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.

南部非洲心理健康一体化研究联盟 (S-MhINT) - 研究和能力建设联盟，旨在加强南非、莫桑比克和坦桑尼亚的心理健康一体化。

• 批准号: 10176590
• 负责人: Arvin Bhana
• 金额: $ 59.62万
• 依托单位: UNIVERSITY OF KWAZULU-NATAL
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10176590
• 关键词: Address; Adherence; Adult; Africa South of the Sahara; African; Area; Cardiovascular Diseases; Centers for Disease Control and Prevention (U.S.); Child health care; Chronic; Chronic Care; Chronic Disease; Collaborations; Communicable Diseases; Country; Data; Development; Diabetes Mellitus; Diffusion; Disease; Distance Learning; Effectiveness; Face; Funding; Geography; Government; Government Officials; HIV; Health; Health Alliance; Health system; Healthcare; Healthcare Systems; International; Investments; Knowledge; Leadership; Lower Respiratory Tract Infection; Malaria; Malignant Neoplasms; Maternal Health Services; Maternal Mortality; Maternal and Child Health; Medical; Medical Education; Mental Health; Mental disorders; Mentorship; Methods; Modeling; Mood Disorders; Mozambique; Nongovernmental Organizations; Operations Research; Policies; Policy Analysis; Policy Maker; Primary Health Care; Research; Research Personnel; Research Training; Resources; Rural Health Centers; Science; Self Care; Services; South Africa; South African; Southern Africa; Tanzania; Training; Training and Education; United States National Institutes of Health; Universities; Washington; Work; antenatal care; antiretroviral therapy; arm; burden of illness; care systems; comorbidity; diarrheal disease; disability; disability-adjusted life years; dissemination research; evidence base; health care settings; implementation science; improved; innovation; low and middle-income countries; maternal morbidity; peer; primary care setting; programs; recruit; scale up; service providers; social learning; uptake; years of life lost

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.

低收入和中等收入国家面临着与传染病、孕产妇作斗争的挑战