Ayesha Isani Majeed, Shahzad Ali Khan.
Integration of Health Systems in Islamabad; a Need to Undertake an Interventional Study for Improving Health Services in Islamabad Capital Territory in Post Devolution Scenario.
Ann Pak Inst Med Sci Jan ;10(2):117-9.

After the 18th amendment, subsequent to abolition of Federal Ministry of Health there has been a concern in ICT where health has been disintegrated into multiple units. This has lead to health service delivery problems that may result in poor health outcomes in the ICT. There is a need to conduct a situational analysis and develop a model of integration in order to improve the health systems in ICT. In this context, a study may be conducted for the assessment of impact of devolution in ICT, and this may in turn lead to suggesting as well as testing a model of integration in ICT. The proposed interventional study may be conducted in three phases. First phase may be a situational analysis to study the post devolution structures, processes and practices in health sector of ICT. Second phase may be development of an integrated model through a broad based stakeholder consultation. In the third phase, the newly developed model may be tested on a health intervention in order to evaluate its feasibility in different functions of health system. There are many expected benefits of this study. It will highlight the gaps and bottlenecks in health system of ICT, prevalent due to disintegration of health into multiple units. It will also provide a model, which can be tested and evaluated for improvement in different functions of health systems.

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