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Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia: challenges, needs and potential strategies

PETERSEN, Inge
et al
February 2017

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The aim of this study was to identify key governance issues that need to be addressed to facilitate the integration of mental health services into general health care in the six participating "Emerald" countries (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda).  The study adopted a descriptive qualitative approach, using framework analysis. Purposive sampling was used to recruit a range of key informants, to ensure views were elicited on all the governance issues within the expanded framework. Key informants across the six countries included policy makers at the national level in the Department/Ministry of Health; provincial coordinators and planners in primary health care and mental health; and district-level managers of primary and mental health care services. A total of 141 key informants were interviewed across the six countries. Data were transcribed (and where necessary, translated into English) and analysed thematically using framework analysis, first at the country level, then synthesised at a cross-country level.

Assessing fiscal policies from a human rights perspective

Center for Economic and Social Rights
July 2016

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"The study undertaken by the Center for Economic and Social Rights (CESR) and the Instituto Centroamericano de Estudios Fiscales (ICEFI) aimed to contribute to a broader reflection on the role of fiscal policy in complying with a state’s economic, social and cultural rights (ESCR) obligations. Despite being a middle-income country with the largest economy in Central America, Guatemala’s social indicators were alarming; with more than half the population living below the national poverty line and one in seven Guatemalans living in extreme poverty. The persistence of systemic inequality and discrimination could be partially explained by the legacy of almost 40 years of armed conflict, which did not end until the signing of the Peace Accords in 1996. Nevertheless, the stark contrasts between rich and poor suggested that the dismal state of ESC rights could not be attributed to limited state resources, but to the way in which they were distributed, this highlighted the need to hold the state accountable for its efforts to generate and manage resources equitably and in accordance with its human rights obligations.... Methodological case study on the use of available resources to realize economic, social and cultural rights in Guatemala

Report on the world social situation 2011 : the global social crisis

UNITED NATIONS Department of Economic and Social Affairs
2011

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"This report explores the on-going adverse social consequences of the crisis. The global economic downturn has had wide-ranging negative social outcomes for individuals, families, communities and societies, and its impact on social progress in areas such as education and health will only become fully evident over time" This report identifies the immediate and long-term social impacts of the current crisis and strongly underscores the need for inclusive social policies ”ST/ESA/334

Improving access and use of psychotropic medicines : mental health policy and service guidance package

FUNK, Michelle
et al
2005

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This module defines the respective roles of the public, private (for-profit) and NGO (not-for-profit) sectors in the financing and provision of psychotropic medicines. It identifies organizational arrangements in these sectors to meet the objectives of access. The guidance sets an agenda for capacity building and organizational development and provides guidance for prioritizing expenditure and making decisions on resource allocation
Note: This module is part of a guidance package that consists of a series of interrelated user-friendly modules that are designed to address the wide variety of needs and priorities in mental health policy development and service planning. Its recommended for use by policy makers, service planners representatives or associations of families and carers of people with mental disorders

Use of Cost-Effectiveness Analysis in Health-Care Resource Allocation Decision-Making: How Are Cost-Effectiveness Thresholds Expected to Emerge?

EICHLER, Hans-Georg
et al
September 2004

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An overview is presented of the use of cost-effectiveness analysis in healthcare resource allocation decision-making. Threshold figures (i.e. cost per unit of health gain) currently proposed for, or applied to, resource-allocation decisions are reviewed. Disability Adjusted Life-Years (DALY) are mentioned. A table of data provides a summary of cost-effectiveness thresholds and CE ratios in terms of either QALYs (quality-adjusted life-year) or  LYGs (life-year gained). Threshold figures and evolution of thresholds are discussed.

Road safety and health

WORLD HEALTH ASSEMBLY
2004

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This report from the World Health Assembly recognises that road traffic injuries are a public health problem and advocates for prevention initiatives on road safety and health. It highlights 13 recommendations for member states and eight requests to the Director-General. This paper is useful to those interested in road traffic injuries and road safety
World Health Assembly
Geneva, Switzerland
17-22 May 2004
WHA57.10

Introduction : safety as a human right

MOHAN, Dinesh
2003

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This article describes the right of people to live in a world safe from harmful injuries as a fundamental human right. It presents background information about the need for a right to safety, people’s right to safety and a discussion about different priorities for action. This article is useful for anyone interested in safety as a human right
Note: This article is an introduction to the ‘People’s Right to Safety’ round table discussion at the 6th World Conference on Injury Prevention and Control held in Montreal, Canada in May 2012
Health and Human Rights, Vol 6, No 2

Reshaping health care in Latin America : a comparative analysis of health care reform in Argentina, Brazil and Mexico

FLEURY, Sonia
BELMARTINO, Susana
BARIS, Enis
Eds
2000

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This book assesses the health care reforms of the past decade in Argentina, Brazil and Mexico. The authors are in agreement that reform in the governance, management and financing of the provision of health services was essential. However, they criticize the outcomes of the reform process not only for the anticipated exacerbation of social and economic inequalities, but also because of inattention paid to human resources as well as much-needed development of science and technology

Disability awareness in action : Fund-raising

FLETCHER, Agnes
1996

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Organisations of disabled people need to have the skills to know where to go for funds; manage money well; budget effectively; and have enough money to keep the organisation running smoothly throughout the financial year. This kit gives ideas about an organisation's funding strategy. The kit shows how to raise and use funds for the work of the organisation. It can also help in putting together a funding proposal

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