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In-depth: Can CHWs help expand access to mental health services in SA?
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Can community health workers help expand access to ment
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Overview
AFFIRM is a hub for research and capacity development to improve the delivery of cost effective interventions for mental disorders in sub-Saharan Africa. There is growing international consensus that a task shifting approach is required in LMICs in which low-cost interventions are delivered by general health workers, supervised by mental health specialists, through routine health care delivery systems. At the same time, mental health research capacity and infrastructure in Africa are extremely limited, with little dedicated funding, a scarcity of trained mental health research personnel, a dearth of infrastructural support, and few opportunities for training and supervision in mental health research. Through collaborations in five African countries: South Africa, Ghana, Uganda, Zimbabwe, Malawi and Ethiopia, AFFIRM aims to 1) investigate strategies for narrowing the mental health treatment gap in sub-Saharan Africa; 2) build individual and institutional capacity for interve
The impact of cash transfers on mental health in children and young people in low-income and middle-income countries: a systematic review and meta-analysis
Format
Correspondence to Dr Annie Zimmerman; annie.zimmerman@kcl.ac.uk
Abstract
Introduction Although cash transfer programmes are not explicitly designed to improve mental health, by reducing poverty and improving the life chances of children and young people, they may also improve their mental health. This systematic review and meta-analysis assessed the evidence on the effectiveness of cash transfers to improve the mental health of children and young people in low-income and middle-income countries.
Methods We searched Pubmed, EBSCOhost, Scientific Electronic Library Online, ISI Web of Science and Social Sciences Citation Index and grey literature (from January 2000 to July 2020) for studies which quantitatively assessed the impact of cash transfers on mental health in young people (aged 0–24 years), using a design that
OPINION
The global economy has been devastated by the COVID-19 pandemic. In Africa it has led to significant contraction of national economies, and more people living in poverty. The journey to recovery will be a long and difficult one for African economies and will be strongly dependent on the resilience and productivity of the workforce. There is increasing global evidence that productivity in the workplace is profoundly influenced by mental health.
Lancet Commission on Global Mental Health and Sustainable Development defines mental health as, “The capacity of thought, emotion, and behaviour that enables every individual to realise their own potential in relation to their developmental stage, to cope with the normal stresses of life, to study or work productively and fruitfully, and to contribute to their community”.
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