GOAL: Supporting government and partners in strengthening health systems for better mental health of Syrian refugees and host communities in Lebanon

千年发展目标侧重于支持卫生系统的挑战，以黎巴嫩为重点，满足受长期流离失所影响者的精神卫生需求。精神健康状况不佳会造成长期痛苦和残疾，是实现个人和社会充分潜力的障碍，并阻碍在实现可持续发展目标方面取得进展。心理健康状况不佳在长期难民人口中往往比未受危机影响的人口更为普遍。有效的心理健康服务是存在的，但在获得这些服务方面存在重大差距，特别是在难民人口中。挑战在于如何最好地提供这些服务，包括设计支持提供这些服务所需的卫生系统。在长期流离失所的环境中，这尤其具有挑战性，因为这可能给本已紧张的卫生系统带来巨大的额外压力，而且国际援助和行为体的涌入可能会削弱国家政府主导的应对措施。GOAL是黎巴嫩各大学、公共卫生部国家精神卫生方案和民间社会组织之间的伙伴关系。它解决了UKRI-GCRF长期流离失所呼吁中的以下问题：(i)为了预测和有效管理长期滞留，减少难民对人道主义援助的依赖，并实施促进难民/国内流离失所者融合、包容和社会福利的制度，各级政府应该做些什么？（二）如何扩大流离失所者的保健系统，以涵盖难民/国内流离失所者环境中通常被忽视的领域，例如（但不限于）慢性疾病、残疾和精神健康的治疗？（三）按性别获得服务的机会、经济和文化机会以及权力水平对男女的经历、机会和限制有何不同影响？目标的总体目标是支持政府和合作伙伴加强卫生系统的能力，以满足受长期流离失所影响的难民和收容社区的精神卫生需求，重点是黎巴嫩，因为黎巴嫩有100多万叙利亚难民。它涉及两个卫生系统主题，即治理和筹资，这两个主题被黎巴嫩的主要利益攸关方和外部独立专家确定为优先领域。GOAL的研究是通过使用过渡理论和性别作为一个跨领域的问题来解决的，为项目研究的各个方面提供信息。它采用联合制作方法，与主要利益攸关方，特别是精神卫生服务使用者密切合作。将采用定量和定性方法，并促进跨学科研究。我们还与精神卫生服务使用者合作，制作创新材料（例如动画和增强现实数字图像），宣传有精神障碍生活经历的人参与研究和决策过程的好处，以及宣传和教学。千年发展目标开展能力加强活动，向项目伙伴和关键利益攸关方提供技术培训，并支持机构能力和个人职业发展。主要的直接受益者将是黎巴嫩公共卫生部的国家精神卫生方案。其他受益者将包括黎巴嫩和应对长期流离失所局势的其他国家的主要利益攸关方，包括精神卫生服务使用者、非政府组织和联合国机构。该提案响应了可持续发展目标3（良好健康和福祉）以及国际发展部关于加强复原力和应对危机、解决极端贫困和帮助世界上最弱势群体的战略目标。

GOAL focuses on the challenge of supporting health systems providing for the mental health needs of people affected by protracted displacement, focusing on Lebanon. Poor mental health causes long-term suffering and disability, is a barrier to realising full potential of individuals and society, and impedes progress in achieving the SDGs. Poor mental health is often more common among protracted refugee populations than non-crisis affected populations. Effective mental health services exist, but there are major gaps in access to them, especially among refugee populations. The challenge is how to best deliver such services, including the design of health systems required to support this delivery. This is particularly challenging in protracted displacement settings which can place substantial additional pressure on already strained health systems and where an influx of international aid and actors can risk weakening national government-led responses. GOAL is a partnership between universities, the National Mental Health Programme at the Ministry of Public Health and civil society organisations in Lebanon. It addresses the following questions in the UKRI-GCRF Protracted Displacement call: (i) what should governments at every level do in order to anticipate and efficiently manage protracted stays, reduce refugees' dependence on humanitarian aid and implement systems that facilitate refugee /IDP integration, inclusion and social wellbeing? (ii) How can health care systems for the displaced be expanded to cover areas that are usually neglected in refugee/IDP settings such as (though not limited to) treatment of chronic illnesses, disability and mental health? (iii) How does gendered access to services, economic and cultural opportunities and levels of power influence differently the experiences, opportunities and limitations of men and women?The overall aim of GOAL to support government and partners in strengthening the ability of health systems to meet the mental health needs of refugee and host communities affected by protracted displacement, focusing on Lebanon as it is home to over one million Syrian refugees. It addresses two health system topics, governance and financing, identified as priority areas by key stakeholders in Lebanon and by external independent experts. GOAL's research is framed by the use of Transition Theory and gender is addressed as a cross-cutting issue informing all aspects of the project research. It follow a co-production approach, working closely with key stakeholders - particularly mental health service users. Quantitative and qualitative methods will be used and interdisciplinarity fostered. We also work with mental health service users to produce innovative materials (e.g. animations and augmented reality digital images) communicating the benefits of participation from people with lived experience of mental disorders in research and policy-making processes, and for advocacy and teaching. GOAL has capacity strengthening activities to provide technical training to project partners and key stakeholders, and to support institutional capacity and individual career progression. The main immediate beneficiary will be the National Mental Health Programme at the Ministry of Public Health in Lebanon. Other beneficiaries will include key stakeholders including mental health service users, NGOs, and UN agencies, both in Lebanon and other countries responding to protracted displacement situations. The proposal responds to SDG 3 (good health and well-being) and DFID's strategic objectives of strengthening resilience and response to crises, and tackling extreme poverty and helping the world's most vulnerable.