Integrating mental health into primary health care in Zambia: a care provider's perspective

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dc.contributor.authorMwape, Loniaen_ZA
dc.contributor.authorSikwese, Aliceen_ZA
dc.contributor.authorKapungwe, Augustusen_ZA
dc.contributor.authorMwanza, Jasonen_ZA
dc.contributor.authorFlisher, Alanen_ZA
dc.contributor.authorLund, Cricken_ZA
dc.contributor.authorCooper, Saraen_ZA
dc.date.accessioned2015-10-30T09:35:54Z
dc.date.available2015-10-30T09:35:54Z
dc.date.issued2010en_ZA
dc.description.abstractBACKGROUND:Despite the 1991 reforms of the health system in Zambia, mental health is still given low priority. This is evident from the fragmented manner in which mental health services are provided in the country and the limited budget allocations, with mental health services receiving 0.4% of the total health budget. Most of the mental health services provided are curative in nature and based in tertiary health institutions. At primary health care level, there is either absence of, or fragmented health services.AIMS:The aim of this paper was to explore health providers' views about mental health integration into primary health care. METHODS: A mixed methods, structured survey was conducted of 111 health service providers in primary health care centres, drawn from one urban setting (Lusaka) and one rural setting (Mumbwa). RESULTS: There is strong support for integrating mental health into primary health care from care providers, as a way of facilitating early detection and intervention for mental health problems. Participants believed that this would contribute to the reduction of stigma and the promotion of human rights for people with mental health problems. However, health providers felt they require basic training in order to enhance their knowledge and skills in providing health care to people with mental health problems.RECOMMENDATIONS:It is recommended that health care providers should be provided with basic training in mental health in order to enhance their knowledge and skills to enable them provide mental health care to patients seeking help at primary health care level. CONCLUSION: Integrating mental health services into primary health care is critical to improving and promoting the mental health of the population in Zambia.en_ZA
dc.identifier.apacitationMwape, L., Sikwese, A., Kapungwe, A., Mwanza, J., Flisher, A., Lund, C., & Cooper, S. (2010). Integrating mental health into primary health care in Zambia: a care provider's perspective. <i>International Journal of Mental Health Systems</i>, http://hdl.handle.net/11427/14541en_ZA
dc.identifier.chicagocitationMwape, Lonia, Alice Sikwese, Augustus Kapungwe, Jason Mwanza, Alan Flisher, Crick Lund, and Sara Cooper "Integrating mental health into primary health care in Zambia: a care provider's perspective." <i>International Journal of Mental Health Systems</i> (2010) http://hdl.handle.net/11427/14541en_ZA
dc.identifier.citationMwape, L., Sikwese, A., Kapungwe, A., Mwanza, J., Flisher, A., Lund, C., & Cooper, S. (2010). Integrating mental health into primary health care in Zambia: a care provider's perspective. International journal of mental health systems, 4(1), 21.en_ZA
dc.identifier.ris TY - Journal Article AU - Mwape, Lonia AU - Sikwese, Alice AU - Kapungwe, Augustus AU - Mwanza, Jason AU - Flisher, Alan AU - Lund, Crick AU - Cooper, Sara AB - BACKGROUND:Despite the 1991 reforms of the health system in Zambia, mental health is still given low priority. This is evident from the fragmented manner in which mental health services are provided in the country and the limited budget allocations, with mental health services receiving 0.4% of the total health budget. Most of the mental health services provided are curative in nature and based in tertiary health institutions. At primary health care level, there is either absence of, or fragmented health services.AIMS:The aim of this paper was to explore health providers' views about mental health integration into primary health care. METHODS: A mixed methods, structured survey was conducted of 111 health service providers in primary health care centres, drawn from one urban setting (Lusaka) and one rural setting (Mumbwa). RESULTS: There is strong support for integrating mental health into primary health care from care providers, as a way of facilitating early detection and intervention for mental health problems. Participants believed that this would contribute to the reduction of stigma and the promotion of human rights for people with mental health problems. However, health providers felt they require basic training in order to enhance their knowledge and skills in providing health care to people with mental health problems.RECOMMENDATIONS:It is recommended that health care providers should be provided with basic training in mental health in order to enhance their knowledge and skills to enable them provide mental health care to patients seeking help at primary health care level. CONCLUSION: Integrating mental health services into primary health care is critical to improving and promoting the mental health of the population in Zambia. DA - 2010 DB - OpenUCT DO - 10.1186/1752-4458-4-21 DP - University of Cape Town J1 - International Journal of Mental Health Systems LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - Integrating mental health into primary health care in Zambia: a care provider's perspective TI - Integrating mental health into primary health care in Zambia: a care provider's perspective UR - http://hdl.handle.net/11427/14541 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14541
dc.identifier.urihttp://dx.doi.org/10.1186/1752-4458-4-21
dc.identifier.vancouvercitationMwape L, Sikwese A, Kapungwe A, Mwanza J, Flisher A, Lund C, et al. Integrating mental health into primary health care in Zambia: a care provider's perspective. International Journal of Mental Health Systems. 2010; http://hdl.handle.net/11427/14541.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2010 Mwape et al; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceInternational Journal of Mental Health Systemsen_ZA
dc.source.urihttp://www.ijmhs.com/en_ZA
dc.subject.otherMental Healthen_ZA
dc.subject.otherPrimary Health Careen_ZA
dc.subject.otherZambiaen_ZA
dc.titleIntegrating mental health into primary health care in Zambia: a care provider's perspectiveen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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