Mapping mental health finances in Ghana, Uganda, Sri Lanka, India and Lao PDR
Identifieur interne : 000922 ( Main/Exploration ); précédent : 000921; suivant : 000923Mapping mental health finances in Ghana, Uganda, Sri Lanka, India and Lao PDR
Auteurs : Shoba Raja [Inde] ; Sarah K. Wood [Inde] ; Victoria De Menil [Royaume-Uni] ; Saju C. Mannarath [Inde]Source :
- International Journal of Mental Health Systems [ 1752-4458 ] ; 2010.
Abstract
Limited evidence about mental health finances in low and middle-income countries is a key challenge to mental health care policy initiatives. This study aimed to map mental health finances in Ghana, Uganda, India (Kerala state), Sri Lanka and Lao PDR focusing on how much money is available for mental health, how it is spent, and how this impacts mental health services.
A researcher in each region reviewed public mental health-related budgets and interviewed key informants on government mental health financing. A total of 43 key informant interviews were conducted. Quantitative data was analyzed in an excel matrix using descriptive statistics. Key informant interviews were coded
National ring-fenced budgets for mental health as a percentage of national health spending for 2007-08 is 1.7% in Sri Lanka, 3.7% in Ghana, 2.0% in Kerala (India) and 6.6% in Uganda. Budgets were not available in Lao PDR. The majority of ring-fenced budgets (76% to 100%) is spent on psychiatric hospitals. Mental health spending could not be tracked beyond the psychiatric hospital level due to limited information at the health centre and community levels.
Mental health budget information should be tracked and made publically accessible. Governments can adapt WHO AIMS indicators for reviewing national mental health finances. Funding allocations work more effectively through decentralization. Mental health financing should reflect new ideas emerging from community based practice in LMICs.
Url:
DOI: 10.1186/1752-4458-4-11
PubMed: 20507558
PubMed Central: 2889860
Affiliations:
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Wood</name><affiliation wicri:level="1"><nlm:aff id="I1">Policy and Practice Directorate, BasicNeeds, 114, 4th Cross, OMBR Layout, Banaswadi, Bangalore, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Policy and Practice Directorate, BasicNeeds, 114, 4th Cross, OMBR Layout, Banaswadi, Bangalore</wicri:regionArea><wicri:noRegion>Bangalore</wicri:noRegion></affiliation></author><author><name sortKey="De Menil, Victoria" sort="De Menil, Victoria" uniqKey="De Menil V" first="Victoria" last="De Menil">Victoria De Menil</name><affiliation wicri:level="1"><nlm:aff id="I2">BasicNeeds, 158 A Parade, Leamington Spa, Warwickshire, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>BasicNeeds, 158 A Parade, Leamington Spa, Warwickshire</wicri:regionArea><wicri:noRegion>Warwickshire</wicri:noRegion></affiliation></author><author><name sortKey="Mannarath, Saju C" sort="Mannarath, Saju C" uniqKey="Mannarath S" first="Saju C" last="Mannarath">Saju C. 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Wood</name><affiliation wicri:level="1"><nlm:aff id="I1">Policy and Practice Directorate, BasicNeeds, 114, 4th Cross, OMBR Layout, Banaswadi, Bangalore, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Policy and Practice Directorate, BasicNeeds, 114, 4th Cross, OMBR Layout, Banaswadi, Bangalore</wicri:regionArea><wicri:noRegion>Bangalore</wicri:noRegion></affiliation></author><author><name sortKey="De Menil, Victoria" sort="De Menil, Victoria" uniqKey="De Menil V" first="Victoria" last="De Menil">Victoria De Menil</name><affiliation wicri:level="1"><nlm:aff id="I2">BasicNeeds, 158 A Parade, Leamington Spa, Warwickshire, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>BasicNeeds, 158 A Parade, Leamington Spa, Warwickshire</wicri:regionArea><wicri:noRegion>Warwickshire</wicri:noRegion></affiliation></author><author><name sortKey="Mannarath, Saju C" sort="Mannarath, Saju C" uniqKey="Mannarath S" first="Saju C" last="Mannarath">Saju C. Mannarath</name><affiliation wicri:level="1"><nlm:aff id="I1">Policy and Practice Directorate, BasicNeeds, 114, 4th Cross, OMBR Layout, Banaswadi, Bangalore, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Policy and Practice Directorate, BasicNeeds, 114, 4th Cross, OMBR Layout, Banaswadi, Bangalore</wicri:regionArea><wicri:noRegion>Bangalore</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Mental Health Systems</title><idno type="eISSN">1752-4458</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Limited evidence about mental health finances in low and middle-income countries is a key challenge to mental health care policy initiatives. This study aimed to map mental health finances in Ghana, Uganda, India (Kerala state), Sri Lanka and Lao PDR focusing on how much money is available for mental health, how it is spent, and how this impacts mental health services.