Leprosy control strategies and the integration of health services: an international perspective.
Integration of leprosy services into the general health services is regarded as the core strategy to ensure that leprosy control remains cost-effective and equitable, and, thus, sustainable in the coming years. In this article an extensive review is presented of the integration of leprosy services into the general health services. After the rationale of integration is discussed, the article highlights several recent developments within leprosy control and the health sector that are in support of the integration process. An overview is presented of recent experiences in countries that have already embarked on the integration process. Based on these experiences important lessons can be learned and incorporated into a model for the process of integration. This model, which is presented at the end of the article, will assist countries to successfully integrate leprosy services into the general health services.
Leprosy Unit, Department of Health, Royal Tropical Institute, Amsterdam, The Netherlands. j.visschedijk@kit.nl
Jan
J
Visschedijk
Anrik
A
Engelhard
Peter
P
Lever
Maria Aparecida de Faria
MA
Grossi
Pieter
P
Feenstra
D001938:Brazil / Q000453:epidemiology; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D014943:Global Health; D006801:Humans; D007918:Leprosy / Q000453:epidemiology / Q000517:prevention & control*; D009313:National Health Programs / Q000458:organization & administration*; D015995:Prevalence; D015397:Program Evaluation; D011787:Quality of Health Care