Mental health policy development and implementation in four african countries article pdf available in journal of health psychology 123. In most countries, mental health issues are neglected within health care policy and planning and only limited resources are allocated to mental health services. The child and adolescent mental health camh policy 45 is a guiding framework for establishing mental health services for children and adolescents in south africa using an intersectoral approach. Mental health conditions as a vulnerable group mental health. The national health policy of 1983 and the national health policy of 2002 have served well in guiding the approach for the health sector in the fiveyear plans. National mental health strategy of ethiopia mental health. Research found that between 1990 and 2004, there was 5%. Although traditional medicine plays an important role in ethiopian society, knowledge.
The health policy has also identified the priority intervention areas and strategies to be employed to achieve the health policy issues. Mental ill health can have devastating effects on individuals, families and communities, with one in every two people experiencing a mental illness in their lifetime. Public stigma against people with mental illness in jimma. Agency for international development under agreement no. A profile of attitudes, beliefs and practices among community members, healthcare workers and traditional healers. Decentralization in health carewill appeal to health policy makers, postgraduates taking courses in health services management, human resources, health policy and health economics, and human resource professionals. Apr 25, 2020 barriers to receive professional mental health care for mental distress of the 339 participants who screened positive for mental distress, 239 127 male and 112 female had not received mental health services in the past 3 months, because of the barriers to receive the treatment, although they desired mental health care as indicated in table 3. Health officer ho, environmental health technician eht, public health. Ethiopia among the least privileged nations in the world. Investing in mental health world health organization. A comprehensive somaliland national mental health policy was published in 2012 somaliland ministry of health, 2012 and clearly sets out how services could be developed and organised, including the development of communitybased services, training, research and legislation. Whoaims was used to collect information on the mental health system in ethiopia. As many as 80% of those with a common mental disorder, and up to 50% of those with a severe mental disorder, do.
Ethiopian health policy the african child policy forum. Pdf mental health policy development and implementation. Health learning materials ethiopia public health training initiative legal notice ephtis health learning materials are ed to the carter center, who in partnership with the ministries of health and education are providing them free of charge for download and reproduction for educational institutions and organizations only. Modules include resources for you to use in developing a program for your community. The strategy is a timely effort in light of ethiopia s accelerated economic and social development plans. The strategy was developed with extensive input from a wide range of stakeholders. National mental health strategy 3 executive summary a national mental health strategy is critical to the development of ethiopia s health system. The strategy was developed with extensive input from a wide range of. However, nationallevel policy support and coordination are essential for any. To attempt to indicate policy options, plans and interventions pertaining,to mental health problems in the ethiopian context. National mental health strategy of ethiopia mental. The present health policy of ethiopia, east punjab urban rent restriction act 1949 pdf which places great im portance on the. We contribute to strengthening capacity of government, health and population organizations, and academic institutions to analyze data and create evidencebased solutions to improve family. School health and nutrition an integrated set of planned schoolbased strategies, activities and services designed to promote the optimal physical, mental, social, spiritual and educational development of students and to improve the health of the surrounding community.
Now 14 years after the last health policy, the context has changed in four major ways. Specifically, the attitudes, beliefs and practices. Although this is changing, african countries are still confronted with so many problems caused by communicable diseases and malnutrition that they. The only institutions that provide psychiatric services by specialist doctors are found in addis ababa. The mental health community is not threatened by encouraging generalists to address mental health problems. But, mental health services are emerging issues which determines the development goals of the country. The evolution of public health in ethiopia 19412010 in. The magnitude, suffering and burden in terms of disability and costs for individuals, families and societies. However, national level policy support and coordination are essential for any. The government of ethiopia has shown strong commitment for improving mental health care and getting services to the people who need them, as evidenced not only by the development of a mental health strategy, but also by the allocation of new funds for the rollout of a mental health strategy across the country. The many categories of traditional medicinal practices dealing with these different aspects of health include. Health policy project 31 pennsylvania ave nw, suite 600 washington, dc 20004. Health policy of the transitonal government of ethopia preamble ethiopia, an ancient country with a rich diversity of peoples and cultures has however remained backward in socioeconomic and political development, and in technological advances.
