Twenty-five years of expectation: where are the services for older people with mental illness in Africa?

Journal: International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists

Volume: 7

Issue: 2

Year of Publication: 

Affiliated Institutions:  Norwegian Centre for Addiction Research (SERAF), University of Oslo, Norway, email thomas.clausen@medisin.uio.no. African Foundation for Research and Interdisciplinary Training in Ageing, Harare, Zimbabwe.

Abstract summary 

Mental health disorders account for about 14% of the global burden of disease. Neuropsychiatric disorders may be responsible for more than 1.2 million deaths annually (Prince , 2007). Around 80% of those affected live in low- and middle-income countries. Yet, despite the fact that older persons carry a disproportionate burden of non-communicable disease and mental disorder, they are not seen as priority issues for healthcare provision in these countries. Logically and ethically, older persons should be prioritised for targeted interventions, alongside the generic strengthening of primary and community health provision. African governments, spurred on by the specific agendas of non-governmental and parastatal organisations, continue with more urgent tasks; their healthcare provision is oriented towards the 'younger generations' (maternal and child healthcare, and infection). In most African countries, the expenditure specifically targeted for mental health is below 1% of the total healthcare budget, that is, effectively non-existent (Saxena , 2007).

Authors & Co-authors:  Clausen Thomas T Wilson Adrian O AO

Study Outcome 

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Statistics
Citations :  Bongaarts, J. & Zimmer, Z. (2002) Living arrangements of older adults in the developing world: an analysis of demographic and health survey household surveys. Journals of Gerontology Series B – Psychological Sciences and Social Sciences, 57, S145–S157.
Authors :  2
Identifiers
Doi : 
SSN : 1749-3676
Study Population
Male,Female
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Study Design
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Country of Study
Publication Country
England