Mental health policy process: a comparative study of Ghana, South Africa, Uganda and Zambia
Identifieur interne : 000921 ( Main/Exploration ); précédent : 000920; suivant : 000922Mental health policy process: a comparative study of Ghana, South Africa, Uganda and Zambia
Auteurs : Maye A. Omar [Royaume-Uni] ; Andrew T. Green [Royaume-Uni] ; Philippa K. Bird [Royaume-Uni] ; Tolib Mirzoev [Royaume-Uni] ; Alan J. Flisher [Afrique du Sud] ; Fred Kigozi [Ouganda] ; Crick Lund [Afrique du Sud] ; Jason Mwanza [Zambie] ; Angela L. Ofori-Atta [Ghana]Source :
- International Journal of Mental Health Systems [ 1752-4458 ] ; 2010.
Abstract
Mental illnesses are increasingly recognised as a leading cause of disability worldwide, yet many countries lack a mental health policy or have an outdated, inappropriate policy. This paper explores the development of appropriate mental health policies and their effective implementation. It reports comparative findings on the processes for developing and implementing mental health policies in Ghana, South Africa, Uganda and Zambia as part of the Mental Health and Poverty Project.
The study countries and respondents were purposively selected to represent different levels of mental health policy and system development to allow comparative analysis of the factors underlying the different forms of mental health policy development and implementation. Data were collected using semi-structured interviews and document analysis. Data analysis was guided by conceptual framework that was developed for this purpose. A framework approach to analysis was used, incorporating themes that emerged from the data and from the conceptual framework.
Mental health policies in Ghana, South Africa, Uganda and Zambia are weak, in draft form or non-existent. Mental health remained low on the policy agenda due to stigma and a lack of information, as well as low prioritisation by donors, low political priority and grassroots demand. Progress with mental health policy development varied and respondents noted a lack of consultation and insufficient evidence to inform policy development. Furthermore, policies were poorly implemented, due to factors including insufficient dissemination and operationalisation of policies and a lack of resources.
Mental health policy processes in all four countries were inadequate, leading to either weak or non-existent policies, with an impact on mental health services. Recommendations are provided to strengthen mental health policy processes in these and other African countries.
Url:
DOI: 10.1186/1752-4458-4-24
PubMed: 20678205
PubMed Central: 2923107
Affiliations:
- Afrique du Sud, Ghana, Ouganda, Royaume-Uni, Zambie
- Angleterre, Région du Grand Accra, Yorkshire-et-Humber
- Accra, Leeds
- Université de Leeds
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Mental illnesses are increasingly recognised as a leading cause of disability worldwide, yet many countries lack a mental health policy or have an outdated, inappropriate policy. This paper explores the development of appropriate mental health policies and their effective implementation. It reports comparative findings on the processes for developing and implementing mental health policies in Ghana, South Africa, Uganda and Zambia as part of the Mental Health and Poverty Project.</p>
</sec>
<sec><title>Methods</title>
<p>The study countries and respondents were purposively selected to represent different levels of mental health policy and system development to allow comparative analysis of the factors underlying the different forms of mental health policy development and implementation. Data were collected using semi-structured interviews and document analysis. Data analysis was guided by conceptual framework that was developed for this purpose. A framework approach to analysis was used, incorporating themes that emerged from the data and from the conceptual framework.</p>
