Mental health policy process: a comparative study of Ghana, South Africa, Uganda and Zambia

Mahmoud A. Omar1, Andrew T Green1, Philippa K Bird1, Tolib Mirzoev1, Alan J. Flisher2, Fred Kigozi3, Crick Lund2, Jason Mwanza4, Angela Ofori-Atta5
1Nuffield Centre for International Health and Development, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
2Department of Psychiatry & Mental Health, University of Cape Town, South Africa
3Butabika National Referral Mental Hospital and Department of Psychiatry, Makarere University, Kampala, Uganda
4Division of Sociology University of Zambia, Department of Social Development Studies, , Zambia
5University of Ghana Medical School, Accra, Ghana

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Tài liệu tham khảo

WHO-UNICEF: Primary Health Care: Alma Ata Declaration, Geneva. 1978, WHO

WHO: Mental Health: New Understanding, New Hope. Geneva: WHO. 2001

Saxena S, Sharan P, Cumbrera M, Saracento B: World Health Organisation's Mental Health Atlas 2005: implications for policy development. World Psychiatry. 2006, 5: 179-184.

Mathers C, Loncar D: Projections of Global Mortality and Burden of Disease from 2002 to 2030. Public Library of Science Medicine. 2006, 3:

Saxena S, Thornicroft G, Knapp M, Whiteford H: Resources for mental health: scarcity, inequity and inefficiency. The Lancet. 2007, 370: 878-889. 10.1016/S0140-6736(07)61239-2.

Verhaeghe MBP, Bruynooghe K: Stigmatization in different mental health services: A comparison of psychiatric and general hospitals. The Journal of Behavioural Health Services and Research. 2007, 34: 186-197. 10.1007/s11414-007-9056-4.

Schizophrenia. http://www.who.int/mental_health/management/schizophrenia/en/ [cited 2008, Oct 6]

Kohn R, Saxena S, Levav I: The treatment gap in mental health care. Bulletin of the World Health Organisation. 2004, 82: 858-866.

Lewin S, Oxman A, Lavis J, Fretheim A, Marti S, Munabi-Babigumira S: SUPPORT Tools for evidence-informed Policymaking in health 11: Finding and using evidence about local conditions. Health Research Policy and Systems. 2009, 7: S11-10.1186/1478-4505-7-S1-S11.

WHO: Mental Health Atlas. 2005, Geneva: WHO

Mayeya J, Chazulwa R, Mayeya PN, Mbewe E, Magolo LM, Kasisi F, Bowa AC: Zambia mental health country profile. International Review of Psychiatry. 2004, 16: 63-72. 10.1080/09540260310001635113.

Flisher AJ, Lund C, Funk M, Banda M, Bhana A, Doku V, Drew N, Kigozi F, Knapp M, Omar M, Petersen I, Green A: Mental Health Policy Development and Implementation in Four African Countries. J Health Psychol. 2007, 12: 505-516. 10.1177/1359105307076237.

Doku VO-AA, Akpalu B, Read U, Osei A, Ae-Ngebise K, Awenva D, Lund C, Flisher AJ, Petersen I, Bhana A, Bird P, Drew N, Faydi E, Funk M. Green A, Omar M: A situational analysis of mental health policy development and implementation in Ghana. 2008, Accra: Mental Health and Poverty Project

Mwanza JSA, Banda M, Mayeya J, Lund C, Bird P, Drew N, Faydi E, Funk M, Green A, Omar M, Flisher AJ: Mental health development and implementation in Zambia: a situation analysis. Phase 1 country report. 2008, Lusaka: Mental Health and Poverty project

Lund CKS, Campbell-Hall V, Mjadu S, Peterson I, Bhana A, Kakuma R, Mlanjeni B, Bird P, DREW N, Faydi E, Funk M, Green A, Omar M, Flisher AJ: Mental health policy development and implementation in South Africa: a situational analysis. phase 1 country report. 2008, Cape Town: Mental Health and Poverty Project

Draper CLC, Kleintjes S, Funk M, Omar M, Flisher A, the MHaPP research programme consortium: Mental Health policy in South Africa: development process and content. Health policy and planning. 2009, 24: 342-356. 10.1093/heapol/czp027.

Kigozi FSJ, Kizz D, Ndyanabangi S, Green A, Omar M, Bird P, Funk M, Faydi E, Drew N, Lund C, Flisher AJ: A situation analysis of the mental health system in Uganda. Phase 1 country report. 2008, Kampala Mental Health and Poverty Project

Exworthy M: Policy to tackle the social determinants of health: using conceptual models to understand the policy process. Health Policy Plan. 2008, 23: 318-327. 10.1093/heapol/czn022.

Ritchie J, Spencer L: Qualitative data analysis for applied policy research. Analysing qualitative data. Edited by: Bryman A, Burgess R. 1993, London: Routledge, 173-194.

D N: Subjective well-being, Poverty and Ethnicity in South Africa: Insights from an Exploratory analysis. social indicators research. 2006, 80: 313-341.

Kim JWC: Gaining a foothold: tackling poverty, gender inequality and HIV in Africa. British Medical Journal. 7519: 769-772.

Bird POM, Doku V: Increasing the priority of mental health in Africa: findings from qualitative research in Ghana, South Africa, Uganda and Zambia. Health Policy and Planning. 2010,

Cooper B: Evidence-based mental health policy: a critical appraisal. Br J Psychiatry. 2003, 183: 105-113. 10.1192/bjp.183.2.105.

Jewell C, Bero L: "Developing Good Taste in Evidence": Facilitators of and Hindrances to Evidence-Informed Health Policymaking in State Government. Milbank Q. 2008, 86: 177-208. 10.1111/j.1468-0009.2008.00519.x.

Shaxson L: Is your evidence robust enough? Questions for policy makers and practitioners. Evidence & Policy: A Journal of Research, Debate and Practice. 2005, 1: 101-112.

Collins C: Management and Organisation of Developing Health Systems. 1994, Oxford: Oxford University Press

Buse K, Mays N, Walt G: Making Health Policy. 2005, London: Open University Press

Tantivess S, Walt G: The role of state and non-state actors in the policy process: the contribution of policy networks to the scale-up of antiretroviral therapy in Thailand. Health Policy Plan. 2008, 23: 328-338. 10.1093/heapol/czn023.

Gaventa J: Reflections on the Uses of the 'Power Cube' Approach for Analyzing the Spaces, Places and Dynamics Of Civil Society Participation and Engagement. 2005, Sussex: Institute of Development Studies, University of Sussex

Walt G: Health policy: an introduction to process and power. 1994, Johannesburg, London: Zed Brooks, Witwatersrand University Press

Bambra C, Fox D, Scott-Samuel A: Towards a politics of health. Health Promot Int. 2005, 20: 187-193. 10.1093/heapro/dah608.

WHO: CHOICE global health programme on evidence for health policy: improving health systems performance. Geneva, WHO. 2004

Kingdon JW: Agendas, Alternatives, and Public Policies. 1995, New York: Harper Collins

WHO: Towards better leadership and management in health: report on an international consultation on strengthening leadership and management in low-income countries. Working paper number 10. 2007, Geneva: World Health Organization

WHO: World Health Statistics 2009. 2009, Geneva: WHO