RESUMO
In Uganda, low resources for mental health provision combine with disadvantage and inadequate supports for family and community-based care. Catalysed by the need to reduce overcrowded psychiatric hospital wards and frequent readmissions at Butabika National Referral Mental Hospital (BNRMH) in Kampala, the nongovernment organisation YouBelong Uganda (YBU) developed the YouBelong Home (YBH) intervention. YBH is a theoretically eclectic pre and post hospital discharge intervention. This paper reports on qualitative findings of the project Curtailing Hospital Readmissions for Patients with Severe Mental Illness in Africa (CHaRISMA), which explored how to refine the YBH intervention. The project was funded by a UK Joint Global Health Trials (JGHT) Development Grant. Data was collected through structured interviews with service users and caregivers, reflective practice by the YBH implementing team and a stakeholder focus group. A summary of refinements to the YBH intervention follows the TIDieR format (Template for Intervention Description and Replication).
Assuntos
Serviços Comunitários de Saúde Mental , Serviços de Assistência Domiciliar , Uganda , Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Grupos Focais , Entrevistas como Assunto , Cuidadores , Participação dos Interessados , Alta do PacienteRESUMO
The Primary Health Care Programme in Ghana over the years has made several efforts to get communities to be actively involved in the health care programmes. These efforts; however; have not succeeded in mobilizing communities to effectively participate in health programmes. Weak community involvement for instance; has been identified as a major impediment to Traditional Birth Attendant programmes and other health related programmes. There is the urgent need to address this issue especially if health for all by the year 2000 is to be achieved
