Butabika National Referral and Teaching Mental Hospital, Kampala, Uganda.
Int J Ment Health Syst. 2010 Jan 20;4(1):1. doi: 10.1186/1752-4458-4-1.
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.
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.
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 The mental health legislation is however outdated and offensive.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.
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.
乌干达政府认识到心理健康是一个严重的公共卫生和发展问题，并最近实施了一些旨在加强国家精神卫生系统的改革。本研究旨在介绍乌干达当前的精神卫生政策、立法和服务情况。
2005 年，使用世界卫生组织精神卫生系统评估工具（WHO-AIMS）版本 2.2 对乌干达公共部门精神卫生政策和立法以及服务资源和利用情况进行了调查。
乌干达的精神卫生政策草案包含了许多积极的改革，包括精神卫生服务的权力下放和纳入初级卫生保健。然而，精神卫生立法已经过时且具有冒犯性。服务仍然严重资金不足（精神卫生支出仅占卫生总支出的 1%），并且偏向城市地区。每 10 万人中，精神病院有 1.83 张床位，社区精神科住院单位有 1.4 张床位，法医设施有 0.42 张床位。在精神卫生机构工作的总人数为 310 人（每 10 万人中有 1.13 人）。只有 0.8%的医生和 4%的护士专门从事精神病学。
尽管乌干达的精神卫生政策和服务取得了重要进展，但仍存在许多不足之处，特别是在资源和服务提供方面。迫切需要对乌干达当前精神障碍负担以及精神卫生计划和服务的运作情况进行更多研究。
