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Universal Health Coverage and Healthy Living in South-East Nigeria: How Far with Mental Health?

机译:尼日利亚东南部的普遍健康覆盖和健康生活:与心理健康有多远?

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Background: Universal health coverage implies access to key promoting, preventive, curative, and rehabilitative health interventions for all at an affordable cost, thereby achieving equity in access and service. The mentally-ill belongs to a vulnerable group that has not been given adequate attention especially in the south-eastern part of Nigeria. In September 2015, a health summit was organized in Enugu, South-East Nigeria with the sole aim of strategizing towards achieving universal health coverage in the zone. From all indications, much of the efforts being made towards achieving universal health coverage in the zone are geared towards physical conditions with mental disorders being grossly neglected. Purpose: This position paper briefly highlights the burden of mental disorders in South-East Nigeria; brings to fore the numerous challenges/barriers to effective mental health service delivery in the area; and calls for a positive change before a meaningful health coverage can be achieved in the zone (and by extension in the country). Findings: The burden of mental disorders in south-east Nigeria is heavy. Enormous barriers to mental health services in the area range from ignorance and stigmatization to self-marginalization by the unwillingness of many concerned leaders or hospital chief executives in the area to appreciate mental health and employ or increase the number of mental health professionals. Recommendations: All the stakeholders, from policy makers to consumers should wake up, recognize mental health as an indispensable part of health and take urgent and necessary measures that would ensure the promotion of mental health, prevention and treatment of mental disorders, and appropriate rehabilitation of those with mental illnesses in the zone.
机译:背景:普遍健康覆盖范围意味着以经济实惠的成本访问所有人的关键促进,预防,治疗和康复健康干预措施,从而实现了股权进入和服务。精神病属于一个弱势群体,尤其是尼日利亚东南部的充分关注。 2015年9月,尼日利亚东南尼日利亚Enugu组织了一个健康峰会,旨在策略在该区域实现普遍的健康覆盖范围。从所有迹象中,朝向该区域普遍健康覆盖所做的大部分努力都涉及患有严重忽视的精神障碍的物理条件。目的:这个立场文件简要突出了尼日利亚东南部精神障碍的负担;为该地区有效的心理健康服务交付有许多挑战/障碍;在该区内可以实现有意义的健康覆盖率之前(以及该国的扩展)之前,请呼吁积极变化。调查结果:东南尼日利亚精神障碍的负担很重。由于许多有关领导者或医院首席执行官在该地区的不愿意欣赏心理健康和雇用或增加心理健康专业人士的危险性,因此巨大的障碍障碍从无知和侮辱,因此来自无知和耻辱。建议:所有利益攸关方,从决策者到消费者应该醒来,将心理健康视为健康不可或缺的部分,采取紧急和必要的措施,确保促进精神障碍,预防和治疗精神障碍,以及适当的康复那些患有该区域精神疾病的人。

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