Ae-Ngibise Kenneth A, Sakyi L, Adwan-Kamara L, Cooper T D, Weobong B, Lund C
Ghana Somubi Dwumadie (Ghana Participation Programme), PMB 6 Asoyi Crescent, East Legon, Accra, Ghana.
Kintampo Health Research Centre, Research and Development Division, Ghana Health Service, Kintampo North Municipality, Bono East Region, Kintampo, Ghana.
Community Ment Health J. 2025 Apr;61(3):509-522. doi: 10.1007/s10597-024-01357-5. Epub 2024 Sep 27.
In Ghana, a severe mental healthcare gap of 95-98% exists due to limited services. Ghana Somubi Dwumadie set out to address this by developing district mental healthcare plans (DMHPs) in three demonstration districts. Following the Programme for Improving Mental Healthcare model, district mental health operations teams were formed and used Theory of Change (ToC) to develop DMHPs. Key elements included training non-specialist health workers and enrolling individuals in relevant healthcare programmes. Evaluation methods included routine data, health facility surveys, and qualitative analysis within the ToC framework. Results showed improved integration of mental health services, enhanced case management through training, and increased service utilisation, shown through 691 service user enrollments. However, there was limited commitment of new resources and no significant improvement in primary care workers' capacity to detect priority mental health conditions. The study concludes that DMHPs, implemented with an integrated approach, can improve mental health service utilisation, contingent on committed leadership, resource availability, and stakeholder engagement.
在加纳，由于服务有限，存在着95%至98%的严重精神卫生保健缺口。加纳索穆比·杜马迪着手通过在三个示范地区制定地区精神卫生保健计划（DMHP）来解决这一问题。遵循改善精神卫生保健模式计划，组建了地区精神卫生行动小组，并运用变革理论（ToC）来制定地区精神卫生保健计划。关键要素包括培训非专科卫生工作者以及让个人加入相关的卫生保健项目。评估方法包括常规数据、卫生设施调查以及在变革理论框架内进行定性分析。结果显示精神卫生服务的整合得到改善，通过培训加强了病例管理，服务利用率提高，有691名服务使用者登记入册。然而，新资源的投入有限，基层医疗工作者识别重点精神卫生状况的能力没有显著提高。该研究得出结论，以综合方式实施的地区精神卫生保健计划能够提高精神卫生服务利用率，但这取决于坚定的领导、资源可用性以及利益相关者的参与。
