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Open AccessJournal ArticleDOI

Planning for district mental health services in South Africa: a situational analysis of a rural district site

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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.

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Journal ArticleDOI

Self-reported incidents of violence towards nurses working in acute psychiatric units

TL;DR: In this paper , a study aimed to determine self-reported incidents of physical and verbal violence towards nurses working in acute psychiatric units in Western Cape, South Africa, and found that years of service were associated with the likelihood of experiencing physical violence.
Dissertation

Evidence of balanced care in South African and international mental health treatment trends

TL;DR: A research report submitted in partial fulfilment of the requirements for the degree of Master of Arts in Psychological Research in the Faculty of Humanities, University of the Witwatersrand, Johannesburg, 2017.
Journal ArticleDOI

To queue or not to queue: Facility managers and mental health care users' experiences of integrated health care in a rural South African district.

TL;DR: In this paper , the authors investigated the experiences of facility managers and mental health service users in rural clinics within the system of care, and suggested resegregating mental health care as a possible solution to facilitate service delivery and treatment to service users.
Journal ArticleDOI

Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence

TL;DR: A systematic, descriptive overview of the qualitative literature on healthcare workers' perceptions and experiences of PHC integration is provided in this paper , with a view to better inform future syntheses on the topic.
References
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Book ChapterDOI

Qualitative data analysis for applied policy research

Jane Ritchie, +1 more
TL;DR: The last two decades have seen a notable growth in the use of qualitative methods for applied social policy research as discussed by the authors, which is underpinned by the persistent requirement in social policy fields to understand complex behaviours, needs, systems and cultures.
MonographDOI

Analyzing Qualitative Data

TL;DR: The Nature of Qualitative Analysis Data Preparation Writing Thematic Coding and Categorizing Analysing Biographies and Narratives Comparative Analysis Analytic Quality and Ethics Getting Started with Computer Assisted Qualitative Data Analysis Searching and Other Analytic Activities Using Software Putting it All Together.
Journal ArticleDOI

From the World Health Organization. Mental health: new understanding, new hope.

Gro Harlem Brundtland
- 21 Nov 2001 - 
TL;DR: Every country can and should begin now to improve its efforts to treat people with mental illness, and 10 recommendations on how governments can strengthen their country’s mental health care are concluded.
Journal ArticleDOI

Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world

TL;DR: The third in the Child Development Series as discussed by the authors assesses strategies to promote child development and to prevent or ameliorate the loss of developmental potential in developing countries by identifying four well-documented risks: stunting, iodine deficiency, iron deficiency anaemia, and inadequate cognitive stimulation, plus four potential risks based on epidemiological evidence.
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