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首页> 外文期刊>International Journal of Mental Health Systems >Mental health policy and development in Egypt - integrating mental health into health sector reforms 2001-9
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Mental health policy and development in Egypt - integrating mental health into health sector reforms 2001-9

机译：埃及的精神卫生政策与发展-将精神卫生纳入卫生部门改革2001-9

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Background Following a situation appraisal in 2001, a six year mental health reform programme (Egymen) 2002-7 was initiated by an Egyptian-Finnish bilateral aid project at the request of a former Egyptian minister of health, and the work was incorporated directly into the Ministry of Health and Population from 2007 onwards. This paper describes the aims, methodology and implementation of the mental health reforms and mental health policy in Egypt 2002-2009. Methods A multi-faceted and comprehensive programme which combined situation appraisal to inform planning; establishment of a health sector system for coordination, supervision and training of each level (national, governorate, district and primary care); development workshops; production of toolkits, development of guidelines and standards; encouragement of intersectoral liaison at each level; integration of mental health into health management systems; and dedicated efforts to improve forensic services, rehabilitation services, and child psychiatry services. Results The project has achieved detailed situation appraisal, epidemiological needs assessment, inclusion of mental health into the health sector reform plans, and into the National Package of Essential Health Interventions, mental health masterplan (policy guidelines) to accompany the general health policy, updated Egyptian mental health legislation, Code of Practice, adaptation of the WHO primary care guidelines, primary care training, construction of a quality system of roles and responsibilities, availability of medicines at primary care level, public education about mental health, and a research programme to inform future developments. Intersectoral liaison with education, social welfare, police and prisons at national level is underway, but has not yet been established for governorate and district levels, nor mental health training for police, prison staff and teachers. Conclusions The bilateral collaboration programme initiated a reform programme which has been sustained beyond the end of the funding. The project has demonstrated the importance of using a multi-faceted and comprehensive programme to promote sustainable system change, key elements of which include a focus on the use of rapid appropriate treatment at primary care level, strengthening the referral system, interministerial and intersectoral liaison, rehabilitation, and media work to mobilize community engagement.
机译：背景技术在2001年进行情况评估之后，应埃及前卫生部长的要求，埃及-芬兰双边援助项目启动了一项为期六年的精神健康改革计划（Egymen）2002-7。卫生和人口部从2007年起。本文介绍了2002-2009年埃及精神卫生改革和精神卫生政策的目标，方法和实施。方法采用多方面综合方案，结合态势评估来制定计划;建立卫生部门系统，以协调，监督和培训各级（国家，省，地区和初级保健）;发展讲习班;工具包的制作，准则和标准的制定;鼓励在每个级别开展部门间联络;将精神卫生纳入卫生管理系统;并致力于改善法医服务，康复服务和儿童精神病学服务。结果该项目已经完成了详细的情况评估，流行病学需求评估，将精神卫生纳入了卫生部门的改革计划，并纳入了基本卫生干预措施的国家一揽子计划，精神卫生总体计划（政策指南），以配合总体卫生政策，埃及更新精神卫生立法，业务守则，世卫组织初级卫生保健指南的改编，初级卫生保健培训，角色和责任质量体系的建立，初级卫生保健水平上的药品供应，有关精神卫生的公众教育以及一项研究计划未来的发展。正在与国家一级的教育，社会福利，警察和监狱进行部门间联络，但尚未在省和地区一级建立联络，也没有为警察，监狱工作人员和教师进行心理健康培训。结论双边合作计划启动了一项改革计划，该计划一直持续到拨款结束。该项目表明了使用多方面的综合计划来促进可持续系统变革的重要性，其主要内容包括着重于在初级保健一级使用快速适当的治疗，加强转诊系统，部际和部门间的联络，康复和媒体工作，以动员社区参与。

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