Mental distress, perceived need, and barriers to receive. Forhp mental health and substance abuse toolkit the toolkit is made up of several modules. This was accomplished through a multiphase process to transfer knowledge about the. Due attention shall be given to the development of the beneficial aspects of traditional medicine including related research and its gradual integration into modern medicine. The prevalence of depression and associated factors in. Government health expenditure has increased substantially. Ethiopia is a country with about 86 million people and 50 psychiatrists. Contextualizing and pilot testing the mental health gap action programme intervention guide mhgapig to primary healthcare workers in kilifi, kenya volume 7 mary a. The health policy project hpp is committed to supporting ethiopia in its progress toward ensuring highquality healthcare services for its citizens. Mar 10, 2015 the world health organization comprehensive mental health action plan pdf for 20 to 2020 outlines targets for member countries, which include updating existing mental health policies and laws, integrating mental health care into communitybased settings, and strengthening evidencebased research. Faced with many challenges, including intractable poverty, infectious diseases, maternal and child. Therefore, ethiopia uses a one health approach to its ghsa activities by bringing together human and animal health partners, recognizing that the health of people is connected to the health of animals and the environment. Ethiopian hc system ethiopia health policy free 30. Ethiopia is in the process of developing a national mental health policy.
Decentralization in health care world health organization. Her commitment to mental health, as well as her energy and positive attitude will live on through this report and will be remembered by her many. A critical milestone for ethiopia s mental health care sector, the national mental health strategy serves to provide accessible, affordable, and acceptable care for all ethiopians. However, nationallevel policy support and coordination are essential for any realistic improvement in treatment coverage. Moving towards universal health coverage for mental disorders in. Microsoft word f2 whoaims report ethiopia 080606 clean. Mental health has historically been neglected on africas health and development policy agenda. The right to health is a fundamental part of our human rights and of our understanding of a life in dignity. A historical overview of traditional medicine practices. The development of kenya health policy framework khpf 19942010, launching of vision 2030, enactment of. Who mindbank is a database of resources covering mental health, substance abuse, disability, general health, human rights and development. Due attention shall be given to the development of the beneficial aspects of.
The strategy is consistent with the overall health policy and plan of fmoh and the world health organizations who recommended guidelines for the development of a mental health policy, plan and program. Health policy of ethiopia 1993 cmp cowash ethiopia. Targeting people with mental health conditions as a vulnerable group this report on mental health and development is in memory of edwige faydi. Health policy of the transitional government of ethiopia. Summary proceedings of ethiopia uganda learning on o and m. Mental health is one of the most disadvantaged health programmes in ethiopia, both in terms of basic amenities and skilled manpower. Why africa needs to start focusing on the neglected issue. Depression and associated factors among prisoners in bahir. Aug 20, 2012 the first study that looked at mental health in the ethiopian community in north america was conducted in toronto in 2004, dr welansa said. Ethiopian health care system phcstructurepost eprdf 28.
The public health community can monitor depression in the population. Ethiopia public health training initiative carter center. Policy options continued increase health insurance coverage of mental health services in 2015, about 6 million rural residents lacked health insurance. This is but just a dream, however, for the typical ethiopian. Federal democratic republic of ethiopia ministry of health. Ethiopian national health policy pdf ethiopia health. This study explores perceptions of mental illness in a sample of ethiopian community members, healthcare workers and traditional healers. Health institutions and services the low life expectancy in ethiopia is the result of poor health, especially in infancy and childhood. In 2015, 179 million years were lost to disability as a consequence of mental health problems. Health policy for ethiopia note that ethiopia follow a different calendar the ethiopian calendar and that the document is dated according to that calendar year.
During this period, our country has made huge strides in improving access to health services and improvements in health outcomes. Contextualizing and pilot testing the mental health gap. Mental health is one of the most disadvantaged health programmes in ethiopia, both in terms of facilities and trained manpower. The health and drug policies of the ethiopian ministry of health recognize the. The national health policy for zambia seeks to respond to these challenges. Cdc promotes public health approach to address depression.
