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

总体部分——摘要 精神健康障碍是全世界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寿命的近三分之一，是造成残疾的第五大原因 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 预计 2010 年至 2030 年，残疾将导致生产力损失 16.1 万亿美元。 尽管精神疾病负担沉重，但大多数亚健康人群的心理健康治疗能力 撒哈拉非洲卫生系统极其有限。心理健康专业人员的中位数 撒哈拉以南非洲国家每 10 万人口还不到美国的五十分之一 各州以及该地区超过四分之三需要心理健康治疗的人无法获得任何治疗 这样的待遇。尽管高收入人群已明确有效的心理健康治疗干预措施 国家，由于缺乏实施，它们在低收入和中等收入国家的部署受到限制 科学研究解决将循证干预措施适应资源匮乏的挑战 但很少有研究人员和政策制定者接受过实施科学方面的充分培训。 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地区的心理健康治疗差距做出重要贡献。 SHARP 代表研究、学术和非营利组织与卫生部的合作伙伴关系 马拉维和坦桑尼亚的代表，在有影响力的研究和翻译方面拥有出色的记录 的研究付诸实践。 SHARP 的总体目标是扩大该地区的心理健康治疗 通过高质量的实施科学研究；发展研究和实施能力 政府、学术和非政府合作伙伴之间；并加强双方之间的对话 那些伙伴。 夏普将通过其行政部门的协调和协同努力来实现这一目标。 扩大研究和能力建设核心。行政核心将为 管理赠款，协调所有研究合作伙伴之间的沟通，并加强跨研究合作伙伴之间的对话 一系列关键利益相关者。扩大研究核心将领导一项实施科学研究 重点关注将抑郁症治疗纳入常规非传染性疾病护理和 解决卫生部当前扩大精神卫生治疗工作中面临的一个主要障碍。 能力建设核心将在实施过程中提供全面的短期培训课程 科学和心理健康干预措施，一项试点赠款计划，旨在提供实施过程中的应用技能 研究和翻译，以及“指导导师”培训计划，以提高指导能力 实施科学和心理健康研究。总体而言，夏普将为 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.