A diagonal approach to building primary healthcare systems in resource-limited settings: women-centred integration of HIV/AIDS, tuberculosis, malaria, MCH and NCD initiatives

by Celine R. Gounder and Richard E. Chaisson
Tropical Medicine & International Health, Article first published online: 1 November 2012

6 pp. 88 kB:
http://onlinelibrary.wiley.com/doi/10.1111/j.1365-3156.2012.03100.x/pdf

Maternal and child health, reproductive health and family planning services are reliable points of contact between women and the healthcare system; these points of contact represent a missed opportunity to engage women in longitudinal care. Antenatal care, PMTCT and HIV care and treatment programmes were the first to provide population-wide longitudinal care for chronic diseases and should be used as the foundation for delivering primary and preventive health care for women in place of the acute care that passes for primary care in most resource-limited settings. Additional services should be integrated based on epidemiologic burden including those to reduce morbidity and mortality due to TB, malaria, tobacco, obesity, hypertension, diabetes and cancer.

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