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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Closing the mental health treatment gap in South Africa: A review of costs and cost-effectiveness
Global Health Action, Volume 7, No. SUPP.1, Article 23431, Year 2014
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Description
Background: Nearly one in three South Africans will suffer from a mental disorder in his or her lifetime, a higher prevalence than many low- and middle-income countries. Understanding the economic costs and consequences of prevention and packages of care is essential, particularly as South Africa considers scalingup mental health services and works towards universal health coverage. Economic evaluations can inform how priorities are set in system or spending changes. Objective: To identify and review research from South Africa and sub-Saharan Africa on the direct and indirect costs of mental, neurological, and substance use (MNS) disorders and the cost-effectiveness of treatment interventions. Design: Narrative overview methodology. Results and conclusions: Reviewed studies indicate that integrating mental health care into existing health systems may be the most effective and cost-efficient approach to increase access to mental health services in South Africa. Integration would also direct treatment, prevention, and screening to people with HIV and other chronic health conditions who are at high risk for mental disorders. We identify four major knowledge gaps: 1) accurate and thorough assessment of the health burdens of MNS disorders, 2) design and assessment of interventions that integrate mental health screening and treatment into existing health systems, 3) information on the use and costs of traditional medicines, and 4) cost-effectiveness evaluation of a range of specific interventions or packages of interventions that are tailored to the national context. © 2014 Helen Jack et al.
Authors & Co-Authors
Jack, Helen
United Kingdom, Oxford
University of Oxford Medical Sciences Division
Wagner, Ryan G.
South Africa, Johannesburg
University of the Witwatersrand
Sweden, Umea
Umeå Universitet
Petersen, Inge
South Africa, Durban
University of Kwazulu-natal
Thom, Rita G.M.
South Africa, Johannesburg
Wits School of Public Health
Newton, Charles R.J.C.
United Kingdom, Oxford
University of Oxford Medical Sciences Division
South Africa, Johannesburg
University of the Witwatersrand
Stein, Alan L.
United Kingdom, Oxford
University of Oxford Medical Sciences Division
South Africa, Johannesburg
University of the Witwatersrand
Kahn, Kathleen
South Africa, Johannesburg
University of the Witwatersrand
Sweden, Umea
Umeå Universitet
Ghana, Accra
Indepth Network
Tollman, Stephen Meir
South Africa, Johannesburg
University of the Witwatersrand
Sweden, Umea
Umeå Universitet
Ghana, Accra
Indepth Network
Hofman, Karen J.
South Africa, Johannesburg
University of the Witwatersrand
South Africa, Johannesburg
Wits School of Public Health
Statistics
Citations: 36
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.3402/gha.v7.23431
Research Areas
Health System And Policy
Infectious Diseases
Mental Health
Substance Abuse
Study Design
Cross Sectional Study
Narrative Study
Study Approach
Qualitative
Study Locations
South Africa