Developing a National Mental Health Policy A Case Study from Uganda 英文参考文献.docVIP

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Developing a National Mental Health Policy A Case Study from Uganda 英文参考文献.doc

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Developing a National Mental Health Policy A Case Study from Uganda 英文参考文献

HealthinAction DevelopingaNationalMentalHealthPolicy:ACase StudyfromUganda JoshuaSsebunnya1*,FredKigozi1,SheilaNdyanabangi2 1ButabikaNationalReferralandTeachingMentalHospital,Kampala,Uganda,2MinistryofHealth,Kampala,Uganda This case study is part of the PLOS Medicine series on Global Mental HealthPractice. developed, articulated, and aggressively implemented national mental health care policies. Such policies should be designed to improve the care of, and reduce the burden on, those individuals with mental health, neurological, and substance use (MNS)disorders. cycle of poverty and mental illness in LMICs[9]. EvaluationoftheInitialDraft Policy Introduction Thestudyinvolvedasituationalanalysis of Uganda’s mental health system, con- ducted in 2006–2007, during which a number of gaps in mental health service delivery were identified and the impor- tance of the mentalhealth policy empha- sized[10,11].Duringthestudy,theinitial DraftMentalHealthPolicyofUganda(2000– 2005) was evaluated using the WHO mental health policy evaluation checklist, Mentaldisordersareasignificantpublic health issue due to their high prevalence By 2005, only half of the countries in the WHO African Region had a mental health policy, highlighting the urgency of and considerable contribution to the global disease burden. The 2001 Global Burden of Disease (GBD) study ranked unipolar depressive disorders as the third leading cause of disease burden, rising to first place for high- and middle-income countries[1]. mental health policy development in Africa. Indeed there has been a clear acceleration of policy development over thelast10yearsfollowingtherecommen- dationsoftheWorldHealthReport2001, which focused on mental health (http:// Evidence suggests that a range of interventions are effective in treating and preventing mental disorders in low- and middle-income countries (LMICs) [2,3]. However, mental health is not given the priority it deserves in most of these countries [4], resulting in