Strengthening mental health systems in low- and middle-income countries: recommendations from the Emerald programme.
BJPsych Open
; 5(5): e73, 2019 Aug 06.
Article
de En
| MEDLINE
| ID: mdl-31530325
ABSTRACT
BACKGROUND:
There is a large treatment gap for mental, neurological or substance use (MNS) disorders. The 'Emerging mental health systems in low- and middle-income countries (LMICs)' (Emerald) research programme attempted to identify strategies to work towards reducing this gap through the strengthening of mental health systems.AIMS:
To provide a set of proposed recommendations for mental health system strengthening in LMICs.METHOD:
The Emerald programme was implemented in six LMICs in Africa and Asia (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda) over a 5-year period (2012-2017), and aimed to improve mental health outcomes in the six countries by building capacity and generating evidence to enhance health system strengthening.RESULTS:
The proposed recommendations align closely with the World Health Organization's key health system strengthening 'building blocks' of governance, financing, human resource development, service provision and information systems; knowledge transfer is included as an additional cross-cutting component. Specific recommendations are made in the paper for each of these building blocks based on the body of data that were collected and analysed during Emerald.CONCLUSIONS:
These recommendations are relevant not only to the six countries in which their evidential basis was generated, but to other LMICs as well; they may also be generalisable to other non-communicable diseases beyond MNS disorders. DECLARATION OF INTEREST None.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Type d'étude:
Guideline
Langue:
En
Journal:
BJPsych Open
Année:
2019
Type de document:
Article
Pays d'affiliation:
Royaume-Uni