Addressing mental and neurological disorders: Impact evaluation of ongoing projects to strengthen primary health-care : Report of the regional meeting of experts Dhaka, Bangladesh, -1-3 Dec 2011
AbstractThis regional meeting of experts on impact evaluation of the ongoing projects to strengthen the primary health-care system for mental health-care was convened by the WHO Regional Office for South-East Asia in collaboration with the WHO Country Office Bangladesh. Participants from eight SEAR Member States of the Region and five ASEAN countries attended the meeting. Recent developments in mental health have led to revised thinking about the delivery of care for mental and neurological disorders. One of the most important realizations has been that appropriate care for persons with mental and neurological disorders is best given in the community beyond the closed walls of psychiatric hospitals. This has lent a new dimension to approaches for care of patients with mental and neurological disorders. The strategy is to strengthen the existing primary health-care system with provision of essential medicines and with minimum investment in training. This strategy was piloted in Bangladesh, Bhutan, Thailand and Timor-Leste. The outcomes of the projects were assessed by measuring reduction in 'treatment gap'. The scope of the intervention to scale up the projects at national and cross-national levels were also evaluated in terms of acceptability and feasibility. The report details the impact of these projects and cites the challenges met, with recommendations for scaling up in countries where it has been piloted and for other countries to pilot these projects. This report will be ready reference for policy-makers and programme managers to develop country-specific projects for delivering care for mental and neurological disorders through the existing primary health-care system.
World Health Organization, Regional Office for South-East Asia. (2014). Addressing mental and neurological disorders: Impact evaluation of ongoing projects to strengthen primary health-care : Report of the regional meeting of experts Dhaka, Bangladesh, -1-3 Dec 2011. WHO Regional Office for South-East Asia. http://www.who.int/iris/handle/10665/204744