Mayhew S
London School of Hygiene and Tropical Medicine, UK.
Health Policy Plan. 1996 Dec;11(4):339-53. doi: 10.1093/heapol/11.4.339.
The issue of integrating MCH/FP and STD/HIV services has gained an increasingly high priority on public health agendas in recent years. In the prevailing climate of health sector reform, policy-makers are likely to be increasingly pressed to address the broader concept of "reproductive health' in the terms consolidated at the Cairo International Conference on Population and Development, and the UN Conference on Women in Beijing. Integrated MCH/FP and STD/HIV services could be regarded as a significant step towards providing integrated reproductive health services, but clarity of issues and concerns is essential. A number of rationales have emerged which argue for the integration of these services, and many concerns have been voiced. There is little consensus, however, on the definition of "integrated services' and there are few documented case studies which might clarify the issues. This paper reviews the context in which rationales for "integrated services' emerged, the issues of concern and the case studies available. It concludes by suggesting future directions for research, noting in particular the need for country-specific and multi-dimensional frameworks and the appropriateness of a policy analysis approach.
近年来，妇幼保健/计划生育与性传播疾病/艾滋病服务整合问题在公共卫生议程上的优先级日益提高。在当前卫生部门改革的大环境下，政策制定者可能会面临越来越大的压力，需要按照开罗国际人口与发展会议以及北京联合国妇女大会所确定的内容，去应对更广泛的“生殖健康”概念。妇幼保健/计划生育与性传播疾病/艾滋病服务整合可被视为朝着提供综合生殖健康服务迈出的重要一步，但明确问题和关注点至关重要。已经出现了一些支持这些服务整合的理由，也有人表达了许多担忧。然而，对于“综合服务”的定义几乎没有共识，也很少有记录在案的案例研究能够阐明这些问题。本文回顾了“综合服务”理由出现的背景、相关问题以及现有案例研究。最后，本文提出了未来的研究方向，特别指出需要针对具体国家的多维度框架以及政策分析方法的适用性。
