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首页> 外文期刊>International review of psychiatry >Implementing the World Health Report 2001 recommendations for integrating mental health into primary health care: a situation analysis of three African countries: Ghana, South Africa and Uganda.
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Implementing the World Health Report 2001 recommendations for integrating mental health into primary health care: a situation analysis of three African countries: Ghana, South Africa and Uganda.

机译：落实《 2001年世界卫生报告》关于将精神卫生纳入初级卫生保健的建议：对三个非洲国家的情况分析：加纳，南非和乌干达。

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Integrating mental health into primary health care is widely promoted for a host of reasons, chief among which is providing a more comprehensive health care service. However, only a few countries have adequate mental health resources to undertake the integration of mental health into primary health care in a uniform manner, with wide variations among countries. This paper examines the extent to which two low-income countries (Ghana and Uganda) and one middle-income country (South Africa) are managing the integration of mental health into primary health care using the recommendations of the WHO World Health Report, 2001. Primary and secondary data sources from a situational analysis of mental health services in the three countries were analysed. The findings indicate that significant challenges remain in integrating mental health care into primary health care. Poor or uneven implementation of policy, inadequate access to essential drugs and lack of mental health specialists are some of the reasons advanced. Aside from better human resource planning for mental health, integration may be advanced by the development of packages of care which adopt a task-shifting approach suited to a country's needs.
机译：出于多种原因，人们广泛促进将精神卫生纳入初级卫生保健，其中首要原因是提供更全面的卫生保健服务。但是，只有少数几个国家拥有足够的精神卫生资源，以统一的方式将精神卫生纳入初级卫生保健，各国之间差异很大。本文研究了根据世卫组织《 2001年世界卫生报告》的建议，两个低收入国家（加纳和乌干达）和一个中等收入国家（南非）在多大程度上管理着将精神卫生纳入基本卫生保健的程度。分析了来自这三个国家的精神卫生服务情况分析的主要和次要数据来源。研究结果表明，将精神卫生保健纳入初级卫生保健仍然存在重大挑战。政策执行不力或不平衡，获得基本药物的途径不足以及缺乏心理健康专家是造成这种情况的一些原因。除了为精神卫生制定更好的人力资源规划外，通过制定一揽子护理方案可以促进整合，这些方案采用适合国家需求的任务转移方法。

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