</p></sec><sec><title>Methods</title><p>A researcher in each region reviewed public mental health-related budgets and interviewed key informants on government mental health financing. A total of 43 key informant interviews were conducted. Quantitative data was analyzed in an excel matrix using descriptive statistics. Key informant interviews were coded <italic>a priori </italic>against research questions.</p></sec><sec><title>Results</title><p>National ring-fenced budgets for mental health as a percentage of national health spending for 2007-08 is 1.7% in Sri Lanka, 3.7% in Ghana, 2.0% in Kerala (India) and 6.6% in Uganda. Budgets were not available in Lao PDR. The majority of ring-fenced budgets (76% to 100%) is spent on psychiatric hospitals. Mental health spending could not be tracked beyond the psychiatric hospital level due to limited information at the health centre and community levels.</p></sec><sec><title>Conclusions</title><p>Mental health budget information should be tracked and made publically accessible. Governments can adapt WHO AIMS indicators for reviewing national mental health finances. Funding allocations work more effectively through decentralization. Mental health financing should reflect new ideas emerging from community based practice in LMICs.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Saraceno, B" uniqKey="Saraceno B">B Saraceno</name></author><author><name sortKey="Van Ommeren, M" uniqKey="Van Ommeren M">M van Ommeren</name></author><author><name sortKey="Batniji, R" uniqKey="Batniji R">R Batniji</name></author><author><name sortKey="Cohen, A" uniqKey="Cohen A">A Cohen</name></author><author><name sortKey="Gureje, O" uniqKey="Gureje O">O Gureje</name></author><author><name sortKey="Mahoney, J" uniqKey="Mahoney J">J Mahoney</name></author><author><name sortKey="Sridhar, D" uniqKey="Sridhar D">D Sridhar</name></author><author><name sortKey="Underhill, C" uniqKey="Underhill C">C Underhill</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcdaid, D" uniqKey="Mcdaid D">D McDaid</name></author><author><name sortKey="Knapp, M" uniqKey="Knapp M">M Knapp</name></author><author><name sortKey="Raja, S" uniqKey="Raja S">S Raja</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Saxena, S" uniqKey="Saxena S">S Saxena</name></author><author><name sortKey="Sharan, P" uniqKey="Sharan P">P Sharan</name></author><author><name sortKey="Saraceno, B" uniqKey="Saraceno B">B Saraceno</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chisholm, D" uniqKey="Chisholm D">D Chisholm</name></author><author><name sortKey="Lund, C" uniqKey="Lund C">C Lund</name></author><author><name sortKey="Saxena, S" uniqKey="Saxena S">S Saxena</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Knapp, M" uniqKey="Knapp M">M Knapp</name></author><author><name sortKey="Funk, M" uniqKey="Funk M">M Funk</name></author><author><name sortKey="Curran, C" uniqKey="Curran C">C Curran</name></author><author><name sortKey="Prince, M" uniqKey="Prince M">M Prince</name></author><author><name sortKey="Grigg, M" uniqKey="Grigg M">M Grigg</name></author><author><name sortKey="Mcdaid, D" uniqKey="Mcdaid D">D McDaid</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Raja, S" uniqKey="Raja S">S Raja</name></author><author><name sortKey="Kippen, S" uniqKey="Kippen S">S Kippen</name></author><author><name sortKey="Reich, Mr" uniqKey="Reich M">MR Reich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gelders, S" uniqKey="Gelders S">S Gelders</name></author><author><name sortKey="Ewen, M" uniqKey="Ewen M">M Ewen</name></author><author><name sortKey="Noguchi, N" uniqKey="Noguchi N">N Noguchi</name></author><author><name sortKey="Laing, Ro" uniqKey="Laing R">RO Laing</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bertrand, D" uniqKey="Bertrand D">D Bertrand</name></author><author><name sortKey="Choulamany, C" uniqKey="Choulamany C">C Choulamany</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Saxena, S" uniqKey="Saxena S">S Saxena</name></author><author><name sortKey="Thornicroft, G" uniqKey="Thornicroft G">G Thornicroft</name></author><author><name sortKey="Knapp, K" uniqKey="Knapp K">K Knapp</name></author><author><name sortKey="Whiteford, H" uniqKey="Whiteford H">H Whiteford</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Inde</li><li>Royaume-Uni</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Raja, Shoba" sort="Raja, Shoba" uniqKey="Raja S" first="Shoba" last="Raja">Shoba Raja</name></noRegion><name sortKey="Mannarath, Saju C" sort="Mannarath, Saju C" uniqKey="Mannarath S" first="Saju C" last="Mannarath">Saju C. Mannarath</name><name sortKey="Wood, Sarah K" sort="Wood, Sarah K" uniqKey="Wood S" first="Sarah K" last="Wood">Sarah K. Wood</name></country><country name="Royaume-Uni"><noRegion><name sortKey="De Menil, Victoria" sort="De Menil, Victoria" uniqKey="De Menil V" first="Victoria" last="De Menil">Victoria De Menil</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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