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3 MNS Healthcare Policy
3 MNS Healthcare Policy
Pages 43-50
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From page 43... ...
. According to Gureje, approximately half of the countries in subSaharan Africa have mental health policies in place, while few if any have comprehensive policies in place for MNS disorders (Gureje, 2009)
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From page 44... ...
mental healthcare policies as working examples of how different healthcare policies might look in sub-Saharan countries. CASE STUDY: UGANDA MENTAL HEALTH POLICY In 2005, officials in Uganda performed a gap analysis of the Ugandan mental health system.
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From page 45... ...
With these gaps identified, Uganda set about revising its high-level mental health policy, specifically detailing the elements as follows: • Vision: to give the population access to a comprehensive and well-coordinated system of care that promotes mental well-being and full recovery from mental disorders; • Mission (addresses values and principles) : to provide quality, evidence-based, and equitable mental health services that are in tegrated into the healthcare system and delivered by well-trained, skilled, and motivated personnel, with the participation of per sons with mental illness and their families; • Goal: to reduce the burden of mental disorders using defined ob jectives; and • Objectives: to reduce the burden of mental disorders, and more specifically, to do the following: o Promote the mental health of the population -- everyone needs to understand the importance of mental health.
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From page 46... ...
With regards to organization, at the top, the country established a mental health services coordinator at the Ministry of Health. The health system was also organized with a national referral hospital, which receives patients from mental health units at the regional hospitals.
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From page 47... ...
Ndyanabangi reported that Uganda is working toward finalizing the draft healthcare policy, and is in the process of aligning it with international standards and human rights. CASE STUDY: SOUTH AFRICA South Africa does not have a new post-apartheid national mental health policy as of yet, and there is no mention of a health policy addressing substance use and neurological disorders.
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From page 48... ...
The country's two-part mental health policy has ensured that each province in South Africa now has a dedicated mental health directorate or subdirectorate in charge of mental health in the province, and review boards are responsible for regular inspections of mental health facilities to ensure that patients' human rights are protected. Fifty-three percent of all general hospitals have been designated to provide 72-hour assessment and referral functions, and psychotropic drugs are part of the national essential drug list and are widely available.
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From page 49... ...
To assist these nurses, the use of a mental health counselor at the primary care level is being piloted in two regions. The counselor's duties include providing referrals as well as assisting in the training and supervision of community healthcare workers, who may themselves supply treatment for common mental disorders like depression and maternal depression.
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From page 50... ...
50 MNS IN SUB-SAHARAN AFRICA, IMPROVING QUALITY OF CARE clear direction to the provinces and ensure development of an appropriate infrastructure that provides better care to all those in need.
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