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

总体章节-摘要 心理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生活年数的近三分之一，是残疾的第五大原因。 残疾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，但大多数分中心的精神卫生治疗能力仍然不足， 撒哈拉非洲的卫生系统极为有限。心理健康专业人员的中位数 撒哈拉以南非洲国家每10万人口的死亡率不到联合国的五十分之一。 该地区四分之三以上需要心理健康治疗的人无法获得任何治疗。 这样的待遇。虽然有效的心理健康治疗干预措施在高收入国家得到了很好的定义， 由于缺乏执行，在低收入和中等收入国家的部署有限 科学研究，解决适应基于证据的干预措施，以低资源的挑战 此外，在执行科学方面接受过充分培训的研究人员和决策者很少。 拟议的撒哈拉以南非洲地区精神卫生能力建设伙伴关系，或 SHARP将为缩小撒哈拉以南非洲的心理健康治疗差距做出重要贡献。 SHARP代表研究、学术和非营利组织以及卫生部的合作伙伴关系 在马拉维和坦桑尼亚的代表，在有影响力的研究和翻译方面有着卓越的记录 将研究转化为实践。SHARP的总体目标是扩大该地区的精神健康治疗 通过高质量的执行科学研究;发展研究和执行能力 政府、学术界和非政府伙伴之间的对话; 这些伙伴。 SHARP将通过其行政、财务和管理部门的协调和协同努力实现这一目标， 扩大研究和能力建设核心。行政核心将提供一个强有力的结构， 管理补助金，协调所有研究合作伙伴的沟通，并加强对话 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 注重将抑郁症治疗纳入常规非传染性疾病护理， 解决卫生部目前在努力扩大心理健康治疗方面面临的一个关键障碍。 能力建设核心项目将提供全面的短期执行培训课程 科学和心理健康干预措施，一个试点赠款计划，以提供应用技能的实施 研究和翻译，以及一个“指导指导者”培训方案，以提高指导能力， 执行科学和心理健康研究。总的来说，夏普将作出重大贡献， 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.