加纳三个地区的精神卫生保健计划的制定和实施:使用变化理论进行混合方法过程评估
Kenneth A Ae-Ngibise1,2, L Sakyi3, L Adwan-Kamara3
1Ghana Somubi Dwumadie (Ghana Participation Programme), PMB 6 Asoyi Crescent, East Legon, Accra, Ghana. kenneth.ae-ngibise@kintampo-hrc.org.
加纳Somubi Dwumadie开发了地区精神卫生保健计划 (DMHPs) 来解决95%的服务差距. 精神卫生保健医院改善了服务利用率,但需要领导和资源来持续影响精神卫生保健.
科学领域:
- 全球心理健康全球心理健康
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 加纳面临着严重的心理健康护理差距,95-98%的个人无法获得服务.
- 心理健康服务的有限可用性需要创新的方法来改善护理整合和可访问性.
研究的目的:
- 在加纳三个地区实施和评估区精神卫生保健计划 (DMHPs).
- 评估"改善精神卫生保健计划"模式在加强精神卫生服务提供方面的有效性.
主要方法:
- 形成地区心理健康运营小组,使用变化理论 (ToC) 开发DMHP.
- 培训非专业卫生工作者,并将个人纳入医疗保健计划.
- 通过 ToC 框架内的常规数据,设施调查和定性分析进行评估.
主要成果:
- 改善精神卫生服务与初级保健的整合.
- 通过培训加强了案例管理,导致691名服务用户注册.
- 新资源承诺有限,初级保健工作者检测能力没有显著改善.
结论:
- 区精神卫生保健计划 (DMHPs) 可以提高精神卫生服务的利用率,当采用综合方法实施时.
- 持续的改进取决于承诺的领导力,资源的可用性和利益相关者的参与.
- 需要进一步的研究来提高初级保健能力,以检测心理健康状况.
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