Planning for district mental health services in South Africa: a situational analysis of a rural district site
Inge Petersen,Arvin Bhana,Arvin Bhana,Victoria Campbell-Hall,Sithembile Mjadu,Crick Lund,Sharon Kleintjies,Victoria Hosegood,Alan J. Flisher,Alan J. Flisher +9 more
TLDR
It is suggested that, in a similar vein to other low- to middle-income countries, deinstitutionalization and comprehensive integrated mental health care in South Africa is hampered by a lack of resources for mentally health care within the primary health care resource package, as well as the inefficient use of existing mental health resources.Abstract:
The shift in emphasis to universal primary health care in post-apartheid South Africa has been accompanied by a process of decentralization of mental health services to district level, as set out in the new Mental Health Care Act, no. 17, of 2002 and the 1997 White Paper on the Transformation of the Health System. This study sought to assess progress in South Africa with respect to deinstitutionalization and the integration of mental health into primary health care, with a view to understanding the resource implications of these processes at district level. A situational analysis in one district site, typical of rural areas in South Africa, was conducted, based on qualitative interviews with key stakeholders and the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS). The findings suggest that the decentralization process remains largely limited to emergency management of psychiatric patients and ongoing psychopharmacological care of patients with stabilized chronic conditions. We suggest that, in a similar vein to other low- to middle-income countries, deinstitutionalization and comprehensive integrated mental health care in South Africa is hampered by a lack of resources for mental health care within the primary health care resource package, as well as the inefficient use of existing mental health resources.read more
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Journal ArticleDOI
A centralized or decentralized approach when it comes to socially stigmatized health concerns in conservative social settings.
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Dissertation
A description of mental health care practitioners and a mental health care director's perceptions of mental health care nurses obtaining prescription authority in eThekwini district KwaZulu-Natal.
TL;DR: The study findings indicate that nurses’ obtaining prescriptive authority is not on the provincial department of health agenda, and it is suggested mental health care directors, and the SANC, be proactive, look to the future in advising the health minister about access and barriers tomental health care treatment.
Dissertation
Experiences of primary health care nurses providing mental health care services at primary health care clinics in eThekwini South Sub-District, KwaZulu-Natal.
TL;DR: This study explored the experiences of PHC nurses, within PHC clinics, in the planning and provision of mental health care services in EThekwini district, KwaZulu-Natal.
Book ChapterDOI
Developing a Consensus for Engagement
Graham Thornicroft,Maya Semrau,Atalay Alem,Robert E. Drake,Hiroto Ito,Jair de Jesus Mari,Peter McGeorge,R. Thara +7 more
Dissertation
The outcomes of implementing the Department of Health mental health clinical guidelines for the management of psychiatric patients at primary health care clinics.
TL;DR: Lack of empowerment in decision making at district health level be addressed strategically and districtbased implementation plans should be developed for mental health policies and should have the support of the Mental Health Forums.
References
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MonographDOI
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Journal ArticleDOI
Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world
Patrice Engle,Maureen M. Black,Jere R. Behrman,Meena Cabral de Mello,Paul Gertler,Lydia Kapiriri,Reynaldo Martorell,Mary Eming Young +7 more
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