Conducting Operational Research to Identify Numbers and Rates, Determine Needs, and Integrate Services to Mitigate Morbidity and Mortality Among Internally Displaced Persons Affected by Emergencies.

开展业务研究，以确定数字和比率、确定需求并整合服务，以降低受紧急情况影响的国内流离失所者的发病率和死亡率。

• 批准号: 9316345
• 负责人: Shannon Doherty
• 金额: $ 16.2万
• 依托单位: ANGLIA RUSKIN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2020-08-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9316345
• 关键词: Conducting; Operational; Research; Identify; Numbers

Project Summary Since the end of conflict in 2009, Northern Sri Lanka is seeing a rapid rehabilitation and rebuilding process in health and other infrastructure. However, the need for human resources is the least being met, as the rate of capacity building and training new cadres are significantly below that of the growing need in the region. However, the relative political, social and economic stability that the region is enjoying after three decades of bitter conflict are highly conducive to training new cadre of healthcare workers and increasing the capacity of existing health work force. The proposed project, already having being implemented in pilot form in the Northern province, aims to improve the skills of existing primary care health work force in integrating mental health into primary care services across all districts of the Northern province. A comprehensive cross-sectional study is proposed to identify the mental disorder burden in the region, as the prevalence information is patchy and not current. Understanding this burden is critical in order to shed light on the mental health care needs in the region and to inform the intervention development and delivery to address the treatment gap. The setting will be in all 5 districts in Northern Sri Lanka and will specifically focus on participants who are conflict-affected, forced internal migrants. This project has two specific aims. The first aim is to conduct a comprehensive cross- sectional study using cluster sampling to identify the prevalence of common mental disorders within the Northern province of Sri Lanka. The second aim is to use an adapted version of the World Health Organization mental health gap programme (WHO mhGAP) to train primary care practitioners and public health personnel to deliver mental health treatment within the primary care health system in Northern Sri Lanka. This scaled-up study is informed by previous pilot work on its feasibility, which involved stakeholders at every step ensuring the proposed project is relevant to the local population. This project will also include an economic evaluation component to explore cost-effectiveness of integrating mental health into primary health care. Additionally, programme monitoring and evaluation will be conducted to evaluate success of the implementation of the training programme and impact on patient outcomes. This project hopes to provide a comprehensive account of the prevalence of common mental disorders within post-conflict Northern Sri Lanka, narrow the treatment gap and improve patient outcomes by integrating mental health into the primary health care system.

项目摘要 自2009年冲突结束以来，斯里兰卡北方地区正在迅速恢复和重建， 卫生和其他基础设施。然而，人力资源需求得到满足的最少， 能力建设和培训新干部远远不能满足该区域日益增长的需要。 然而，该区域在经历了30年的动荡之后， 激烈的冲突非常有利于培训新的卫生保健工作者骨干， 现有卫生工作人员。拟议的项目已在 北部省，旨在提高现有初级保健卫生工作人员在整合心理健康方面的技能， 在北部省的所有地区，将保健纳入初级保健服务。全面的横截面 由于患病率信息不完整，建议进行一项研究，以确定该地区的精神障碍负担 而不是当前的。了解这一负担对于了解精神卫生保健需求至关重要， 为该地区提供信息，并为干预措施的制定和实施提供信息，以解决治疗差距。的设置 将在斯里兰卡北方的所有5个地区举行，并将特别关注受冲突影响的参与者， 强迫国内移民。该项目有两个具体目标。第一个目标是进行全面的交叉- 采用整群抽样的横断面研究，以确定 斯里兰卡北部省。第二个目标是使用世界卫生组织的改编版 心理健康差距方案（世卫组织mhGAP），培训初级保健从业人员和公共卫生人员， 在斯里兰卡北方的初级保健卫生系统内提供心理健康治疗。这种放大 研究参考了先前关于其可行性的试点工作，其中涉及利益相关者的每一步， 拟议的项目与当地居民有关。该项目还将包括经济评估 这是一个探讨将心理健康纳入初级卫生保健的成本效益的组成部分。此外，本发明还 将进行方案监测和评价， 培训计划和对患者结局的影响。这个项目希望提供一个全面的帐户 冲突后北方斯里兰卡常见精神障碍的患病率， 通过将心理健康纳入初级卫生保健系统，缩小差距并改善患者的治疗效果。