Shared Research Project Component

项目总结（见说明）： 从中心的第三年开始，将与其他NIMH区域中心协商启动一个共享研究项目。虽然该项目的具体细节将通过与其他受资助的国家卫生和健康中心建立网络来确定，但目前非洲健康和健康保障机构设想建立一个区域初级保健哨点网络，最初集中在乌干达与马尤格的INDEPTH人口监测站相连的保健中心， 扩展到埃塞俄比亚、南非和其他网络中心的站点。该计划将侧重于有效和可持续地提供综合精神保健所需的框架，以及非专业卫生工作者所需的一般知识和技能。 具体目标包括： 1)在不同的中心伙伴国家建立初级保健哨点区域网络，覆盖城市、半农村和农村地区，并在将精神保健纳入初级保健方面代表不同的发展水平; 2)估计哨点初级保健中心基线精神卫生病例的程度和类型，并评估现有的MHIS。这将通过访问每个初级保健中心，并与临床工作人员、地区信息官员、方案管理人员和卫生部进行讨论来实现。 3)根据世卫组织的建议和南非两个省的医疗卫生保健方案所使用的程序，制定一项程序，为初级保健环境制定可行的医疗卫生保健信息系统; 4)在初级保健监测点试行和评估MHIS的执行情况; 5)由经过培训的社区卫生保健工作者探索初级保健的诊断和初步管理计划的制定过程; 5)发展哨点的能力，作为评估综合精神保健增强效果的研究框架。

PROJECT SUMMARY (See instructions): From Year 3 of the Hub, a shared research project will be initiated In consultation with other NIMH regional hubs. Although the exact details of this project will be determined by networking with other funded NIMH hubs, at this point AFFIRM envisions establishing a regional primary care sentinel network, concentrated initially In Uganda, in health centres linked to the INDEPTH Demographic Surveillance Site in Mayuge, and expanding to sites in Ethiopia, South Africa and other network Hubs. This program will focus on the framework required for effective and sustainable delivery of integrated mental healthcare, and the generic knowledge and skills required by non-specialist health workers. The specific aims include: 1) Establishing a regional network of sentinel Primary Health Care (PHC) sites, in different hub partner countries, covering urban, semi-rural and rural locations, and representing different levels of development in terms of integration of mental health care into primary care; 2) Estimating the extent and type of the baseline mental health caseload In sentinel PHCs, and appraising pre-existing MHIS. This will be achieved through visits to each of the PHCs, and discussions with clinical staff, district information officers, programme managers and MoH. 3) Establishing a procedure for developing a feasible MHIS for PHC settings, based on recommended by WHO, and processes used in the MHaPP program in two South African provinces; 4) Piloting and evaluating the implementation of the MHIS in the sentinel PHC; 5) Exploring the process of diagnosis and development of initial management plans by trained community health care workers (CHWs) in PHC and; 5) Developing the capacity of the sentinel sites as a research framework for the evaluation of enhancements in integrated mental healthcare.