Nations for Mental Health

Jenkins, Rachel

doi:10.1007/bf00805433

Cited by 9 publications

(2 citation statements)

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“…Studies carried out in India and Pakistan have likewise shown the high prevalence and disabling consequences of psychiatric disorder (Mumford et al , 1997; Patel et al , 1998). Alongside efforts to raise political will and public awareness (Jenkins, 1997), there is a need to invest resources into cost-effective care and prevention strategies. Integration of mental health care into the existing primary health care system has been widely advocated, but along with other strategies, it has not been subjected to economic evaluation, even though such evidence is needed to stimulate investment (Gulbinat et al , 1996; Shah & Jenkins, 1999).…”

mentioning

confidence: 99%

Integration of mental health care into primary care

James²,

et al. 2000

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confidence: 99%

Integration of mental health care into primary care

James²,

et al. 2000

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“…Mental health is not often perceived by governments as a priority issue in resource poor settings, but in 1997 the deputy health minister for Zanzibar requested expert assistance from the WHO "Nations for Mental Health" [2,3], for the preparation and implementation of mental health policy and legislation for Zanzibar. Technical support was given by the first author RJ, Director of the WHO Collaborating Centre at the Institute of Psychiatry, London (WHOCC) at the request of WHO HQ, in collaboration with WHO AFRO, and was followed by continued support by RJ/WHOCC over the ensuing decade, in close liaison with the Zanzibar and Tanzania mainland respective Ministries of Health and Social Welfare and WHO country offices.…”

Section: Introductionmentioning

confidence: 99%

Developing and implementing mental health policy in Zanzibar, a low income country off the coast of East Africa

Jenkins

Mussa

Haji

et al. 2011

Int J Ment Health Syst

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BackgroundThe Zanzibar Ministry of Health and Social Welfare, concerned about mental health in the country, requested technical assistance from WHO in 1997.AimsThis article describes the facilitation over many years by a WHO Collaborating Centre, of sustainable mental health developments in Zanzibar, one of the poorest countries in the world, using systematic approaches to policy design and implementation.MethodsBased on intensive prior situation appraisal and consultation, a multi-faceted set of interventions combining situation appraisal to inform planning; sustained policy dialogue at Union and state levels; development of policy and legislation, development of strategic action plans, establishment of intersectoral national mental health implementation committee, establishment of national mental health coordination system, integration of mental health into primary care, strengthening of primary-secondary care liaison, rationalisation and strengthening of secondary care system, ensuring adequate supply of medicines, use of good practice guidelines and health information systems, development of services for people with intellectual disability, establishment of formal mechanism for close liaison between the mental health services and other governmental, non-governmental and traditional sectors, mental health promotion, suicide prevention, and research and development.ResultsThe policy and legislation introduced in 1999 have resulted in enhanced mental health activities over the ensuing decade, within a setting of extreme low resource. However, advances ebb and flow and continued efforts are required to maintain progress and continue mental health developments. Lessons learnt have informed the development of mental health policies in neighbouring countries.ConclusionsA multi-faceted and comprehensive programme can be effective in achieving considerable strengthening of mental health programmes and services even in extremely low resource settings, but requires sustained input and advocacy if gains are to be maintained and enhanced.

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Social Policy and Mental Health: The Case of India

Thapa

2013

Psychology, Development and Social Policy in India

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Nations for Mental Health

Cited by 9 publications

References 12 publications

Integration of mental health care into primary care

Integration of mental health care into primary care

Developing and implementing mental health policy in Zanzibar, a low income country off the coast of East Africa

Social Policy and Mental Health: The Case of India

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