</sec>
<sec><title>Results</title>
<p>Mental health policies in Ghana, South Africa, Uganda and Zambia are weak, in draft form or non-existent. Mental health remained low on the policy agenda due to stigma and a lack of information, as well as low prioritisation by donors, low political priority and grassroots demand. Progress with mental health policy development varied and respondents noted a lack of consultation and insufficient evidence to inform policy development. Furthermore, policies were poorly implemented, due to factors including insufficient dissemination and operationalisation of policies and a lack of resources.</p>
</sec>
<sec><title>Conclusions</title>
<p>Mental health policy processes in all four countries were inadequate, leading to either weak or non-existent policies, with an impact on mental health services. Recommendations are provided to strengthen mental health policy processes in these and other African countries.</p>
</sec>
</div>
</front>
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<author><name sortKey="Faydi, E" uniqKey="Faydi E">E Faydi</name>
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<author><name sortKey="Green, A" uniqKey="Green A">A Green</name>
</author>
<author><name sortKey="Omar, M" uniqKey="Omar M">M Omar</name>
</author>
<author><name sortKey="Flisher, Aj" uniqKey="Flisher A">AJ Flisher</name>
</author>
</analytic>
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<biblStruct><analytic><author><name sortKey="Lund, Cks" uniqKey="Lund C">CKS Lund</name>
</author>
<author><name sortKey="Campbell Hall, V" uniqKey="Campbell Hall V">V Campbell-Hall</name>
</author>
<author><name sortKey="Mjadu, S" uniqKey="Mjadu S">S Mjadu</name>
</author>
<author><name sortKey="Peterson, I" uniqKey="Peterson I">I Peterson</name>
</author>
<author><name sortKey="Bhana, A" uniqKey="Bhana A">A Bhana</name>
</author>
<author><name sortKey="Kakuma, R" uniqKey="Kakuma R">R Kakuma</name>
</author>
<author><name sortKey="Mlanjeni, B" uniqKey="Mlanjeni B">B Mlanjeni</name>
</author>
<author><name sortKey="Bird, P" uniqKey="Bird P">P Bird</name>
</author>
<author><name sortKey="Drew, N" uniqKey="Drew N">N DREW</name>
</author>
<author><name sortKey="Faydi, E" uniqKey="Faydi E">E Faydi</name>
</author>
<author><name sortKey="Funk, M" uniqKey="Funk M">M Funk</name>
</author>
<author><name sortKey="Green, A" uniqKey="Green A">A Green</name>
</author>
<author><name sortKey="Omar, M" uniqKey="Omar M">M Omar</name>
</author>
<author><name sortKey="Flisher, Aj" uniqKey="Flisher A">AJ Flisher</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Draper, Clc" uniqKey="Draper C">CLC Draper</name>
</author>
<author><name sortKey="Kleintjes, S" uniqKey="Kleintjes S">S Kleintjes</name>
</author>
<author><name sortKey="Funk, M" uniqKey="Funk M">M Funk</name>
</author>
<author><name sortKey="Omar, M" uniqKey="Omar M">M Omar</name>
</author>
<author><name sortKey="Flisher, A" uniqKey="Flisher A">A Flisher</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Kigozi, Fsj" uniqKey="Kigozi F">FSJ Kigozi</name>
</author>
<author><name sortKey="Kizz, D" uniqKey="Kizz D">D Kizz</name>
</author>
<author><name sortKey="Ndyanabangi, S" uniqKey="Ndyanabangi S">S Ndyanabangi</name>
</author>
<author><name sortKey="Green, A" uniqKey="Green A">A Green</name>
</author>
<author><name sortKey="Omar, M" uniqKey="Omar M">M Omar</name>
</author>
<author><name sortKey="Bird, P" uniqKey="Bird P">P Bird</name>
</author>
<author><name sortKey="Funk, M" uniqKey="Funk M">M Funk</name>
</author>
<author><name sortKey="Faydi, E" uniqKey="Faydi E">E Faydi</name>
</author>
<author><name sortKey="Drew, N" uniqKey="Drew N">N Drew</name>
</author>
<author><name sortKey="Lund, C" uniqKey="Lund C">C Lund</name>
</author>
<author><name sortKey="Flisher, Aj" uniqKey="Flisher A">AJ Flisher</name>
</author>
</analytic>
</biblStruct>
