. Int J Health Planning and Management 2003; 18: S27–S39.
Continuing with some of the essential tenets in the management and delivery of health care, we suggest some principles, designed to avoid aspects of disease-control programmes. These have caused much consternation and challenge for both health practitioners and policy makers, facing different pressures, from donors and the public.
From our own research over the past three decades, we are able to tentatively propose four essential principles that might help avoid disease-specific programmes putting unnecessary pressure on quality health care systems. Through this we also suggest means to improve access to CHC in LMICs.
Disease-control activities should generally be integrated, with the exception of certain well-defined situations. They should be integrated in health centres, which offer patient-centred care
As discussed above, justification for this requirement is two-fold. The early detection of chronic diseases (such as tuberculosis and AIDS) and of acute conditions (such as severe malaria, childhood acute respiratory infections, diarrhoeal diseases) is hindered by low primary care utilization rates. In practice patient loyalty can only be created by good quality primary care. In addition improved doctor/patient communication should result in enhanced continuity of care and better cure rates. Still, there are exceptions for which a vertical organization is still appropriate (see above).
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- Information
- International Health and Aid PoliciesThe Need for Alternatives, pp. 195 - 198Publisher: Cambridge University PressPrint publication year: 2010