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Linking programmes for SRH and HIV/AIDS should never be pursued simply for the sake of integrating services, but the evidence base for the public health impact of integrating services, compared with continuing to provide them separately, is still limited.
But the fence is likely to develop holes, and quickly, all in the name of integrating services.
Under the new legislation, local authorities will be required to carry out their care and support functions with the aim of integrating services with those provided by the NHS and any other health-related service (such as housing).
Finally, this review suggests that CACs might benefit from incorporating ongoing research into the CAC model and accreditation standards and by recognizing the importance of integrating services for child and adult victims of interpersonal violence.
Long waiting times and bad health of the primary caregiver increases the chance of integrating services into the home care arrangements.
The authors of a study in Tete, Mozambique, argued that the average running costs of a dedicated FSW clinic were comparable to the costs of integrating services for high-risk groups within general population facilities.
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However, these earlier findings were examined in the delivery of integrated services for sexual and reproductive health and HIV or other integrated services, and did not systematically identify the key obstacles to the coordination within and among the complex health service contexts.
This highlights a significant challenge for the coordinated management of the delivery of integrated services.
Most of these are generic health systems issues, but they affect delivery of integrated services.
Findings will provide the basis for strategy development to enhance the effective delivery of integrated services.
The key obstacles that have been identified in this study hinder the coordination of the delivery of integrated services.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com