The Shortcomings Of The Vertical Health Care Program

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Nylander 1 Mason Nylander Professor Robert McNeill BIO9034 June 4, 2016 The Inadequacies of the Vertical Health Care Program Considering all the health concerns that public health physicians must be cognizant of, why does a vertical public health program seem so attractive and interesting? A vertical public health program directs most of its expertise and resources from health organizations and concentrates it on a single health issue, typically eliminating a particular disease. The usual strengths of vertical programming include the clearness and sustainability of its goals and thus progress is measurable without difficulty. A common and perhaps major weakness to the vertical health approach is that it deters…show more content…
The latrine was the core representation of increased hygienic conditions for the campaign, and therefore was a major element of hookworm elimination success. However, for the local populace, constructing them was time-consuming and expensive, which were never considered in the public health initiative plans. In fact, most of the local Java population refused to build the latrines because eventually they would flood during the monsoon season (Stein 550). This proves that vertical programming fails to alter suitable interferences and interventions to the population of interest and puts the organization’s (in this case the Rockefeller foundation) priorities over the local populace. The vertical programming method enforces the health organization’s ambitions on the population of interest and demands that they embrace their practices. Vertical programming frequently suffers from a lack of participation, community input, buy-in, and commitment. Even after three decades, the hookworm infection rates declined only slightly (Stein 551). Though the strength of vertical programming is that it diverts time and resources to high-priority health concerns, it might also be considered a weakness because the health concern deemed high priority by the public health initiative is not always the same as that within the targeted community (in this case the Java populace). Therefore, public health physicians should
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