Evaluating Pakistan's mental healthcare system using World Health Organization's assessment instrument for mental health system (WHO-AIMS).

IF 3.1 2区医学 Q2 PSYCHIATRY International Journal of Mental Health Systems Pub Date : 2024-10-23 DOI:10.1186/s13033-024-00646-6

Komal Dayani, Mekaiel Zia, Onaiza Qureshi, Maria Baig, Taha Sabri

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Abstract

Background: Pakistan faces profound mental health challenges, which necessitate the urgent need for a comprehensive assessment of its mental healthcare system. A holistic understanding of the mental health landscape is essential to identify strengths, weaknesses, and existing gaps within the system, which can inform targeted interventions and policy enhancements to improve mental healthcare accessibility.

Objective: The primary objective of this desk research is to conduct an in-depth analysis of Pakistan's mental healthcare system across various dimensions, guided by the World Health Organization's Assessment Tool for Mental Health Systems (WHO-AIMS).

Methods: Data for this desk research and scoping was obtained through desk research, including an examination of existing policies and legislation and consultations with various health facilities across Pakistan. This comprehensive analysis focused on six critical domains within the WHO-AIMS framework: policy and legislation, mental health services, integration of mental health into primary care, public awareness and collaboration with other sectors, human resources, and monitoring and research initiatives.

Results: The findings provides a snapshot of strength and opportunities for improvement in Pakistan's mental healthcare system that can serve as the foundation for revising and updating national priorities. Key areas of focus include enhancing policy and legislation, expanding access to mental health services, improving existing initiatives for better integration of mental health into primary care, improving public awareness and sector collaboration, addressing human resource challenges, and strengthening monitoring and research initiatives.

Conclusion: This desk research provides a roadmap for refining and enhancing Pakistan's mental health ecosystem and informs the prioritization of mental health campaigning efforts.

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使用世界卫生组织精神卫生系统评估工具（WHO-AIMS）评估巴基斯坦的精神卫生保健系统。

背景：巴基斯坦面临着深刻的心理健康挑战，因此迫切需要对其心理保健系统进行全面评估。对精神卫生状况的全面了解对于确定系统内的优势、劣势和现有差距至关重要，这可以为有针对性的干预措施和政策改进提供依据，从而提高精神卫生保健的可及性：本案头研究的主要目的是在世界卫生组织精神卫生系统评估工具（WHO-AIMS）的指导下，对巴基斯坦精神卫生保健系统的各个层面进行深入分析：本次案头研究和范围界定的数据是通过案头研究获得的，包括对现有政策和立法的审查，以及与巴基斯坦各地医疗机构的磋商。这项综合分析的重点是世界卫生组织--AIMS 框架内的六个关键领域：政策和立法、精神卫生服务、将精神卫生纳入初级保健、公众意识和与其他部门的合作、人力资源以及监测和研究措施：研究结果提供了巴基斯坦精神卫生保健系统的优势和改进机会，可作为修订和更新国家优先事项的基础。重点领域包括：加强政策和立法、扩大心理健康服务的可及性、改进现有举措以更好地将心理健康融入初级保健、提高公众意识和部门合作、应对人力资源挑战以及加强监测和研究举措：本案头研究为完善和加强巴基斯坦的精神卫生生态系统提供了路线图，并为确定精神卫生运动的优先次序提供了参考。

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