Mar 11, 2019 globally there is a rapid increase in prison population, and one out of nine inmates suffers from mental disorders like depression. A historical overview of traditional medicine practices and. A negative working environment, on the other hand, may lead to physical and mental health problems, harmful use of substances or alcohol, absenteeism and lost productivity. Sep 30, 2014 the mental health treatment gap has a farreaching impact on people and society that is not immediately apparent in discussions about global mental health or the treatment gap. Federal democratic republic of ethiopia ministry of health the ethiopian federal ministry of health fmoh and the regional health bureaus rhbs have developed this innovative blended learning programme in partnership with the heat team from the open university uk and a range of medical experts and health science specialists within ethiopia. The right to the enjoyment of the highest attainable standard of physical and mental health, to give it its full name, is not new. Health services are managed according to the decentralized government structures of the country as a whole. The mental health treatment gap has a farreaching impact on people and society that is not immediately apparent in discussions about global mental health or the treatment gap. The health policies of the government are based on the.
Ethiopias national health policy nhp defines a series of priorities, among. Message of the who regional director for africa, dr matshidiso moeti, on world mental health day, 10 october 2017. Knowledge, attitude, and practice towards mental illness. Why africa needs to start focusing on the neglected issue of. Kariuki, anisa omar, leonard nasoro, monica njeri, cyprian kiambu, linnet ongeri, charles r. Mental disorders account for one of the largest and fastest growing categories of the burden of disease worldwide. The health policy of the transitional government is the result of a critical examination of. The national health policy of 1983 and the national health policy of 2002 have served us well, in guiding the approach for the health sector in the fiveyear plans and for different schemes, now years after the last health policy, the context has changed in four major ways. As a result, it is specifically workable in the ethiopian setting and has the support of those who will play a critical part in its. In ethiopia mental health has been one of the most disadvantaged health programs, both in terms of facilities and trained manpower, however, during the last decade. Mental health problems appear to be increasing in importance in africa.
Examine the mental health issues in ethiopia in relation to services offered in this direction. Collaboratively reframing mental health for integration of. The study looked at the frequency of depression and the risk factors involved in the occurrence of depression in the ethiopian immigrant community. Low status of women in ethiopia underpins and often directly undermines utilization of reproductive health services. National mental health strategy 3 executive summary a national mental health strategy is critical to the development of ethiopias health system.
Given the complexity of addressing the treatment gap, evidence applicable to the specific context should be sought, as exemplified by the experience in ethiopia. Ethiopia is particularly vulnerable to the effects of zoonotic diseases, especially anthrax, brucellosis, and rabies. In addition, the public health community can work with aging services and mental health providers to more readily reach. A lack of funds and political will has meant that it has yet to be. Introducing ethiopias national mental health strategy 2012 201516. Foreword by the minister of health ethiopia has implemented successive health sector development plans hsdps since 1997 in four phases. Mental health in ethiopia epha expert group report the ethiopian. The average prevalence of mental disorders in ethiopia is 18% for adults and 15% for children. Better health is a key to individual happiness and a countrys development.
Even if you dont have a prior history of mental illness, travel stress, mood changes, anxiety and other mental health concerns can unexpectedly affect you and potentially disrupt your trip. People with mental disorders in lowincome countries are at risk of being left. Alem2 mental health issues are usually given very low priority in health service policies. Between 1986 and 1996, government financing grew from 23% to 43% of total health care financing in ethiopia. In ethiopia, although a mental health strategy is in place, little attention is given to prisoners and studies which focus on depression among prisoners are still scarce. The aim of this study was to assess the prevalence of depression and factors associated with. Even though, the policy makers or research managers are giving more. Internationally, it was first articulated in the 1946 constitution. Mental health policy development in africa article pdf available in bulletin of the world health organisation 784. Between 2000 and 2015 the continents population grew by 49%, yet the number of years lost to disability as a result of mental and substance use disorders increased by 52%. The strategy not only for the chronically mentally ill who often represent a small part.
The lack of an overarching national health policy, however, is a gap that also necessitated the development of this policy document. Pdf icon ethiopianationalmentalhealthstrategy20121. Health learning materials ethiopia public health training. Each concentrates on different aspects of mental health and substance abuse programs. Even though, the policy makers or research managers are giving more importance to the reproductive health issues. Mental health is an integral component of any efficient, wellfunctioning structure of health care. The 2008 mental health parity and addiction equity act provides national protections against this disparity for largegroup plans and programs like medicare and medicaid. Applied health research addressing the major health problems shall be emphasized.
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