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与传染病作斗争的挑战，孕产妇 发病率和死亡率，以及非传染性疾病负担的增加。高并存率 患有慢性病的常见精神障碍的风险威胁到全球对 通过干预自我护理和坚持进行抗逆转录病毒治疗和产妇保健。这 申请为南部非洲精神卫生一体化研究联盟寻求资金(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 将区域精神健康整合到初级健康、产前和慢性护理平台，使用 南非东部、莫桑比克中部和资源不足地区的实施科学 坦桑尼亚南部。心理健康政策分析表明，一项政策创新从一项 当国家1)在以下方面感受到高度共同性时，从一个国家到另一个国家是最佳的 疾病负担；2)地理上接近，这促进了社会学习和同龄人比较。 南非、莫桑比克和坦桑尼亚被选为财团合作伙伴，因为它们关系密切 就近和相似的疾病特征。S-MhINT在多年投资的基础上，走进了几个严谨 研究项目的重点是将精神卫生保健纳入亚 撒哈拉非洲。S部长办公室的总体目标如下：目标1.建立和聘用跨部门合作伙伴 由学者、政府代表、非政府组织组成的学科研究联盟 南非、莫桑比克和坦桑尼亚的组织应对共同精神负担 初级卫生保健环境中的障碍；目的2.检查对摄取的多层次影响， 综合心理健康现有规模扩大的实施、有效性和可持续性 两个不同资源的不同地区的初级卫生保健层面的慢性病一揽子计划 南非的能力；目标3.在#年建设实施科学和传播研究能力 南非、莫桑比克和坦桑尼亚，招聘服务提供者、管理人员和政策制定者 实习生，提供现实世界的机会、指导和必要的知识，以实现最佳 扩大以循证为基础的综合性精神卫生保健。夸祖鲁-纳塔尔大学和大学 华盛顿大学与坦桑尼亚的穆亨比利健康与联合科学大学合作；非 莫桑比克国际卫生联盟政府组织和管理和 坦桑尼亚的卫生发展和南非精神卫生联合会；以及 南非、坦桑尼亚卫生部和贝拉行动研究中心 莫桑比克卫生部的研究部门。这些组织几十年来一直致力于 支持改善莫桑比克、坦桑尼亚和坦桑尼亚资源不足地区的初级卫生系统 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.