Department of Mental Health, Ministry of Health, Dar es Salaam, United Republic of Tanzania.
Psychiatr Serv. 2010 Oct;61(10):1028-31. doi: 10.1176/ps.2010.61.10.1028.
Although most donor and development agency attention is focused on communicable diseases in mainland Tanzania, the importance of noncommunicable diseases, including mental illness, is increasingly apparent.
This report describes a ten-year collaborative project (1999-2009) to meet these challenges through a sustainable mental health policy introduced across Tanzania. The country used an integrated approach, combining situation appraisal, integrated mental health policy and planning, mechanisms for sustainable implementation with largely local resources integrated into local systems, and monitoring to fine-tune the implementation.
The project led to inclusion of mental health in relevant health policy instruments, treatment at the primary care level, stronger referral and intersectoral coordination, and a focus on rehabilitation and public education.
Although much remains to be done, Tanzania's commitment to mental health is now sustainedly embedded within its policies, national and local budgets, and training activities.
尽管大多数捐赠者和发展机构的注意力都集中在坦桑尼亚大陆的传染病上，但包括精神疾病在内的非传染性疾病的重要性日益明显。
本报告描述了一个为期十年的合作项目（1999-2009 年），通过在坦桑尼亚引入可持续的精神卫生政策来应对这些挑战。该国采用了综合方法，结合了情况评估、综合精神卫生政策和规划、可持续实施的机制，主要是利用当地资源纳入当地系统，并进行监测以微调实施情况。
该项目促使精神卫生纳入相关卫生政策工具，在初级保健层面提供治疗，加强转诊和部门间协调，并注重康复和公众教育。
尽管仍有许多工作要做，但坦桑尼亚对精神卫生的承诺现在已持续纳入其政策、国家和地方预算以及培训活动中。
