Research Component - Partnerships for Mental Health Development in Sub-Saharan Africa

这个研究项目描述了一个工作机构，旨在提供新的信息，解决一个 影响世界各地人类的最沉重的疾病：精神病（包括精神分裂症和 相关疾病）。精神分裂症和其他精神病是造成全球精神负担的主要原因之一。 低收入、中等收入和高收入国家的疾病。2006年，估计有2500万人 低收入和中等收入国家（LMIC）的精神分裂症患者。据估计， 精神分裂症占所有残疾调整寿命年的1.1%， 残疾。患有精神分裂症的人更有可能经历过早死亡， 自杀、污名化、侵犯人权和整体医疗保健状况差。只有少数受影响的人 在撒哈拉以南非洲，精神病患者接受生物医学治疗。另一方面，传统健康 提供者（THP）构成了各种精神健康问题的现成护理来源，特别是精神病 紊乱事实上，许多国家的精神障碍患者获得生物医学护理的途径 许多国家表明，他们中有很大一部分人在前往 传统护理因此，一些撒南非洲国家试图将传统治疗师纳入 正规公共卫生部门。此外，世界卫生组织长期以来一直在游说正式的 THP和公共卫生服务之间的合作。关于正式集成的一个反复出现的问题是 一个共同的观察结果是，卫生保健人员有时使用有害做法，他们的干预方法往往导致 侵犯客户的人权。殴打驱魔、脚镣等做法 来处理感觉到的激动或不安。考虑到什么与 治疗机构和初级保健提供者在治疗精神疾病方面的工作 社区的健康问题，一项促进两者之间合作共享护理的计划可能会 通过任务转移，努力改善初级保健一级的精神卫生服务。 拟议的中心将1）对目前的传统和信仰治疗做法进行评估， 有关精神病的治疗; 2）发展一套人手操作的协作式共享护理服务， 通过CAP评估心理健康问题，减少有害干预方法的使用，

This research project describes a body of work that seeks to provide new information about tackling one of the most burdensome disorders affecting mankind everywhere: psychosis (including schizophrenia and related disorders). Schizophrenia and other psychoses are among the leading causes of the global burden of disease in low-, middle-, and high-income countries alike. In 2006, an estimated 25 million people were affected by schizophrenia in low- and middle-income countries (LMIC). According to estimates, schizophrenia accounted for 1.1% of all Disability Adjusted Life Years and 2.8% Years Lived with Disability. Persons suffering from schizophrenia are more likely to experience premature mortality, by way of suicide, stigma, violations of their human rights, and poor overall health care. Only a few of those affected by psychosis receive biomedical care in Sub-Saharan Africa (SSA). On the other hand, traditional health providers (THPs) constitute a ready source of care for diverse mental health problems, especially psychotic disorders. Indeed, the pathways to biomedical care for persons with mental disorders in many of these countries shown that a significant proportion of them have consulted traditional healers on their way to orthodox care. Consequently, several SSA countries have made attempts to integrate traditional healers into the formal public health sector. Also, the World Health Organization has long canvassed for formal collaboration between THPs and public health service. One recurring concern about a formal integration is the common observation that THPs sometimes use harmful practices and their intervention approaches often lead to abuses of the human rights of their clients. Practices such as beating to drive away demons and shackling to deal with perceived agitation or restlessness are often used. In view of the strong relationship between what goes on at the healers' facility and the work of primary care providers in regard to the treatment of mental health problems in the community, a programme to facilitate collaborative shared care between the two may be important to efforts to improve mental health service delivery at primary care level through task-shifting. The proposed hub will 1) conduct an assessment of current traditional and faith healing practices as they relate to the treatment of psychosis; 2) develop a manualised collaborative shared care package to improve the evaluation of mental health problems by CAPs, reduce the use of harmful intervention approaches and of