Overview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary care

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dc.contributor.authordos Santos, Palmira Fortunato
dc.contributor.authorWainberg, Milton L.
dc.contributor.authorCaldas-de-Almeida, Jose Miguel
dc.contributor.authorSaraceno, Benedetto
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.date.accessioned2019-01-21T10:29:23Z
dc.date.available2019-01-21T10:29:23Z
dc.date.issued2016
dc.description.abstractBackground: Mozambique has gradually changed its action on mental health (MH) from an asylum-centric care with long-term hospitalization to an innovative approach to community and primary care. Objective: To collect essential information on Mozambique's MH system for decision making, to improve quality of services delivered, update MH Strategy and Action Plan. Method: The study used the WHO-AIMS to assess MH systems including policy and legislation, organization of services, MH in primary care, human resources, public education and link with other sectors, monitoring and research. A comparative analysis was conducted to present the evolution of relevant data from 2010 to 2014. Results: There are two psychiatric hospitals in the country and beds in general hospitals. In the period, the number of beds in general hospitals remained stable (203), and the beds in psychiatric hospitals increased from 173 to 298. Mental health outpatient facilities have increased from 83 to 152. The number of psychiatrists (9 in 2010, and 10 in 2014) remained very low, with a significant increase in the number of psychologists (56-109) and occupational therapists (2-23). The number of Psychiatric Technicians has increased from 66 in 2010, to 241 in 2014. This increase allowed the mental health network to expand from 60 to 135 Districts, meaning an increase of coverage from 44 to 100 % of the country districts. Conclusion: The task-shifting strategy focused on services delivered in primary care by psychiatric technicians, mid-level professionals, allowed the expansion of mental health services for all the country districts and the reduction of treatment gap in Mozambique.en
dc.description.affiliationMental Health Department, Center for Applied Psychology and Psychometric Tests, Ministry of Health, Rua de Nachingwea No 486, Maputo, Mozambique
dc.description.affiliationNew York State Psychiatric Institute, Columbia University, New York, USA
dc.description.affiliationLisbon Institute of Global Mental Health, Universidade Nova de Lisboa, Lisbon, Portugal
dc.description.affiliationLisbon Institute of Global Mental Health, Lisbon, Portugal
dc.description.affiliationDepartment of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
dc.description.affiliationUnifespDepartment of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipWHO
dc.description.sponsorshipMinistry of Health of Mozambique
dc.description.sponsorshipNIMH-Fogarty grant [D43TW009675]
dc.description.sponsorshipNew York State Psychiatric Institute-Columbia University Department of Psychiatry
dc.description.sponsorshipEduardo Mondlane University Medical School
dc.description.sponsorshipFederal University of Sao Paulo, Psychiatry Department
dc.description.sponsorshipIDNIMH-Fogarty: D43TW009675
dc.identifierhttps://doi.org/10.1186/s13033-015-0032-8
dc.identifier.citationInternational Journal Of Mental Health Systems. London, v. 10, 2016.
dc.identifier.doi10.1186/s13033-015-0032-8
dc.identifier.fileWOS000367428800001.pdf
dc.identifier.issn1752-4458
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/49198
dc.identifier.wosWOS:000367428800001
dc.language.isoeng
dc.publisherUniv Fed Minas Gerais, Fac Letras
dc.relation.ispartofInternational Journal Of Mental Health Systems
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMental Health Systemsen
dc.subjectLow Income Countriesen
dc.subjectTask-Shiftingen
dc.subjectMozambiqueen
dc.subjectPsychiatric Technicianen
dc.subjectPrimary Careen
dc.subjectScaling-Up ServicesMiddle-Income Countriesen
dc.subjectDisordersen
dc.subjectSettingsen
dc.titleOverview of the mental health system in mozambique: addressing the treatment gap with a task-shifting strategy in primary careen
dc.typeinfo:eu-repo/semantics/article
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