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Because of the weakness of the processes and the difficulty of developing projects or of integrating programmes within health systems, programmes and projects often develop in isolation, dependent on the availability of donor funds and without connection to the system as a whole.
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As a result, work around food security is increasingly about developing integrated programmes, working with more partners and standardising approaches.
An important step in improving household welfare and enhancing development will, therefore, be to adopt integrated programmes for the education and health sector.
Efforts to integrate programmes have exacerbated the difficulties.
"The goal of universal access to HIV prevention, treatment, care and support," said Ms. Veneman, "provides momentum to comprehensively scale up and integrate programmes and services".
The approach was meant to be a way to integrate programmes to holistically address the development needs of children at the sub-national level.
The desire to integrate programmes and thereby avoid the unnecessary duplication of resources led to the establishment of the National Control Programme for the Integrated Control of Neglected Tropical Diseases in Uganda in 2007.
The debate between delivering services through vertical or horizontal mechanisms has endured since the 1960's, with continued calls to integrate programmes and activities into existing services.
According to the World Health Organization and ICM, integrated programmes are the least effective as they compromise development of competencies for both the nursing and the midwifery professions (41).
Mainstreaming sustainable food and agriculture into national development strategies and action plans requires integrated programmes and policies, interlinked goals and targets and regularly monitored progress.
A key priority of the GMC will be to integrate programmes at the national and local level, linking to existing structures and networks, such as child rights clubs and local NGOs.
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