An overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS)

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dc.contributor.authorKigozi, Freden_ZA
dc.contributor.authorSsebunnya, Joshuaen_ZA
dc.contributor.authorKizza, Dorothyen_ZA
dc.contributor.authorCooper, Saraen_ZA
dc.contributor.authorNdyanabangi, Sheilaen_ZA
dc.contributor.authorMental Health and Poverty Projecten_ZA
dc.date.accessioned2015-11-11T12:03:29Z
dc.date.available2015-11-11T12:03:29Z
dc.date.issued2010en_ZA
dc.description.abstractBACKGROUND: The Ugandan government recognizes mental health as a serious public health and development concern, and has of recent implemented a number of reforms aimed at strengthening the country's mental health system. The aim of this study was to provide a profile of the current mental health policy, legislation and services in Uganda. METHODS: A survey was conducted of public sector mental health policy and legislation, and service resources and utilisation in Uganda, in the year 2005, using the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS) Version 2.2. RESULTS: Uganda's draft mental health policy encompasses many positive reforms, including decentralization and integration of mental health services into Primary Health Care (PHC). The mental health legislation is however outdated and offensive. Services are still significantly underfunded (with only 1% of the health expenditure going to mental health), and skewed towards urban areas. Per 100,000 population, there were 1.83 beds in mental hospitals, 1.4 beds in community based psychiatric inpatient units, and 0.42 beds in forensic facilities. The total personnel working in mental health facilities were 310 (1.13 per 100,000 population). Only 0.8% of the medical doctors and 4% of the nurses had specialized in psychiatry. CONCLUSION: Although there have been important developments in Uganda's mental health policy and services, there remains a number of shortcomings, especially in terms of resources and service delivery. There is an urgent need for more research on the current burden of mental disorders and the functioning of mental health programs and services in Uganda.en_ZA
dc.identifier.apacitationKigozi, F., Ssebunnya, J., Kizza, D., Cooper, S., Ndyanabangi, S., & (2010). An overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS). <i>International Journal of Mental Health Systems</i>, http://hdl.handle.net/11427/14901en_ZA
dc.identifier.chicagocitationKigozi, Fred, Joshua Ssebunnya, Dorothy Kizza, Sara Cooper, Sheila Ndyanabangi, and "An overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS)." <i>International Journal of Mental Health Systems</i> (2010) http://hdl.handle.net/11427/14901en_ZA
dc.identifier.citationKigozi, F., Ssebunnya, J., Kizza, D., Cooper, S., & Ndyanabangi, S. (2010). An overview of UgandaLs mental health care system: results from an assessment using the world health organizationLs assessment instrument for mental health systems (WHO-AIMS). Int j ment health Syst, 4(1), 1.en_ZA
dc.identifier.ris TY - Journal Article AU - Kigozi, Fred AU - Ssebunnya, Joshua AU - Kizza, Dorothy AU - Cooper, Sara AU - Ndyanabangi, Sheila AU - Mental Health and Poverty Project AB - BACKGROUND: The Ugandan government recognizes mental health as a serious public health and development concern, and has of recent implemented a number of reforms aimed at strengthening the country's mental health system. The aim of this study was to provide a profile of the current mental health policy, legislation and services in Uganda. METHODS: A survey was conducted of public sector mental health policy and legislation, and service resources and utilisation in Uganda, in the year 2005, using the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS) Version 2.2. RESULTS: Uganda's draft mental health policy encompasses many positive reforms, including decentralization and integration of mental health services into Primary Health Care (PHC). The mental health legislation is however outdated and offensive. Services are still significantly underfunded (with only 1% of the health expenditure going to mental health), and skewed towards urban areas. Per 100,000 population, there were 1.83 beds in mental hospitals, 1.4 beds in community based psychiatric inpatient units, and 0.42 beds in forensic facilities. The total personnel working in mental health facilities were 310 (1.13 per 100,000 population). Only 0.8% of the medical doctors and 4% of the nurses had specialized in psychiatry. CONCLUSION: Although there have been important developments in Uganda's mental health policy and services, there remains a number of shortcomings, especially in terms of resources and service delivery. There is an urgent need for more research on the current burden of mental disorders and the functioning of mental health programs and services in Uganda. DA - 2010 DB - OpenUCT DO - 10.1186/1752-4458-4-1 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 - An overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS) TI - An overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS) UR - http://hdl.handle.net/11427/14901 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14901
dc.identifier.urihttp://dx.doi.org/10.1186/1752-4458-4-1
dc.identifier.vancouvercitationKigozi F, Ssebunnya J, Kizza D, Cooper S, Ndyanabangi S, . An overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS). International Journal of Mental Health Systems. 2010; http://hdl.handle.net/11427/14901.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 Kigozi 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 health facilitiesen_ZA
dc.subject.otherMental health policiesen_ZA
dc.subject.otherUgandaen_ZA
dc.titleAn overview of Uganda's mental health care system: results from an assessment using the world health organization's assessment instrument for mental health systems (WHO-AIMS)en_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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