Research Article

Delivery of priority health services: searching for synergies within the vertical versus horizontal debate

  1. Valeria Oliveira-Cruz*,
  2. Christoph Kurowski,
  3. Anne Mills

Article first published online: 7 JAN 2003

DOI: 10.1002/jid.966

Issue

Journal of International Development

Journal of International Development

Special Issue: Expanding Access to Health Interventions in Low and Middle-Income Countries: Constraints and Opportunities for Scaling-Up

Volume 15, Issue 1, pages 67–86, January 2003

Additional Information

How to Cite

Oliveira-Cruz, V., Kurowski, C. and Mills, A. (2003), Delivery of priority health services: searching for synergies within the vertical versus horizontal debate. J. Int. Dev., 15: 67–86. doi: 10.1002/jid.966

Author Information

  1. Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK

*Health Policy Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

Publication History

  1. Issue published online: 7 JAN 2003
  2. Article first published online: 7 JAN 2003

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Abstract

A key issue in the expansion of access to priority health services is how best to implement scaling up efforts. In this paper, we explore the relative merits of vertical and horizontal delivery modes; review the literature on the impact of vertical programmes on health systems and on experiences of integrating these programmes; and analyse health interventions in terms of their different modes of delivery within the health system infrastructure. We conclude that expanding access to priority health services requires the concerted use of both modes of delivery, according to the capacity of health systems as it changes over time. Copyright © 2003 John Wiley & Sons, Ltd.

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