文章基本信息

标题：The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa
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作者：Pamela Y. Collins ; Seggane Musisi ; Seble Frehywot 等
期刊名称：Global Health Action
印刷版ISSN：1654-9716
电子版ISSN：1654-9880
出版年度：2015
卷号：8
期号：0
DOI：10.3402/gha.v8.26682
语种：English
出版社：Taylor & Francis
摘要：The 2010 Global Burden of Disease Study points to a changing landscape in which non-communicable diseases, such as mental, neurological, and substance use (MNS) disorders, account for an increasing proportion of premature mortality and disability globally. Despite evidence of the need for care, a remarkable deficit of providers for MNS disorder service delivery persists in sub-Saharan Africa. This critical workforce can be developed from a range of non-specialist and specialist health workers who have access to evidence-based interventions, whose roles, and the associated tasks, are articulated and clearly delineated, and who are equipped to master and maintain the competencies associated with providing MNS disorder care. In 2012, the Neuroscience Forum of the Institute of Medicine convened a meeting of key stakeholders in Kampala, Uganda, to discuss a set of candidate core competencies for the delivery of mental health and neurological care, focusing specifically on depression, psychosis, epilepsy, and alcohol use disorders. This article discusses the candidate core competencies for non-specialist health workers and the complexities of implementing core competencies in low- and middle-income country settings. Sub-Saharan Africa, however, has the potential to implement novel training initiatives through university networks and through structured processes that engage ministries of health. Finally, we outline challenges associated with implementing competencies in order to sustain a workforce capable of delivering quality services for people with MNS disorders.Keywords: mental health care; neurology; core competencies; human resources; task sharing; capacity-building; Africa(Published: 16 March 2015)Citation: Glob Health Action 2015, 8: 26682 - http://dx.doi.org/10.3402/gha.v8.26682
关键词：Global Health; Health Systems;mental health care; neurology; core competencies; human resources; task sharing; capacity-building; Africa;RA790-790.95