Southern African Research Consortium for Mental health INTegration (S-MhINT)-Research and capacity building consortium to strengthen mental health integration in South Africa, Mozambique and Tanzania.

低收入和中等收入国家面临着防治传染病、孕产妇死亡和其他疾病的挑战。 发病率和死亡率以及非传染性疾病的负担不断增加。高并发症 常见的慢性精神疾病可能会损害全球对精神疾病的巨大投资， 抗逆转录病毒治疗和孕产妇保健通过干预自我保健和坚持。这 申请寻求资助南部非洲研究联盟的心理健康整合（S- MhINT）。S-MhINT是南部非洲的一个研究和能力建设联盟，旨在加强 将区域精神卫生纳入初级卫生、产前和慢性病护理平台， 在南非东部、莫桑比克中部和 坦桑尼亚南部。心理健康政策分析表明，政策创新的扩散， 当国家1）认为在国家之间存在高度的共同性时， 疾病负担; 2）地理上接近，这促进了社会学习和同伴比较。 南非、莫桑比克和坦桑尼亚被选为财团合作伙伴，因为它们与 相似的疾病特征。S-MhINT基于我们多年的投资， 研究项目重点关注将心理健康护理纳入次级初级医疗保健系统 撒哈拉非洲。S-MhINT有以下总体目标：目标1。建立和从事一个跨- 学术界、政府代表、非政府组织、 在南非、莫桑比克和坦桑尼亚， 初级卫生保健环境中的疾病;目标2。为了检查对摄取的多层次影响， 目前扩大综合精神卫生方案的实施、有效性和可持续性 在两个拥有不同资源的不同地区为初级保健一级的慢性疾病提供一揽子服务 在南非的能力;目标3。建立执行科学和传播研究能力， 南非、莫桑比克和坦桑尼亚，招聘服务提供商、管理人员和政策制定者， 学员，提供真实的世界的机会，导师，和必要的知识，以进行最佳的 扩大循证综合精神保健。夸祖鲁-纳塔尔大学 华盛顿大学与坦桑尼亚的Muhimbili健康与联合科学大学合作;非 国际卫生联盟在莫桑比克的政府组织和管理 坦桑尼亚卫生发展和南非精神卫生联合会; 南非、坦桑尼亚的卫生部/部门和贝拉业务研究中心， 莫桑比克卫生部的研究机构。这些组织几十年来一直致力于 支持在莫桑比克、坦桑尼亚资源不足地区改善初级卫生系统， 南非

Low- and middle-income countries face the challenge of combating communicable diseases, maternal morbidity and mortality, as well as the rising burden of non-communicable diseases. The high co-morbidity of common mental disorders with chronic conditions threatens to compromise the huge global investment in anti-retroviral treatment and maternal healthcare through interference with self-care and adherence. This application seeks funding for a Southern African Research Consortium for Mental health INTegration (S- MhINT). S-MhINT is a research and capacity building consortium in Southern Africa that aims to strengthen regional mental health integration into primary health, antenatal, and chronic care platforms using implementation science in under-resourced areas of eastern South Africa, central Mozambique, and southern Tanzania. Mental health policy analyses suggest that the diffusion of a policy innovation from one country to another is optimal when countries 1) perceive a high degree of commonality with respect to the burden of illness; and 2) are close geographically, which promotes social learning and peer comparison. South Africa, Mozambique and Tanzania were chosen as consortium partners because of their close proximity and similar disease profiles. S-MhINT builds on our years of investment into several rigorous research programs focused on integrating mental health care into primary healthcare systems in sub- Saharan Africa. S-MhINT has the following overall aims: Aim 1. To establish and engage a trans- disciplinary research consortium of academics, government representatives, non-governmental organizations in South Africa, Mozambique and Tanzania to address the burden of common mental disorders in primary health care settings; Aim 2. To examine multi-level influences on the uptake, implementation, effectiveness and sustainability of an existing scale up of an integrated mental health package for chronic disorders at primary health care level in two different districts having different resource capacities in South Africa; Aim 3. To build implementation science and dissemination research capacity in South Africa, Mozambique and Tanzania, recruiting service providers, managers, and policy makers as trainees, providing real world opportunities, mentorship, and necessary knowledge to conduct optimal scale-up of evidence-based integrated mental health care. The University of KwaZulu-Natal and University of Washington have partnered with Muhimbili University of Health and Allied Sciences in Tanzania; non- governmental organizations of Health Alliance International in Mozambique and Management and Development for Health in Tanzania and the South African Federation for Mental Health; and Ministries/Departments of Health in South Africa, Tanzania, and the Beira Operations Research Center, the research arm of the Mozambique Ministry of Health. These organizations have been working for decades to support primary health systems improvement in under-resourced areas of Mozambique, Tanzania, and South Africa.