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[Comment] Scaling up integration of health services

Almost 40 years after the Alma-Ata Declaration1 championed a comprehensive vision of health service delivery (panel), the movement towards universal health coverage (UHC) has seen the global health policy pendulum swing back towards the need for integrated people-centred health systems.2–4 For UHC to be sustainable, resources cannot be wasted on services that are inaccessible, fragmented, and of poor quality. There is a growing need to increase the responsiveness and efficiency of service delivery and to put the needs of people and communities back at the centre of health systems.