Twenty-five years of expectation: where are the services for older people with mental illness in Africa?
Twenty-five years of expectation: where are the services for older people with mental illness in Africa?
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二十五年的期待：非洲老年精神疾病服务在哪里？
DOI：
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
A. Wilson
中科院分区：
文献类型：
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作者：
T. Clausen;A. Wilson
精神健康障碍约占全球疾病负担的14%。神经精神疾病每年可能导致120多万人死亡（Prince et al ., 2007）。大约80%的受影响者生活在低收入和中等收入国家。然而，尽管老年人在非传染性疾病和精神障碍方面承担着不成比例的负担，但在这些国家，他们并未被视为提供保健服务的优先问题。从逻辑上和道德上讲，老年人应优先得到有针对性的干预，同时普遍加强初级保健和社区保健的提供。在非政府组织和半政府组织具体议程的推动下，非洲各国政府继续执行更为紧迫的任务；他们的医疗保健服务面向“年轻一代”（妇幼保健和感染）。在大多数非洲国家，专门用于精神卫生的支出低于卫生保健总预算的1%，即实际上不存在（Saxena等人，2007年）。
Mental health disorders account for about 14% of the global burden of disease. Neuropsychiatric disorders may be responsible for more than 1.2 million deaths annually (Prince et al, 2007). Around 80% of those affected live in low- and middle-income countries. Yet, despite the fact that older persons carry a disproportionate burden of non-communicable disease and mental disorder, they are not seen as priority issues for healthcare provision in these countries. Logically and ethically, older persons should be prioritised for targeted interventions, alongside the generic strengthening of primary and community health provision. African governments, spurred on by the specific agendas of non-governmental and parastatal organisations, continue with more urgent tasks; their healthcare provision is oriented towards the ‘younger generations’ (maternal and child healthcare, and infection). In most African countries, the expenditure specifically targeted for mental health is below 1% of the total healthcare budget, that is, effectively non-existent (Saxena et al, 2007).