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.

项目摘要 自2009年冲突结束以来，斯里兰卡北部正在经历#年的快速恢复和重建进程。 卫生和其他基础设施。然而，对人力资源的需求是最不能得到满足的，因为 能力建设和培训新干部的能力大大低于该区域日益增长的需求。 然而，该区域在经历了30年的政治、社会和经济相对稳定之后， 激烈的冲突非常有利于培养新的医务人员干部，提高卫生保健人员的能力 现有的卫生工作人员。拟议的项目已在 北方省，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 在北方各省的所有地区，将卫生保健纳入初级保健服务。一个全面的横截面 建议进行一项研究，以确定该地区的精神障碍负担，因为患病率信息参差不齐 而且不是最新的。了解这一负担是至关重要的，这样才能阐明 并为制定和提供干预措施提供信息，以解决治疗差距。设置 将在斯里兰卡北部的所有5个区举行，并将特别关注受冲突影响的参与者， 强迫国内移民。这个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社区内常见精神障碍的患病率 斯里兰卡北部的一个省。第二个目标是使用世界卫生组织的改编版本 精神卫生差距方案(世卫组织mhGAP)，以培训初级保健从业者和公共卫生人员 在斯里兰卡北部的初级保健保健系统内提供精神卫生治疗。这是放大的 这项研究是由先前关于其可行性的试点工作提供信息的，这项工作涉及利益攸关方在每一步确保 拟议的项目与当地人口有关。该项目还将包括经济评估。 探讨将精神卫生纳入初级卫生保健的成本效益。另外， 将进行方案监测和评价，以评价执行《行动纲领》的成效。 培训方案和对患者预后的影响。这个项目希望能提供一个全面的说明 关于冲突后斯里兰卡北部常见精神障碍的流行率，缩小治疗范围 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结局。

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.