Providing Sustainable Mental and Neurological Health Care in Ghana and Kenya Workshop Summary (2016) / Chapter Skim
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4 Case Studies
4 Case Studies
Pages 51-62
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From page 51... ...
AFRICA MENTAL HEALTH FOUNDATION1: COMMUNITY PARTNERSHIPS Founded in 2004, AMHF has stated the vision of being "the center of excellence in Africa for research, training, knowledge translation, and advocacy in mental health."1 AMHF uses a multidisciplinary, multisectoral approach to improve mental health through programs at all levels, from physician specialist training to community-based stigma reduction, including school-based programs. According to David Ndetei, AMHF's greatest successes have been in creating community partnerships and joint ownership of programs.
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From page 52... ...
The NGOs they work with are not necessarily mental health organizations: for the Mid-Ghana project, for instance, the organizations were focused on child labor, reproductive health care, education, and women's issues. Yaro said that this type of collaboration among NGOs is a great way to align mental health activities with what 2 See http://www.basicneeds.org (accessed July 14, 2015)
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From page 53... ...
As a result, BasicNeeds Ghana established two regional mental health alliances that bring together more than 45 community-based organizations/NGOs and decentralized government ministries, departments, and agencies to foster these collaborations and implement work in mental health. Kenya4: Patients as Ambassadors BasicNeeds works at the community level to build the capacity of people with MNS disorders to participate in their own treatment and recovery, as well as to reduce stigma and prepare the rest of the community to help people with MNS disorders.
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From page 54... ...
In addition, because of BCI's interest in broad-based health care, the project is working to embed mental health care services in the general health care system, rather than operating as a stand-alone mental health program, thus making improvements that are systematic and sustainable.
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She noted that they have involved the Minister of Health, representatives from the teaching hospitals, national and international NGOs, the Mental Health Society of Ghana, regional health directors, faith healers, and community members. By involving so many stakeholders from the beginning of the project, "everybody was involved [and]
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The project trains clinical psychiatry officers (CPOs) and community mental health officers (CMHOs)
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PROGRAM FOR IMPROVING MENTAL HEALTH CARE (PRIME) 11: BUY-IN, BUY-IN, BUY-IN Tedla Wolde-Giorgis provided an overview of PRIME's efforts to integrate mental health into the existing health delivery system in five countries (Ethiopia, India, Nepal, South Africa, and Uganda)
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From page 58... ...
is to reduce mortality rates among children below age 5. Sodzi Sodzi-Tettey said the project uses a quality improvement approach, which requires forming quality improvement teams, having the teams develop initiatives on how to change mortality rates, implementing these initiatives, and then using data to assess if there was a positive effect.
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From page 59... ...
, health workers were trained in mental health care. Partners In Health's primary mental health endeavor in Rwanda was the integration of mental health care into health centers using existing structure of intensive supported supervision and quality improvement following training.
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14 aimed at mobilizing resources to ensure that mental health care services are accessible and balanced. Karamustafalioğlu stated that the NMHP encouraged preventative methods to decrease the burden of mental disorders, to increase attainable mental health care and services at both primary and secondary care levels, to encourage the respect of human rights for those with a mental illness, and to support the necessary legislation to protect their rights.
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Hong said, "Money does not equal service -- human resources development is much slower than simply building a new hospital." She proposed that too much reliance on specialists in rural areas is misguided, and that when building a mental health program, the focus should be on expanding general practitioners' knowledge of mental health and building their capacity to diagnose and treat MNS disorders. Hong noted that a hospital–community continuous care system has since been established and 4.29 million patients have been registered in the health information system, including 3.41 million patients who have received community health care, 61.7 percent of whom are farmers.
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