低收入和中等收入国家的精神卫生:超越资金需求

F. Alloh, P. Regmi, I. Onche, E. V. Teijlingen, Steve Trenoweth
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引用次数: 50

摘要

尽管全球公认精神卫生是一个重要的公共卫生问题,但在许多低收入和中等收入国家,精神卫生作为一种疾病负担仍未得到重视。全球70%以上的精神卫生负担发生在这些国家。我们在以下主题下讨论了中低收入国家的精神卫生问题:虐待和精神疾病、对精神卫生的文化影响、护理中需要尊严、弥补资金和劳动力差距以及为精神卫生部门制定国家卫生政策的必要性。我们强调,虽然大多数中低收入国家的心理健康教育和保健服务资源不足;除了资金之外,迫切需要解决导致心理健康状况不佳的问题。为了应对中低收入国家心理健康疾病日益严峻的挑战,需要努力解决造成个人心理健康状况不佳的文化和专业挑战。我们认为,精神卫生应纳入中低收入国家的初级卫生保健。提高对某些文化态度/习俗影响的认识,将鼓励人们更好地接受心理健康服务,并增加在这些国家讨论心理健康问题时的便利性,从而有助于减少中低收入国家心理健康状况不佳的情况。
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Mental Health in low-and middle income countries (LMICs): Going beyond the need for funding
Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in these countries. We discussed mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector. We highlighted that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. We have a notion that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.
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