Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://doi.org/10.1186/s13033-015-0032-8 http://repositorio.unifesp.br/handle/11600/49198 |
Resumo: | Background: Mozambique has gradually changed its action on mental health (MH) from an asylum-centric care with long-term hospitalization to an innovative approach to community and primary care. Objective: To collect essential information on Mozambique's MH system for decision making, to improve quality of services delivered, update MH Strategy and Action Plan. Method: The study used the WHO-AIMS to assess MH systems including policy and legislation, organization of services, MH in primary care, human resources, public education and link with other sectors, monitoring and research. A comparative analysis was conducted to present the evolution of relevant data from 2010 to 2014. Results: There are two psychiatric hospitals in the country and beds in general hospitals. In the period, the number of beds in general hospitals remained stable (203), and the beds in psychiatric hospitals increased from 173 to 298. Mental health outpatient facilities have increased from 83 to 152. The number of psychiatrists (9 in 2010, and 10 in 2014) remained very low, with a significant increase in the number of psychologists (56-109) and occupational therapists (2-23). The number of Psychiatric Technicians has increased from 66 in 2010, to 241 in 2014. This increase allowed the mental health network to expand from 60 to 135 Districts, meaning an increase of coverage from 44 to 100 % of the country districts. Conclusion: The task-shifting strategy focused on services delivered in primary care by psychiatric technicians, mid-level professionals, allowed the expansion of mental health services for all the country districts and the reduction of treatment gap in Mozambique. |
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Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary careMental Health SystemsLow Income CountriesTask-ShiftingMozambiquePsychiatric TechnicianPrimary CareScaling-Up ServicesMiddle-Income CountriesDisordersSettingsBackground: Mozambique has gradually changed its action on mental health (MH) from an asylum-centric care with long-term hospitalization to an innovative approach to community and primary care. Objective: To collect essential information on Mozambique's MH system for decision making, to improve quality of services delivered, update MH Strategy and Action Plan. Method: The study used the WHO-AIMS to assess MH systems including policy and legislation, organization of services, MH in primary care, human resources, public education and link with other sectors, monitoring and research. A comparative analysis was conducted to present the evolution of relevant data from 2010 to 2014. Results: There are two psychiatric hospitals in the country and beds in general hospitals. In the period, the number of beds in general hospitals remained stable (203), and the beds in psychiatric hospitals increased from 173 to 298. Mental health outpatient facilities have increased from 83 to 152. The number of psychiatrists (9 in 2010, and 10 in 2014) remained very low, with a significant increase in the number of psychologists (56-109) and occupational therapists (2-23). The number of Psychiatric Technicians has increased from 66 in 2010, to 241 in 2014. This increase allowed the mental health network to expand from 60 to 135 Districts, meaning an increase of coverage from 44 to 100 % of the country districts. Conclusion: The task-shifting strategy focused on services delivered in primary care by psychiatric technicians, mid-level professionals, allowed the expansion of mental health services for all the country districts and the reduction of treatment gap in Mozambique.Mental Health Department, Center for Applied Psychology and Psychometric Tests, Ministry of Health, Rua de Nachingwea No 486, Maputo, MozambiqueNew York State Psychiatric Institute, Columbia University, New York, USALisbon Institute of Global Mental Health, Universidade Nova de Lisboa, Lisbon, PortugalLisbon Institute of Global Mental Health, Lisbon, PortugalDepartment of Psychiatry, Universidade Federal de São Paulo, São Paulo, BrazilDepartment of Psychiatry, Universidade Federal de São Paulo, São Paulo, BrazilWeb of ScienceWHOMinistry of Health of MozambiqueNIMH-Fogarty grant [D43TW009675]New York State Psychiatric Institute-Columbia University Department of PsychiatryEduardo Mondlane University Medical SchoolFederal University of Sao Paulo, Psychiatry DepartmentNIMH-Fogarty: D43TW009675Univ Fed Minas Gerais, Fac Letras2019-01-21T10:29:23Z2019-01-21T10:29:23Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.1186/s13033-015-0032-8International Journal Of Mental Health Systems. London, v. 10, 2016.10.1186/s13033-015-0032-8WOS000367428800001.pdf1752-4458http://repositorio.unifesp.br/handle/11600/49198WOS:000367428800001engInternational Journal Of Mental Health Systemsinfo:eu-repo/semantics/openAccessdos Santos, Palmira FortunatoWainberg, Milton L.Caldas-de-Almeida, Jose MiguelSaraceno, BenedettoMari, Jair de Jesus [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-10T00:05:51Zoai:repositorio.unifesp.br/:11600/49198Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-10T00:05:51Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care |
