Original Research

Service transformation plans in the Eastern Cape informed by a needs-based gap analysis

Kiran Sukeri, Orlando Alonso-Betancourt, Robin Emsley
South African Journal of Psychiatry | Vol 21, No 2 | a823 | DOI: https://doi.org/10.4102/sajpsychiatry.v21i2.823 | © 2015 Kiran Sukeri, Orlando Alonso-Betancourt, Robin Emsley | This work is licensed under CC Attribution 4.0
Submitted: 22 April 2015 | Published: 01 May 2015

About the author(s)

Kiran Sukeri, Department of Psychiatry, Faculty of Medicine and Health Sciences, Walter Sisulu University, Mthatha, South Africa
Orlando Alonso-Betancourt, Department of Psychiatry, Faculty of Medicine and Health Sciences, Walter Sisulu University, Mthatha, South Africa
Robin Emsley, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, Cape Town, South Africa


Share this article

Bookmark and Share

Abstract

Objectives. Part I of this research paper presented a needs and gap analysis for the management of schizophrenia, bipolar mood disorder and major depression for the Eastern Cape Province, South Africa. It identified deficits and inequitable distribution of human resources and beds in the province. In this article, Part II, the authors propose a plan for public sector mental health services to address the human resource needs in the poorer eastern regions of the province. The plan focuses on human resource training and development. 

Methods. Evidence-based data on staff development in mental health from low-middle income countries were utilised to develop strategies to increase staff capacity to address unmet need. A financing model with a poverty index was developed to sustain a needs-based plan. Databases searched included Pubmed, Medline, Google and Google Scholar. The key words used included: mental health, mental health training, mental health resources, mental health in low-middle-income countries, mental health policy and plans, mental health needs- based planning, primary healthcare, primary mental healthcare, mental health financing. In addition the websites of the World Health Organization and the World Psychiatric Association were searched for similar resources.

Conclusions. It is feasible, with careful attention to planning and implementation of evidence-based tools, to improve public mental health service delivery in this province. Sustained political will and professional commitment will ensure successful delivery of mental health services in a resource-limited province.


Keywords

No related keywords in the metadata.

Metrics

Total abstract views: 666
Total article views: 299


Crossref Citations

No related citations found.