Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care

Detalhes bibliográficos
Autor(a) principal: dos Santos, Palmira Fortunato
Data de Publicação: 2016
Outros Autores: Wainberg, Milton L., Caldas-de-Almeida, Jose Miguel, Saraceno, Benedetto, Mari, Jair de Jesus [UNIFESP]
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.
id UFSP_af1a59bfe0f34329abab66da8ccdf011
oai_identifier_str oai:repositorio.unifesp.br/:11600/49198
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling 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
_version_ 1814268272446537728