Sub-Saharan Africa Regional Partnership (SHARP) for Mental Health Capacity Building

总节--摘要 精神健康障碍是世界范围内导致死亡和残疾的主要原因之一。在全球范围内， 精神健康障碍占残疾生活的近三分之一，是导致残疾的第五大原因 伤残调整生命年。精神健康状况和相关死亡造成的全球经济负担 从2010年到2030年，残疾预计将导致16.1万亿美元的生产力损失。 尽管精神疾病负担沉重，但大多数亚健康患者的心理健康治疗能力 撒哈拉非洲的卫生系统极其有限。心理健康专业人员的中位数 撒哈拉以南非洲国家每10万人的死亡率不到美国的五分之一 该区域四分之三以上的需要心理健康治疗的人无法获得任何 这样的待遇。尽管有效的心理健康治疗干预在高收入人群中得到了很好的定义 在低收入和中等收入国家，由于缺乏执行，它们的部署有限 应对以证据为基础的干预措施适应低资源的挑战的科学研究 在这种情况下，很少有研究人员和政策制定者在执行科学方面接受过充分培训。 拟议的撒哈拉以南非洲精神卫生能力建设区域伙伴关系，或 Sharp，将为缩小撒哈拉以南非洲的精神健康治疗缺口做出关键贡献。 夏普代表研究、学术和非营利组织与卫生部的合作伙伴关系 在马拉维和坦桑尼亚拥有卓有成效的研究和翻译记录的代表 将研究转化为实践。夏普的总体目标是扩大该地区的精神健康治疗。 通过高质量的实施科学研究；发展研究和实施能力 政府、学术和非政府伙伴之间的对话；以及加强 那些合伙人。 夏普将通过协调和协同努力，其行政， 扩大研究和能力建设核心。行政核心将为 管理拨款，协调所有研究伙伴之间的沟通，并加强 一系列关键利益攸关方。扩大研究核心将领导一项实施科学研究研究 重点将抑郁症治疗纳入常规非传染性疾病护理和 解决卫生部目前在扩大精神卫生治疗方面面临的一个主要障碍。 能力建设核心将在实施过程中提供一套全面的短期培训课程 科学和心理健康干预，这是一项试点赠款计划，旨在提供实施中的应用技能 研究和翻译，以及“导师”培训计划，以增加导师能力 实施科学和心理健康研究。总体而言，夏普将在以下方面做出重大贡献 提高马拉维、坦桑尼亚和更广泛地区的精神卫生研究和治疗能力。

OVERALL SECTION – ABSTRACT Mental health disorders are among the leading causes of death and disability worldwide. Globally, mental health disorders account for nearly a third of years lived with disability and are the fifth-leading cause of disability-adjusted life years. The global economic burden due to mental health conditions and related death and disability is expected to result in productivity losses of USD16.1 trillion from 2010-2030. Despite the heavy burden of mental illness, the mental health treatment capacity of most sub- Saharan African health systems is extremely limited. The median number of mental health professionals per 100,000 population among Sub-Saharan African nations is less than one-fiftieth of that found in the United States, and over three-quarters of those needing mental health treatment in the region have no access to any such treatment. Although effective mental health treatment interventions are well defined in high-income countries, their deployment in low- and middle-income countries is limited due to lack of implementation science research that addresses the challenges of adapting evidence-based interventions to low-resource contexts and few researchers and policymakers adequately trained in implementation science. The proposed Sub-Saharan Africa Regional Partnership for Mental Health Capacity Building, or SHARP, will make a critical contribution to closing the mental health treatment gap in sub-Saharan Africa. SHARP represents a partnership of research, academic, and non-profit organizations and Ministry of Health representatives in Malawi and Tanzania with an exceptional track record of impactful research and translation of research into practice. The overall objective of SHARP is to expand mental health treatment in the region through high-quality implementation science research; development of research and implementation capacity among governmental, academic, and non-governmental partners; and enhancement of dialogue between those partners. SHARP will achieve this objective through the coordinated and synergistic efforts of its Administrative, Scale-Up Study, and Capacity-Building Cores. The Administrative Core will provide a robust structure for administering the grant, coordinating communication across all study partners, and enhancing dialogue across a range of key stakeholders. The Scale-Up Study Core will lead an implementation science research study focusing on the integration of depression treatment into routine non-communicable diseases care and addressing a key barrier faced by the Ministry of Health in its current efforts to expand mental health treatment. The Capacity-Building Core will offer a comprehensive menu of short training courses in implementation science and mental health interventions, a pilot grants program to provide applied skills in implementation research and translation, and a “Mentor the mentors” training program to increase mentoring capacity in implementation science and mental health research. Overall, SHARP will make a substantial contribution to increasing mental health research and treatment capacity in Malawi, Tanzania, and the broader region.