IPCHS

This growing repository holds WHO documents, scientific publications, policy documents, implementation reports, presentations and others with information and insights about integrated people-centred health services. Share your publication by clicking “Add publication”.

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July 3, 2018 Eastern Mediterranean

Engaging and empowering people and communities, Reorienting the model of care, Creating an enabling environment

Community-based integrated approach to changing women's family planning behaviour in Pakistan, 2014–2016

Pakistan is currently experiencing a clear imbalance in population needs and available resources. Although contraceptive use increased from 11.9% in 1990 to 35% in 2013 and the fertility rate declined from 5.4 births per woman in 1990 to 3.8 in 2013, women in Pakistan still report a high unmet need for family planning services, of −20%. This indicates that contraceptive use in Pakistan is at suboptimal levels and inadequate to meet the growing demand for fertility services. So the aim of this study was to assess the effectiveness of a community-based integrated approach in changing women's ...

July 2, 2018 Europe

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

The patient perspective in health care networks

Health care organization is entering a new age. Focus is increasingly shifting from individual health care institutions to interorganizational collaboration and health care networks. Much hope is set on such networks which have been argued to improve economic efficiency and quality of care. However, this does not automatically mean they are always ethically justified. A relevant question that remains is what ethical obligations or duties one can ascribe to these networks especially because networks involve many risks. Due to their often amorphous and complex structure, collective responsibility and accountability may increase while individual responsibility goes down

June 28, 2018 Africa

Engaging and empowering people and communities, Reorienting the model of care

Why high tech needs high touch: Supporting continuity of community primary health care

Integrated care through community-oriented primary care (COPC) deployed through municipal teams of community health workers (CHWs) has been part of health reform in South Africa since 2011. The role of COPC and integration of information and communication technology (ICT) information to improve patient health and access to care, require a better understanding of patient social behaviour. These study sought to understand how COPC with CHWs visiting households offering health education can support antenatal follow-up and what the barriers for access to care would be

June 28, 2018 Africa

Engaging and empowering people and communities, Reorienting the model of care, Coordinating services within and across sectors

Scaling community-based services in Gauteng, South Africa: A comparison of three workforce-planning scenarios

The introduction of community-based services through community health workers is an opportunity to redefine the approach and practice of primary health care. Based on bestpractice community oriented primary care (COPC), a COPC planning toolkit has been developed to model the creation of a community-based tier in an integrated district health system

June 13, 2018 South-East Asia

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal

Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. This article describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal.

June 13, 2018 Eastern Mediterranean

Reorienting the model of care, Coordinating services within and across sectors, Creating an enabling environment

Communication and integration: a qualitative analysis of perspectives among Middle Eastern oncology healthcare professionals on the integration of complementary medicine in supportive cancer care

The use of complementary and traditional medicine (CTM ) in Middle Eastern countries is widespread, including among patients with cancer. Perspectives of oncology healthcare professionals (HCPs) in this region regarding the integration of CTM within conventional supportive cancer care were explored

June 11, 2018 Western Pacific

Engaging and empowering people and communities, Creating an enabling environment

Increasing advance personal planning: the need for action at the community level

Advance personal planning is the process by which people consider, document and communicate their preferences for personal, financial and health matters in case they lose the ability to make decisions or express their wishes in the future.

There is a need for rigorous evidence to demonstrate wheter a community action approach is effective in estabilishing whole community adoption of advance personal planning.

June 6, 2018 Western Pacific

Engaging and empowering people and communities, Strengthening governance and accountability, Creating an enabling environment

Coordinating Mental and Physical Health Care in Rural Australia: An Integrated Model for Primary Care Settings

The "GP Clinic" providers primary health care to people using community mental health services in a small town in Australia. This article examines the factors that have driven successful integration in this rural location. Integrated physical and mental health service models that focus on building local service provider relationships and are responsive to community needs and outcomes may be more beneficial in rural settings than top down approaches that focus on policies, formal structures, and governance.

June 6, 2018 South-East Asia

Strengthening governance and accountability, Coordinating services within and across sectors, Creating an enabling environment

Aspects of Multicomponent Integrated Care Promote Sustained Improvement in Surrogate Clinical Outcomes: A Systematic Review and Meta-analysis

The implementation of the Chronic Care Model (CCM) improves health care quality. This study examined the sustained effectiveness of multicomponent integrated care in type 2 diabetes. Despite the small effect size of multicomponent integrated care team-based care with better information flow may improve patient-provider communication and self-management in patients who are young, with suboptimal control, and in low-resource settings.

June 4, 2018 Eastern Mediterranean

Engaging and empowering people and communities, Coordinating services within and across sectors, Creating an enabling environment

Barriers to, and opportunities for, palliative care development in the Eastern Mediterranean Region

The 22 countries of WHO´s Eastern Mediterranean Region are experiencing an increase in the burden of non-communicable deseases (NCDs), including cancer. Of the six WHO regions, the Eastern Mediterranean Region is projected to have the greatest increase in cancer incidence in the next 15 years. With increasing numbers of deaths from cancer, palliative care should be available to relieve suffering in patients with advance desease and at the end of life. However, in the Eastern Mediterranean Reion, the palliative care available is variable and inconsistent.