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
Citations
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Journal ArticleDOI
Atlas: Mental Health Resources in the World 2001 . Edited by S. Saxena. (Pp. 55; available free from WHO, CH1211 Geneva 27, Switzerland.) World Health Organization: Geneva. 2001.
Journal ArticleDOI
Implementing the World Health Report 2001 recommendations for integrating mental health into primary health care: A situation analysis of three African countries: Ghana, South Africa and Uganda
TL;DR: The extent to which two low-income countries (Ghana and Uganda) and one middle-income country (South Africa) are managing the integration of mental health into primary health care using the recommendations of the WHO World Health Report, 2001 is examined.
Journal ArticleDOI
Barriers and facilitators of mental health programmes in primary care in low-income and middle-income countries.
Georgina Miguel Esponda,Sarah Hartman,Onaiza Qureshi,Euan Sadler,Alex S. Cohen,Ritsuko Kakuma +5 more
TL;DR: Synthesising results according to the Consolidated Framework for Implementation Research helped to identify key areas for future action, including investment in primary health-care strengthening, capacity building for health providers, and increased support to address the social needs of service users.
Journal ArticleDOI
Understanding the benefits and challenges of community engagement in the development of community mental health services for common mental disorders: lessons from a case study in a rural South African subdistrict site.
TL;DR: It is concluded that in addition to contributing to scaling upmental health services, community participation can potentially promote the development of culturally competent mental health services and greater community control of mental health.
Journal ArticleDOI
Closing the treatment gap for depression co-morbid with HIV in South Africa: Voices of afflicted women
TL;DR: The triggers, symptoms and local coping strategies employed by afflicted women in this study suggest a resonance with Western derived evidence-based psychological therapies, which requires multi-sector engagement in mental health promotion.
References
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