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Maling mental health in resource limited settings

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Maling mental health in resource limited settings

  1. 1. Global Mental Health: Implications for resource limited settings<br />Samuel Maling<br />Department of Psychiatry<br />Mbarara University<br />
  2. 2. Introduction<br />
  3. 3. World Map: Land Area<br />World Map: population<br />
  4. 4. Nurses <br />Working<br />Physicians <br />working<br />
  5. 5. Poverty <br />
  6. 6. About 14% of the Global burden of disease has been attributed to neuropsychiatric disorders<br />Developing countries tend to place much emphasis on communicable diseases<br />Mental illness are the most neglected of the neglected diseases<br />
  7. 7. “Global health is “an area for study, research and practice that places a priority on improving health and achieving equity in health for all people worldwide.”<br />Global mental health is the application of these principles to the domain of mental ill health.<br />
  8. 8. Global inequity<br /> Low- and middle-income countries are home to more than 80% of the global population but command less than 20% of the share of the mental health resources. <br />
  9. 9. Resource Limited settings<br />Where materials, personnel, facilities, funds, and anything else that can be used for providing mental health care and services is scarce or not available<br />Policy<br />Infrastructure within countries<br />Mental health services<br />Community resources <br />Human resources <br />
  10. 10. Inequity within a limited resource setting<br />Health expenditure towards mental health <br />Mental health expenditure towards mental hospital<br />
  11. 11. Human resources for mental health in each income group of countries per 100 000 population<br />
  12. 12. Human resources for mental health in Uganda (Per 100,000 population)<br />
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  18. 18. Global evidence for clinical treatments<br />Less than 1% of Clinical trials are from low-income countries and 10% of trials are from low-income and middle-income countries. <br />
  19. 19. MDGs or ‘GMHDGs’? <br />
  20. 20. Core indicators<br />
  21. 21. Secondary indicators<br />
  22. 22. 1970’s<br />Mental health units in large Regional Referral Hospitals (out-patient and in-patient services offered)<br />