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TB and mental health integration: lessons from WHO feasibility pilots in Ghana, Kenya, and Pakistan
A C Sweetland1, J Galea2, I Parupudi1
1Columbia University/New York State Psychiatric Institute, New York, NY, USA.
Abstract:
TB and mental health integration is an essential element of people-centred care. To assess its feasibility, the WHO conducted demonstration pilots in Ghana, Kenya, and Pakistan. A four-phase implementation process was developed and implemented, with engagement of key stakeholders at the national and sub-national levels. Each country implemented a tailored approach. Ghana identified three facilities representing different levels of care. Kenya implemented in two counties with existing mental health infrastructure. Pakistan implemented across an entire district with sub-optimal TB outcomes. Across all sites, TB and mental health integration was recognised as essential and feasible to improve people-centred care.
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