The Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity Building: a program protocol for building implementation science and mental health research and policymaking capacity in Malawi and Tanzania
The Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity Building: a program protocol for building implementation science and mental health research and policymaking capacity in Malawi and Tanzania
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DOI：
10.1186/s13033-019-0327-2
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发表时间：
2019-11-09
影响因子：
3.6
通讯作者：
Pence, Brian Wells
中科院分区：
文献类型：
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作者：
Akiba, Christopher Fittipaldi;Go, Vivian;Pence, Brian Wells
背景在中低收入国家（LMICs），精神卫生（MH）障碍占疾病负担的很大比例。虽然存在有效的治疗方法，但只有10%的需要者能够获得护理。这种治疗差距是由结构性决定因素造成的，包括资源分配和优先次序不足，两者都源于缺乏研究和政策能力。设在马拉维和坦桑尼亚的撒哈拉以南非洲精神卫生能力建设区域伙伴关系的目标是解决这些基于研究和政策的决定因素。SHARP旨在（1）在马拉维和坦桑尼亚研究人员中建立心理健康领域的实施科学技能和专业知识;（2）确保马拉维和坦桑尼亚的政策制定者和提供者拥有知识和技能，有效地将循证心理健康计划的研究成果应用于日常实践;（3）加强研究人员、政策制定者和提供者之间的对话，以有效和可持续地扩大马拉维和坦桑尼亚的精神卫生服务。该方案包括五个能力建设部分：入门和高级短期课程、多方面对话、在职培训、试点赠款和"指导导师"课程。讨论计划评估包括测量传递和接收的剂量、参与者的知识和满意度以及学术产出（例如，会议海报或演示文稿，手稿提交，赠款申请）。SHARP能力建设方案的目的是作出有意义的贡献，寻求一种可在其他低收入国家复制的能力建设模式。如果有效，SHARP能力建设计划可以增加研究人员，政策制定者和提供者关于有效扩大循证MH治疗的知识，技能和指导能力。
Background Mental health (MH) disorders in low and middle-income countries (LMICs) account for a large proportion of disease burden. While efficacious treatments exist, only 10% of those in need are able to access care. This treatment gap is fueled by structural determinants including inadequate resource allocation and prioritization, both rooted in a lack of research and policy capacity. The goal of the Sub-Saharan Africa Regional Partnership for Mental Health Capacity Building (SHARP), based in Malawi and Tanzania, is to address those research and policy-based determinants. Methods SHARP aims to (1) build implementation science skills and expertise among Malawian and Tanzanian researchers in the area of mental health; (2) ensure that Malawian and Tanzanian policymakers and providers have the knowledge and skills to effectively apply research findings on evidence-based mental health programs to routine practice; and (3) strengthen dialogue between researchers, policymakers, and providers leading to efficient and sustainable scale-up of mental health services in Malawi and Tanzania. SHARP comprises five capacity building components: introductory and advanced short courses, a multifaceted dialogue, on-the-job training, pilot grants, and "mentor the mentors" courses. Discussion Program evaluation includes measuring dose delivered and received, participant knowledge and satisfaction, as well as academic output (e.g., conference posters or presentations, manuscript submissions, grant applications). The SHARP Capacity Building Program aims to make a meaningful contribution in pursuit of a model of capacity building that could be replicated in other LMICs. If impactful, the SHARP Capacity Building Program could increase the knowledge, skills, and mentorship capabilities of researchers, policymakers, and providers regarding effective scale up of evidence-based MH treatment.