Southern African Research Consortium for Mental health INTegration (S-MhINT)-Research and capacity building consortium to strengthen mental health integration in South Africa, Mozambique and Tanzania.

南部非洲心理健康一体化研究联盟 (S-MhINT) - 研究和能力建设联盟，旨在加强南非、莫桑比克和坦桑尼亚的心理健康一体化。

• 批准号: 9315996
• 负责人: Arvin Bhana
• 金额: $ 59.41万
• 依托单位: UNIVERSITY OF KWAZULU-NATAL
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-07-01 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9315996
• 关键词: Address; Adherence; Adult; Africa South of the Sahara; African; Anti-Retroviral Agents; Area; Cardiovascular Diseases; Centers for Disease Control and Prevention (U.S.); Chronic; Chronic Care; Chronic Disease; Collaborations; Communicable Diseases; Comorbidity; Country; Data; Development; Diabetes Mellitus; Diffusion; Disease; Distance Learning; Effectiveness; Face; Funding; Geography; Government; Government Officials; HIV; Health; Health Alliance; Health system; Healthcare; Healthcare Systems; International; Investments; Knowledge; Leadership; Lower Respiratory Tract Infection; Malaria; Malignant Neoplasms; Maternal Mortality; Maternal and Child Health; Medical; Medical Education; Mental Health; Mental disorders; Mentorship; Methods; Modeling; Mood Disorders; Mozambique; Operations Research; Policies; Policy Analysis; Policy Maker; Primary Health Care; Provider; Recruitment Activity; Research; Research Personnel; Research Training; Resources; Rural Health Centers; Science; Self Care; Services; South Africa; South African; Southern Africa; Tanzania; Training; Training and Education; United States National Institutes of Health; Universities; Washington; Work; antenatal; arm; burden of illness; care systems; combat; disability; disability-adjusted life years; disorder prevention; dissemination research; evidence base; implementation science; improved; innovation; low and middle-income countries; maternal morbidity; peer; primary care setting; programs; research data dissemination; scale up; social learning; uptake; years of life lost

Low- and middle-income countries face the challenge of combating communicable diseases, maternal morbidity and mortality, as well as the rising burden of non-communicable diseases. The high co-morbidity of common mental disorders with chronic conditions threatens to compromise the huge global investment in anti-retroviral treatment and maternal healthcare through interference with self-care and adherence. This application seeks funding for a Southern African Research Consortium for Mental health INTegration (S- MhINT). S-MhINT is a research and capacity building consortium in Southern Africa that aims to strengthen regional mental health integration into primary health, antenatal, and chronic care platforms using implementation science in under-resourced areas of eastern South Africa, central Mozambique, and southern Tanzania. Mental health policy analyses suggest that the diffusion of a policy innovation from one country to another is optimal when countries 1) perceive a high degree of commonality with respect to the burden of illness; and 2) are close geographically, which promotes social learning and peer comparison. South Africa, Mozambique and Tanzania were chosen as consortium partners because of their close proximity and similar disease profiles. S-MhINT builds on our years of investment into several rigorous research programs focused on integrating mental health care into primary healthcare systems in sub- Saharan Africa. S-MhINT has the following overall aims: Aim 1. To establish and engage a trans- disciplinary research consortium of academics, government representatives, non-governmental organizations in South Africa, Mozambique and Tanzania to address the burden of common mental disorders in primary health care settings; Aim 2. To examine multi-level influences on the uptake, implementation, effectiveness and sustainability of an existing scale up of an integrated mental health package for chronic disorders at primary health care level in two different districts having different resource capacities in South Africa; Aim 3. To build implementation science and dissemination research capacity in South Africa, Mozambique and Tanzania, recruiting service providers, managers, and policy makers as trainees, providing real world opportunities, mentorship, and necessary knowledge to conduct optimal scale-up of evidence-based integrated mental health care. The University of KwaZulu-Natal and University of Washington have partnered with Muhimbili University of Health and Allied Sciences in Tanzania; non- governmental organizations of Health Alliance International in Mozambique and Management and Development for Health in Tanzania and the South African Federation for Mental Health; and Ministries/Departments of Health in South Africa, Tanzania, and the Beira Operations Research Center, the research arm of the Mozambique Ministry of Health. These organizations have been working for decades to support primary health systems improvement in under-resourced areas of Mozambique, Tanzania, and South Africa.

低收入和中等收入国家面临着抗击传染病、孕产妇疾病等挑战 发病率和死亡率，以及非传染性疾病负担的增加。合并发病率高 患有慢性疾病的常见精神障碍可能会损害全球在这方面的巨额投资 通过干扰自我护理和依从性来进行抗逆转录病毒治疗和孕产妇保健。这 申请为南部非洲心理健康整合研究联盟（S- MhINT）。 S-MhINT 是南部非洲的一个研究和能力建设联盟，旨在加强 使用以下方法将区域心理健康纳入初级卫生、产前和慢性护理平台 南非东部、莫桑比克中部和资源匮乏地区的实施科学 坦桑尼亚南部。精神卫生政策分析表明，一项政策创新的扩散 当国家 1) 认为在以下方面具有高度共性时，一个国家与另一个国家之间的相互关系是最佳的： 疾病负担； 2）地理位置接近，促进社会学习和同伴比较。 南非、莫桑比克和坦桑尼亚被选为联合体合作伙伴，因为它们关系密切 邻近性和相似的疾病特征。 S-MhINT 建立在我们多年来对多项严格的投资之上 研究项目的重点是将精神卫生保健纳入亚健康的初级卫生保健系统 撒哈拉非洲。 S-MhINT 具有以下总体目标： 目标 1. 建立并参与跨 由学者、政府代表、非政府组织组成的学科研究联盟 南非、莫桑比克和坦桑尼亚的组织致力于解决共同心理负担 初级卫生保健机构中的疾病；目标 2. 检查对吸收的多层次影响， 现有综合心理健康扩大规模的实施、有效性和可持续性 两个不同地区拥有不同资源的初级卫生保健一级慢性病一揽子计划 南非的产能；目标 3. 建设实施科学和传播研究能力 南非、莫桑比克和坦桑尼亚，招聘服务提供商、管理人员和政策制定者作为 学员，提供现实世界的机会、指导和必要的知识来进行最佳的培训 扩大循证综合精神卫生保健。夸祖鲁纳塔尔大学和大学 华盛顿大学与坦桑尼亚穆希姆比利健康与联合科学大学合作；非 莫桑比克国际健康联盟的政府组织和管理和 坦桑尼亚卫生发展组织和南非精神卫生联合会；和 南非、坦桑尼亚卫生部和贝拉运营研究中心、 莫桑比克卫生部的研究部门。这些组织几十年来一直致力于 支持莫桑比克、坦桑尼亚和资源匮乏地区改善初级卫生系统 南非。