INTEGRATED DISTRICT HEALTH CARE SYSTEMS-A REVIEW
AbstractIntegration has been defined in functional terms as aseries of operations concerned in essence with thebringing together of otherwise independentadministrative structures, functions and mentalattitudes in such a way as to combine these into awhole.However, the expression “integrated health services”has also been defined in organizational terms as thoseservices necessary for the health protection of peopleresiding in a given area and provided under a singleadministrative unit, or under several agencies, withproper provision for their coordination.'Integrated care is an approach whereby health servicesfor a defined population, are financed and deliveredthrough an integrated system, to ensure access, equityand quality of care, in a cost effective way, which ismodified by patients, professional and communityvalues.3A district health system is the vehicle for providingquality primary health care to everyone in a definedgeographical area. In this type of health care,individual’s communities and the health providers,participate together in improving their own health.Five important reasons for the introduction of such asystem are:
Integration of mass campaigns against specific diseases into
general health services: report of a WHO Study Group.
Geneva, World Health Organization, 1965 (WHO Technical
Report Series, No.294).
Methodology of planning an integrated health programme for
rural areas: second report of the Expert Committee on Public
Health Administration. Geneva, World Health Organization,
(WHO Technical Report Series, No.83).
Scott J. Integrated care-the ethical debate: influence of ethics
and policy on the development of an integrated care system -
an overview. Healthcare Review-on Line 2. (7) 004. May
Anton R, Macpherson M. Integrated care - delivery systems:
local initiatives and delivery systems - tire Health Care Otago
experience. Healthcare Review - Online TM. 2(10); August
Http://www.enigma. co.nz/hcro_articles/980 8/vol2no
WHO Technical Report Series 861. Integration of health Care
Delivery. Report of a WHO study group. World Health
Organization. Geneva 1996.
Pert H. Integrated care-delivery systems. Healthcare Review -
Online TM.2(10); August 1998. Http://www.enigma,
co.nz/hcro_articles/'9808/vol2no 10_003.ht m.
Scott J. Integrated Care-the ethical debate: the influences of
ethics and policy on the development of an integrated care
system- an overview. Healthcare Review'- On line TM.2(7);