title |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care |
spellingShingle |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care dos Santos, Palmira Fortunato Mental Health Systems Low Income Countries Task-Shifting Mozambique Psychiatric Technician Primary Care Scaling-Up ServicesMiddle-Income Countries Disorders Settings |
title_short |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care |
title_full |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care |
title_fullStr |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care |
title_full_unstemmed |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care |
title_sort |
Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care |
author |
dos Santos, Palmira Fortunato |
author_facet |
dos Santos, Palmira Fortunato Wainberg, Milton L. Caldas-de-Almeida, Jose Miguel Saraceno, Benedetto Mari, Jair de Jesus [UNIFESP] |
author_role |
author |
author2 |
Wainberg, Milton L. Caldas-de-Almeida, Jose Miguel Saraceno, Benedetto Mari, Jair de Jesus [UNIFESP] |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
dos Santos, Palmira Fortunato Wainberg, Milton L. Caldas-de-Almeida, Jose Miguel Saraceno, Benedetto Mari, Jair de Jesus [UNIFESP] |
dc.subject.por.fl_str_mv |
Mental Health Systems Low Income Countries Task-Shifting Mozambique Psychiatric Technician Primary Care Scaling-Up ServicesMiddle-Income Countries Disorders Settings |
topic |
Mental Health Systems Low Income Countries Task-Shifting Mozambique Psychiatric Technician Primary Care Scaling-Up ServicesMiddle-Income Countries Disorders Settings |
description |
Background: Mozambique has gradually changed its action on mental health (MH) from an asylum-centric care with long-term hospitalization to an innovative approach to community and primary care. Objective: To collect essential information on Mozambique's MH system for decision making, to improve quality of services delivered, update MH Strategy and Action Plan. Method: The study used the WHO-AIMS to assess MH systems including policy and legislation, organization of services, MH in primary care, human resources, public education and link with other sectors, monitoring and research. A comparative analysis was conducted to present the evolution of relevant data from 2010 to 2014. Results: There are two psychiatric hospitals in the country and beds in general hospitals. In the period, the number of beds in general hospitals remained stable (203), and the beds in psychiatric hospitals increased from 173 to 298. Mental health outpatient facilities have increased from 83 to 152. The number of psychiatrists (9 in 2010, and 10 in 2014) remained very low, with a significant increase in the number of psychologists (56-109) and occupational therapists (2-23). The number of Psychiatric Technicians has increased from 66 in 2010, to 241 in 2014. This increase allowed the mental health network to expand from 60 to 135 Districts, meaning an increase of coverage from 44 to 100 % of the country districts. Conclusion: The task-shifting strategy focused on services delivered in primary care by psychiatric technicians, mid-level professionals, allowed the expansion of mental health services for all the country districts and the reduction of treatment gap in Mozambique. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 2019-01-21T10:29:23Z 2019-01-21T10:29:23Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.1186/s13033-015-0032-8 International Journal Of Mental Health Systems. London, v. 10, 2016. 10.1186/s13033-015-0032-8 WOS000367428800001.pdf 1752-4458 http://repositorio.unifesp.br/handle/11600/49198 WOS:000367428800001 |
url |
https://doi.org/10.1186/s13033-015-0032-8 http://repositorio.unifesp.br/handle/11600/49198 |
identifier_str_mv |
International Journal Of Mental Health Systems. London, v. 10, 2016. 10.1186/s13033-015-0032-8 WOS000367428800001.pdf 1752-4458 WOS:000367428800001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
International Journal Of Mental Health Systems |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Univ Fed Minas Gerais, Fac Letras |
publisher.none.fl_str_mv |
Univ Fed Minas Gerais, Fac Letras |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268272446537728 |