A situation analysis of mental health services and legislation in Ghana: challenges for transformation.
A situation analysis of mental health services and legislation in Ghana: challenges for transformation.
复制标题
加纳精神卫生服务和立法的现状分析:转型的挑战。
DOI:
--
复制
发表时间:
2010
期刊:
影响因子:
--
通讯作者:
C. Lund
中科院分区:
文献类型:
--
作者:
A. Ofori;U. Read;C. Lund
OBJECTIVE
To conduct a situation analysis of the status of mental health care in Ghana and to propose options for scaling up the provision of mental health care.
METHOD
A survey of the existing mental health system in Ghana was conducted using the WHO Assessment Instrument for Mental Health Systems. Documentary analysis was undertaken of mental health legislation, utilizing the WHO Legislation checklists. Semi-structured interviews and focus group discussions were conducted with a broad range of mental health stakeholders (n=122) at the national, regional and district levels.
RESULTS
There are shortfalls in the provision of mental health care including insufficient numbers of mental health professionals, aging infrastructure, widespread stigma, inadequate funding and an inequitable geographical distribution of services.
CONCLUSION
Community-based services need to be delivered in the primary care setting to provide accessible and humane mental health care. There is an urgent need for legislation reform, to improve mental health care delivery and protect human rights.