Baseline situational analysis in Bangladesh, Jordan, Paraguay, the Philippines, Ukraine, and Zimbabwe for the WHO Special Initiative for Mental Health: Universal Health Coverage for Mental Health.

Journal: PloS one

Volume: 17

Issue: 3

Year of Publication: 2022

Affiliated Institutions:  Department of International Health, Johns Hopkins University, Baltimore, MD, United States of America. Department of Global Health, University of Washington, Seattle, WA, United States of America. Child, Adolescent and Family Psychiatry, National Institute of Mental Health, Dhaka, Bangladesh. Mental Health and Substance Use, WHO Regional Office for South East Asia, New Delhi, India. UHC Communicable and Non Communicable Diseases Cluster, WHO Regional Office for Africa, Brazaville, Congo. Iraq Country Office Team, World Health Organization, Baghdad, Iraq. Division of NCDs and Promotion of Health through the Life-course, WHO Regional Office for Europe, Copenhagen, Denmark. Jordan Country Office Team, World Health Organization, Amman, Jordan. Non-communicable Diseases and Mental Health, PAHO/WHO Paraguay Country Office, Asunción, Paraguay. National Advisory Committee for Autism and Neurodevelopmental Disabilities, Ministry of Health and Family Welfare, Dhaka, Bangladesh. Department of Community Medicine, University of Zimbabwe College of Health sciences, Harare, Zimbabwe. Mental Health Unit, WHO Country Office for Ukraine, Kyiv, Ukraine. Non-communicable Diseases and Mental Health, World Health Organization, Bangladesh, Dhaka, Bangladesh. UHC Communicable and Non Communicable Diseases Cluster, WHO country office Zimbabwe, Harare, Zimbabwe. Mental Health and Substance Use Unit, PAHO/WHO, Washington, D.C., United States of America. Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland. Unit of Community-based Mental Health Care, Mental Health in Primary Care and Rehabilitation, Center for Mental Health and Monitoring of Drugs and Alcohol of the Ministry of Health of Ukraine, Kyiv, Ukraine. Mental Health Directorate, Ministry of Public Health and Social Welfare, Asunción, Paraguay. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States of America. Division of Programmes for Disease Control (DDC), World Health Organization Regional Office for the Western Pacific, Manila, Philippines. Fred Hutchinson Cancer Research Center, Statistical Center for HIV/AIDS Research and Prevention, Seattle, Washington, United States of America.

Abstract summary 

Mental, neurological and substance use conditions lead to tremendous suffering, yet globally access to effective care is limited. In line with the 13th General Programme of Work (GPW 13), in 2019 the World Health Organization (WHO) launched the WHO Special Initiative for Mental Health: Universal Health Coverage for Mental Health to advance mental health policies, advocacy, and human rights and to scale up access to quality and affordable care for people living with mental health conditions. Six countries were selected as 'early-adopter' countries for the WHO Special Initiative for Mental Health in the initial phase. Our objective was to rapidly and comprehensively assess the strength of mental health systems in each country with the goal of informing national priority-setting at the outset of the Initiative.We used a modified version of the Program for Improving Mental Health Care (PRIME) situational analysis tool. We used a participatory process to document national demographic and population health characteristics; environmental, sociopolitical, and health-related threats; the status of mental health policies and plans; the prevalence of mental disorders and treatment coverage; and the availability of resources for mental health.Each country had distinct needs, though several common themes emerged. Most were dealing with crises with serious implications for population mental health. None had sufficient mental health services to meet their needs. All aimed to decentralize and deinstitutionalize mental health services, to integrate mental health care into primary health care, and to devote more financial and human resources to mental health systems. All cited insufficient and inequitably distributed specialist human resources for mental health as a major impediment.This rapid assessment facilitated priority-setting for mental health system strengthening by national stakeholders. Next steps include convening design workshops in each country and initiating monitoring and evaluation procedures.

Authors & Co-authors:  Kemp Christopher G CG Concepcion Tessa T Ahmed Helal Uddin HU Anwar Nazneen N Baingana Florence F Bennett Ian M IM Bruni Andrea A Chisholm Dan D Dawani Hania H Erazo Marcia M Hossain Saima Wazed SW January James J Ladyk-Bryzghalova Alisa A Momotaz Hasina H Munongo Edmore E Oliveira E Souza Renato R Sala Giovanni G Schafer Alison A Sukhovii Oleksii O Taboada Luis L Van Ommeren Mark M Vander Stoep Ann A Vergara Jasmine J Waters Chloe C Kestel Devora D Collins Pamela Y PY

Study Outcome 

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Statistics
Citations :  Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204–22. Epub 2020/10/19. doi: 10.1016/S0140-6736(20)30925-9 ; PubMed Central PMCID: PMC7567026.
Authors :  26
Identifiers
Doi : e0265570
SSN : 1932-6203
Study Population
Male,Female
Mesh Terms
Bangladesh
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Zimbabwe
Publication Country
United States