Florence Baingana

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Mental disorders constitute a huge global burden of disease, and there is a large treatment gap, particularly in low-income and middle-income countries. One response to this issue has been the call to scale up mental health services. We assess progress in scaling up such services worldwide using a systematic review of literature and a survey of key national(More)
This is the fourth paper in our series of four articles on mental health and the global development agenda. The first paper addressed core conceptual issues in mental health, the second addressed social and economic challenges to getting mental health on the global agenda, the third addressed international and national policy challenges to developing and(More)
The research agenda for global mental health and substance-use disorders has been largely driven by the exigencies of high health burdens and associated unmet needs in low- and middle-income countries. Implementation research focused on context-driven adaptation and innovation in service delivery has begun to yield promising results that are improving the(More)
This article synthesizes the views of participants in two roundtables that were convened in Nairobi (March 2007) and London (July 2008) to identify key challenges to the prioritization of mental health in Africa and possible solutions. Participants included leading development experts and policy makers from head and country offices of international donors,(More)
This article describes the construction and use of a systematic structured method of mental health country situation appraisal, in order to help meet the need for conceptual tools to assist planners and policy makers develop and audit policy and implementation strategies. The tool encompasses the key domains of context, needs, resources, provisions and(More)
The World Health Organization (WHO) Ebola Response Roadmap declared that the affected West African countries of Guinea, Liberia, and Sierra Leone are “struggling to control the escalating outbreak” because of limited health system capacity and “rampant fear.”1 The WHO director-general subsequently described how fear behaviors have propelled Ebola virus(More)
Complex humanitarian emergencies, whether arising from armed con£ict or natural disaster, challenge the mental health system of a country in many ways. Not least because they increase the risk ofmental disorder in the population, and undermine the pre-existing structures of care.They may, however, also bring new opportunities to create change. In this way,(More)
Mental disorders are a major and rising cause of disease burden in all countries. Even when resources are available, many countries do not have the policy and planning frameworks in place to identify and deliver effective interventions. The World Health Organization (WHO) and the World Bank have emphasized the need for ready access to the basic tools for(More)