Table 1 Core elements underpinning disease control and health systems perspectives
| Â | Disease control programmes | Generalized health care systems |
|---|---|---|
Objective | Reduction of burden of disease | Contribute to physical, mental and social wellbeing |
Analysis of health problem | Focus on the presence of disease in population | Focus on people |
Decision-making criteria | Evidence of burden of disease and cost-effectiveness | Technical, social and political criteria |
Strategic approach to implementation | Short-term actions based on technical solutions and aiming at rapid results | Long-term iterative approach aims at protecting people and responding to needs |
Concept of ‘community’ | Intervention target, beneficiaries | Beneficiaries and drivers to which health services are accountable |
Concept of ‘participation’ | Target orientated: needed to fulfil goals | Empowering |