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Child and adolescent mental health policy in South Africa: history current policy development and implementation and policy analysis

机译:南非的儿童和青少年精神卫生政策:历史当前政策的制定和实施以及政策分析

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摘要

BackgroundMental health problems represent the greatest global burden of disease among children and adolescents. There is, however, lack of policy development and implementation for child and adolescent mental health (CAMH), particularly in low- and middle-income countries (LMICs) where children and adolescents represent up to 50% of populations. South Africa, an upper-middle income country is often regarded as advanced in health and social policy-making and implementation in comparison to other LMICs. It is, however, not clear whether this is the case for CAMH. The national child and adolescent mental health policy framework of 2003 was developed to guide the establishment of CAMH policies provincially, using a primary care and intersectoral approach. This policy provided a framework for the nine South African provinces to develop policies and implementation plans, but it is not known whether this has happened. The study sought to examine the history and current state of CAMH policy development and implementation, and to perform a systematic analysis of all available CAMH service-related policies.
机译:背景精神健康问题是儿童和青少年中最大的全球疾病负担。但是,缺乏针对儿童和青少年心理健康(CAMH)的政策制定和实施,尤其是在儿童和青少年占人口总数50%的中低收入国家(LMIC)中。与其他中低收入国家相比,南非是中高收入国家,在卫生和社会政策制定与实施方面通常被认为是先进的。然而,尚不清楚CAMH是否是这种情况。制定了2003年的全国儿童和青少年精神卫生政策框架,以指导他们使用初级保健和跨部门方法在省级建立CAMH政策。该政策为南非的九个省制定政策和实施计划提供了框架,但目前尚不清楚这种情况是否发生。该研究旨在检查CAMH政策制定和实施的历史和现状,并对所有可用的CAMH服务相关政策进行系统的分析。

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