Philanthropy for global mental health 2000-2015.

Global mental health (Cambridge, England) Pub Date : 2020-05-06 eCollection Date: 2020-01-01 DOI:10.1017/gmh.2020.2
Valentina Iemmi
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引用次数: 7

Abstract

Background: Mental disorders are the leading cause of years lived with disability worldwide. While over three-quarters of people with mental disorders live in low- and middle-income countries (LMICs) and effective low-cost interventions are available, resource commitments are extremely limited. This paper seeks to understand the role of philanthropy in this area and to inform discussions about how to increase investments.

Methods: Novel analyses of a dataset on development assistance for health were conducted to study philanthropic development assistance for mental health (DAMH) in 156 countries between 2000 and 2015.

Results: Philanthropic contributions more than doubled over 16 years, accounting for one-third (US$364.1 million) of total DAMH 2000-2015. However, across health conditions, mental disorders received the lowest amount of philanthropic development assistance for health (0.5%). Thirty-seven of 156 LMICs received no philanthropic DAMH between 2000 and 2015 and just three LMICs (Antigua and Barbuda, Grenada, Saint Vincent and the Grenadines) received more than US$1 philanthropic DAMH per capita over the entire period. Eighty-one percent of philanthropic DAMH was disbursed to unspecified locations.

Conclusions: Philanthropic donors are potentially playing a critical role in DAMH, and the paper identifies challenges and opportunities for increasing their impact in sustainable financing for mental health.

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2000-2015年全球精神卫生慈善事业。
背景:精神障碍是世界范围内导致残疾的主要原因。虽然四分之三以上的精神障碍患者生活在低收入和中等收入国家,并且可以获得有效的低成本干预措施,但资源承诺极其有限。本文旨在了解慈善事业在这一领域的作用,并就如何增加投资进行讨论。方法:对卫生发展援助数据集进行了新颖的分析,以研究2000年至2015年间156个国家的精神卫生慈善发展援助(DAMH)。结果:慈善捐款在16年间翻了一番多,占2000-2015年捐款总额的三分之一(3.641亿美元)。然而,在所有健康状况中,精神障碍获得的慈善保健发展援助最少(0.5%)。在2000年至2015年期间,156个中低收入国家中有37个没有获得慈善DAMH,只有三个中低收入国家(安提瓜和巴布达、格林纳达、圣文森特和格林纳丁斯)在整个期间获得了超过1美元的慈善DAMH。81%的慈善捐款流向了未指明的地点。结论:慈善捐助者可能在DAMH中发挥关键作用,本文确定了增加其在精神卫生可持续融资方面影响的挑战和机遇。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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