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</author>
</analytic>
</biblStruct>
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</author>
<author><name sortKey="Spencer, L" uniqKey="Spencer L">L Spencer</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="D, N" uniqKey="D N">N D</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Kim, Jwc" uniqKey="Kim J">JWC Kim</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bird, Pom" uniqKey="Bird P">POM Bird</name>
</author>
<author><name sortKey="Doku, V" uniqKey="Doku V">V Doku</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Cooper, B" uniqKey="Cooper B">B Cooper</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Jewell, C" uniqKey="Jewell C">C Jewell</name>
</author>
<author><name sortKey="Bero, L" uniqKey="Bero L">L Bero</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Shaxson, L" uniqKey="Shaxson L">L Shaxson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Collins, C" uniqKey="Collins C">C Collins</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Buse, K" uniqKey="Buse K">K Buse</name>
</author>
<author><name sortKey="Mays, N" uniqKey="Mays N">N Mays</name>
</author>
<author><name sortKey="Walt, G" uniqKey="Walt G">G Walt</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Tantivess, S" uniqKey="Tantivess S">S Tantivess</name>
</author>
<author><name sortKey="Walt, G" uniqKey="Walt G">G Walt</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gaventa, J" uniqKey="Gaventa J">J Gaventa</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Walt, G" uniqKey="Walt G">G Walt</name>
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</biblStruct>
<biblStruct><analytic><author><name sortKey="Bambra, C" uniqKey="Bambra C">C Bambra</name>
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</author>
<author><name sortKey="Scott Samuel, A" uniqKey="Scott Samuel A">A Scott-Samuel</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Kingdon, Jw" uniqKey="Kingdon J">JW Kingdon</name>
</author>
</analytic>
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</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Afrique du Sud</li>
<li>Ghana</li>
<li>Ouganda</li>
<li>Royaume-Uni</li>
<li>Zambie</li>
</country>
<region><li>Angleterre</li>
<li>Région du Grand Accra</li>
<li>Yorkshire-et-Humber</li>
</region>
<settlement><li>Accra</li>
<li>Leeds</li>
</settlement>
<orgName><li>Université de Leeds</li>
</orgName>
</list>
<tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Omar, Maye A" sort="Omar, Maye A" uniqKey="Omar M" first="Maye A" last="Omar">Maye A. Omar</name>
</region>
<name sortKey="Bird, Philippa K" sort="Bird, Philippa K" uniqKey="Bird P" first="Philippa K" last="Bird">Philippa K. Bird</name>
<name sortKey="Green, Andrew T" sort="Green, Andrew T" uniqKey="Green A" first="Andrew T" last="Green">Andrew T. Green</name>
<name sortKey="Mirzoev, Tolib" sort="Mirzoev, Tolib" uniqKey="Mirzoev T" first="Tolib" last="Mirzoev">Tolib Mirzoev</name>
</country>
<country name="Afrique du Sud"><noRegion><name sortKey="Flisher, Alan J" sort="Flisher, Alan J" uniqKey="Flisher A" first="Alan J" last="Flisher">Alan J. Flisher</name>
</noRegion>
<name sortKey="Lund, Crick" sort="Lund, Crick" uniqKey="Lund C" first="Crick" last="Lund">Crick Lund</name>
</country>
<country name="Ouganda"><noRegion><name sortKey="Kigozi, Fred" sort="Kigozi, Fred" uniqKey="Kigozi F" first="Fred" last="Kigozi">Fred Kigozi</name>
</noRegion>
</country>
<country name="Zambie"><noRegion><name sortKey="Mwanza, Jason" sort="Mwanza, Jason" uniqKey="Mwanza J" first="Jason" last="Mwanza">Jason Mwanza</name>
</noRegion>
</country>
<country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Ofori Atta, Angela L" sort="Ofori Atta, Angela L" uniqKey="Ofori Atta A" first="Angela L" last="Ofori-Atta">Angela L. Ofori-Atta</name>
</region>
</country>
</tree>
</affiliations>
</record>
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