• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
Cooperare per la salute - Mezzina - Parte 2
 

Cooperare per la salute - Mezzina - Parte 2

on

  • 355 views

 

Statistics

Views

Total Views
355
Views on SlideShare
312
Embed Views
43

Actions

Likes
0
Downloads
0
Comments
0

1 Embed 43

http://www.welfare.fvg.it 43

Accessibility

Categories

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Cooperare per la salute - Mezzina - Parte 2 Cooperare per la salute - Mezzina - Parte 2 Presentation Transcript

    • WHOs Mental Health Programme: Continuing Challenges Department of Mental Health and Substance Abuse World Health Organization Geneva1|
    • Disease Burden (DALYs) Maternal conditions Perinatal conditions Nutritional deficiencies Respiratory infections Malaria Other NCDs Childhood diseases Malignant neoplasms Diabetes Diarrhoeal diseases HIV/AIDS Neuropsychiatric disorders Tuberculosis Other CD causes Sense organ disorders Cardiovascular diseases Injuries Congenital abnormalities Respiratory diseases Digestive diseases Musculoskeletal diseases Diseases of the genitourinary system Source: WHR 20022|
    • Leading Causes of Mortality and Burden of Disease world, 2004 Mortality DALYs % %1.  Ischaemic heart disease 12.2 1.  Lower respiratory infections 6.22.  Cerebrovascular disease 9.7 2.  Diarrhoeal diseases 4.83.  Lower respiratory infections 7.1 3.  Depression 4.34.  COPD 5.1 4.  Ischaemic heart disease 4.15.  Diarrhoeal diseases 3.7 5.  HIV/AIDS 3.86.  HIV/AIDS 3.5 6.  Cerebrovascular disease 3.17.  Tuberculosis 2.5 7.  Prematurity, low birth weight 2.98.  Trachea, bronchus, lung cancers 2.3 8.  Birth asphyxia, birth trauma 2.79.  Road traffic accidents 2.2 9.  Road traffic accidents 2.710.  Prematurity, low birth weight 2.0 10.  Neonatal infections and other 2.7 3|
    • Leading causes of disease burden for women aged 15–44 years, high-income countries, and low- and middle-income countries, 20044|
    • 2030 rankings: The leading causes of DALYs lost World 1 HIV/AIDS 2 Depression 3 Ischaemic heart dis. High-income countries 1 Depression 2 Ischaemic heart disease 3 Alzheimer Middle-income countries 1 HIV/AIDS 2 Depression 3 Cerebrovascular Low-income countries 1 HIV/AIDS 2 Perinatal 3 Depression5|
    • Scarcity Human Resources (N=157 to 183 countries)6|
    • Burden versus Budget7|
    • Gap in treatment: Serious cases receiving no treatment during the last 12 months 90 80 85% 70 76% 60 50 50% 40 30 35% 20 10 0 Lower range Upper range Lower range Upper range Developed countries Developing countries(WHO World Mental Health Consortium, JAMA, June 2nd 2004) 8|
    • THE BURDEN OF MENTAL DISORDERS: Treatment gap for Schizophrenia and Mood Disorders Treatment Treatment Gap Gap 69% 98% COVERAGE COVERAGE 9|
    • INEFFICIENT USE OF RESOURCES: High concentration of resources in mental hospitals10 |
    •   Provide treatment in   Establish national policies, primary care programmes and legislation   Make psychotropic drugs   Develop human resources available   Link with other sectors   Give care in the community   Monitor community mental   Educate the public health   Involve communities,   Support more research families and consumers11 |
    • Impact of WHR-2001Awareness +++Understanding ++Action +12 |
    • Additional yearly investment on the package that will be needed per capita population to get from current to target coverage levels (2006-2015)13 |
    • mhGAP mental health Gap Action ProgrammeScaling up care for mental, neurological and substance use disorders 14 |
    • Mental Health Services (WHO, 2003) HIGH LOW Specialist Services FREQUENCY OF NEEDCOST Psychiatric Community Services in Mental General Health Hospitals Services Mental Health Services through PHC INFORMAL COMMUNITY CARE LOW HIGH SELF CARE 15 |
    • mhGAP: Scaling Up Care Objectives – To achieve significantly higher coverage with key interventions for priority MNS conditions in resource-poor countries16 |
    • 17 |
    • 18 |
    • 19 |
    • 20 |
    • 21 |
    • 22 |
    • WHO QualityRights Improving quality and human rights in facilities and promoting a civil society movement  Assessment of facilities  Development of a change plan  Capacity building on human rights issues23 |
    • How can WHO Collaborative Centres help? Advocacy Demonstrating that community based models work Developing guidelines and manuals Publishing scientific evidence on effectiveness and cost Training professionals from other countries24 |