Experiences, Strengths and Challenges of Integration of Mental Health into Primary Care in Ethiopia. Experiences of East African Country

G. Ayano, D. Assefa, Kibrom Haile, Lulu Bekana
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引用次数: 15

Abstract

Background: The burden of mental disorders is increaasing in low and middle income countries including Ethiopia but the number of psychiatry professionals is scarce. Integrating mental health in primary health care is vital to address the problem. This survey aimed in assessing the experiences, strengths and challenges of integrating mental health in primary health care in Ethiopia. Methods: Facility based supervisions was done in primary health care centers where the scale up program was implemented and giving mental health services. Semi structured and standardized WHO mental health Global Action Programme support and supervision questionnaires was used to collect information's. Findings: A total of 1576 mental, neurological and substance use (MNS) disorders were identified and treated in selected four regions. Majority of identified cases were epilepsy (46.64%) followed by psychosis (28.49%). Essential drugs for treating psychosis, depression and epilepsy were available in almost all health institutions. Delayed support and supervisions, staff turnover, interrupted supply of drugs and shortage of budget were the major identified challenges of integrations. Conclusions: In general the experiences of mental health integration in Ethiopia have shown promising findings in achievements in number of trained professionals, health care centers involved, availability of drugs and cases identified and treated by trained professionals. Increasing number of staff trained in mental health care and Continuous support and training for trained professionals, supply of psychotropic medication is vital for effectiveness of integration. In additions researches in scale up concentrating on impact and outcomes of interventions are implicated for understanding the success of interventions.
埃塞俄比亚将精神卫生纳入初级保健的经验、优势和挑战。东非国家的经验
背景:在包括埃塞俄比亚在内的低收入和中等收入国家,精神障碍的负担正在增加,但精神病学专业人员的数量却很少。将精神卫生纳入初级卫生保健对于解决这一问题至关重要。这项调查旨在评估埃塞俄比亚将精神卫生纳入初级卫生保健的经验、优势和挑战。方法:在实施扩大计划并提供心理健康服务的初级卫生保健中心进行基于设施的监督。采用半结构化和标准化的世卫组织精神卫生全球行动规划支持和监督问卷收集信息。结果:在选定的四个地区共发现和治疗了1576例精神、神经和物质使用(MNS)障碍。以癫痫为主(46.64%),其次为精神病(28.49%)。几乎所有保健机构都提供治疗精神病、抑郁症和癫痫的基本药物。支助和监督延迟、工作人员更替、药品供应中断和预算短缺是确定的一体化的主要挑战。结论:总的来说,埃塞俄比亚精神卫生一体化的经验表明,在训练有素的专业人员数量、所涉及的保健中心、药物的供应以及训练有素的专业人员发现和治疗的病例方面取得了可喜的成果。增加在精神保健方面受过培训的工作人员的人数,为受过培训的专业人员提供持续的支助和培训,提供精神药物对综合治疗的有效性至关重要。此外,研究规模集中在影响和干预的结果涉及到理解干预的成功。
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