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Mental health services funding and development in KwaZulu-Natal: A tale of inequity and neglect

BURNS, Jonathan K

SAMJ: South African Medical Journal, 2010-10, Vol.100 (10), p.662-666 [Periódico revisado por pares]

Rondebosch: Health and Medical Publishing Group

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Título:
Mental health services funding and development in KwaZulu-Natal: A tale of inequity and neglect
Autor: BURNS, Jonathan K
Assuntos: Biological and medical sciences ; Budgets ; General aspects ; Government finance ; Health Care Sciences & Services ; Health Policy & Services ; Hospital Bed Capacity ; Hospitals, Public - economics ; Hospitals, Public - standards ; Human rights ; Interpretation and construction ; Laws, regulations and rules ; Medical Ethics ; Medical sciences ; Medicine, General & Internal ; Medicine, Legal ; Medicine, Research & Experimental ; Mental health law ; Mental Health Services - economics ; Mental Health Services - manpower ; Mental Health Services - standards ; Psychiatric services ; Psychiatry - manpower ; Social aspects ; South Africa
É parte de: SAMJ: South African Medical Journal, 2010-10, Vol.100 (10), p.662-666
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Globally, a significant 'mental health gap' exists between the major burden of mental and substance use disorders and the provision of psychiatric and mental health services. As a signatory to the UN Convention on the Rights of Persons with Disabilities, South Africa has committed itself to transformation aimed at ending the inequities that characterise mental health service provision and 'closing the gap'. Budget allocations over a 5-year period to 6 psychiatric and 7 general hospitals in KwaZulu-Natal (KZN) are compared and current numbers of psychiatric beds and psychiatric personnel in that province are contrasted with the numbers required to comply with national norms. The mean increase in budget allocations to public psychiatric hospitals was 3.8% per annum, while that to general hospitals over the same period was 10.2% per annum. The median cumulative budget increase for psychiatric hospitals was significantly lower than that of general hospitals (Mann-Whitney U-test, p=0.001). No psychiatric hospitals received specific funding for tertiary services development. KZN has 25% of the acute psychiatric beds and 25% of the psychiatrists required to comply with national norms, with the most serious shortages experienced in northern KZN. There are 0.38 psychiatrists per 100 000 population in KZN. Inequitable funding, inadequate facilities and significant shortages of mental health professionals pervade the mental health and psychiatric services in KZN. There is little evidence of government abiding by its public commitments to redress the inequities that characterise mental health services.
Editor: Rondebosch: Health and Medical Publishing Group
Idioma: Inglês;Português

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Mental health services funding and development in KwaZulu-Natal: A tale of inequity and neglect

BURNS, Jonathan K

Rondebosch: Health and Medical Publishing Group

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