Strengthening health systems: Perspectives for economic evaluation.

摘要: In this environment the HIV community is increasingly asking if past strategies for dealing with through stand-alone interventions are still adequate or a more sustainable approach to integrate programs other health care delivery. Of particular interest debate about whether (i) should be fully integrated primary system (ii) it would better move toward “selective integration” of services disease-specific within overall (iii) there expansion” current include synergistic HIV-related and -unrelated patients receiving ART (e.g. STI treatment reproductive cardiovascular diseases mental disorders) (iv) funding used spur development in sectors sex equality education social protection). The growing focus on HSS simultaneously has potential improve effectiveness efficiency sustainability programs. But two perspectives need kept mind setting expectations when positive impact can achieved what envisaged rubric challenges they pose evaluation costs benefits. (Excerpts)