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Uganda. Peru. Paraguay. Mauritius. Mongolia. Uttaranchal. Yunnan. Cape Verde. Laos. Benin. Eritrea. The Gambia. CAR. Tamil Nadu. Cambodia. Maldives. Sri Lanka. Ghana. Pacific Islands. Guyana. Burundi. Zambia. Samoa. Mozambique. Fiji. Namibia. Lesotho. Pacific Islands.

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slide1

Uganda

Peru

Paraguay

Mauritius

Mongolia

Uttaranchal

Yunnan

Cape Verde

Laos

Benin

Eritrea

The Gambia

CAR

Tamil Nadu

Cambodia

Maldives

Sri Lanka

Ghana

Pacific Islands

Guyana

Burundi

Zambia

Samoa

Mozambique

Fiji

Namibia

Lesotho

Pacific Islands

Chile

South Africa

To read descriptions of country projects, please click on the country you are interested in.

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BURUNDI

Under construction

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CAPE VERDE

Under construction

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Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

Ghana country summary" A very progressive mental health law"

Ghana country webpage

GHANA

With WHO assistance, the Ghanaian Government has drafted a new mental health law. Ghana's previous law emphasized institutional care, which can lead to the serious mistreatment of people with mental disorders. The new law stresses access to in-patient and out-patient community care, and promotes voluntary admission and informed consent to treatment. Ghana's new legislation fights discrimination and stigmatization, and helps to protect the human rights of people living with mental disorders. WHO is helping Ghana to prepare for the implementation of the new legislation, and has provided guidance on the elaboration of a detailed action plan and regulations for putting the provisions of the law into effect.

Simultaneous to work on the new mental health law, Ghana is also reviewing and updating its mental health policy framework and strategic action plan. The WHO checklists for assessing the adequacy of mental health policy and plan and the WHO Mental Health Policy and Service Guidance Package are central to the policy and planning work. Importantly, mental health is being incorporated as a core element of the Five-year Programme of Work for Health 2007-2011.

Work on mental health policy and planning is being undertaken as part of the DFID funded initiative entitled the Mental Health and Poverty Project: Improving Mental Health, Reducing Poverty (MHaPP). For more information on the DFID project click here

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THE GAMBIA

Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int; Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

The Gambia country webpage

The Gambia country summary" Effective and humane treatment and care for all"

Work to develop a mental health policy and plan for the Gambia began in 2004 with a request to WHO for information, resources and technical assistance. In 2005, the Gambia established a policy drafting committee, produced a first draft of the policy and held a number of initial consultations with many different experts, health professionals and key individuals from different government sectors within the Gambia.

The policy and plan went through a series of revisions and elaborations over a period of two years before being finalised in December 2006. Both the policy and the plan were driven by an objective assessment of the mental health situation and feedback from ongoing consultations which the highlighted the great need, willingness and strategies required to strengthen the overall mental health system in order to provide effective treatment and care to those in need as well as to promote the mental health of all Gambians. In fact it is through this consultation and the work of the drafting committee that the Gambia was so effectively able to develop consensus around the future of mental health services, treatment and care and formulate its first mental health policy and strategic plan for the country.

Throughout this process, WHO worked along side the Gambia by helping to carry out the situational assessment of mental health in the country, organize and convene a number of technical workshops, and comment and contribute to the different drafts of the policy and plan.

The official adoption of the policy and plan is expected before the end of 2007, but in the mean time a key action to fulfill the mental health plan has already been taken - the creation of the position of mental health coordinator in the Gambia and the official appointment of Mr Bakary Sonko to this position.

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Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

ZAMBIA

Zambia has a rudimentary mental health system. Mental health services are mainly hospital based. Chainama Hills Hospital is the only tertiary or specialist-level referral hospital for mental health and is supported by a network of psychiatric units in seven provincial general hospitals. In recent years Zambia has embarked on a process of reform to improve the mental health system. A new mental health bill has been developed in order to replace the countries outdated Mental Disorders Act of 1951. In addition a new mental health policy has recently been approved and adopted.

As part of the DFID funded initiative entitled the Mental Health and Poverty Project: Improving Mental Health, Reducing Poverty (MHaPP), WHO is working alongside government, national academic and research experts from Zambia in order to develop and evaluate policy and legislative interventions and ultimately break the negative cycle of poverty and mental ill-health. The MHaPP, which is coordinated by the University of Cape Town, builds upon the work of WHO in the area of mental health policy, planning and legislation that has been developing since 2001. The WHO checklists for assessing the adequacy of mental health policy, plan and laws, and the WHO Mental Health Policy and Service Guidance Package are central to the work of the Project.

The MHaPP examines the broad policy and service framework for mental health in the Zambia along with other study countries in order to understand how comprehensive policies and strategies can be developed in order to break the negative cycle between poverty and mental ill-health and to ensure that the poorest communities have access to mental health care.

The new knowledge generated from the MHaPP will produce evidence and arguments for the inclusion of mental health on national and international poverty reduction, development and health agendas.

For more information on the DFID project click here

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Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

UGANDA

Uganda currently has one main tertiary teach hospital and mental health units in six regional hospitals delivering mental health care. A mental health policy is currently under development which aims to provide comprehensive mental health services that are integrated into the primary care system. Work to revise Uganda's outdated Mental Treatment Act of 1964 is also underway.

As part of the DFID funded initiative entitled the Mental Health and Poverty Project: Improving Mental Health, Reducing Poverty (MHaPP), WHO is working alongside government, national academic and research experts from Uganda in order to develop and evaluate policy and legislative interventions and ultimately break the negative cycle of poverty and mental ill-health. The MHaPP, which is coordinated by the University of Cape Town, builds upon the work of WHO in the area of mental health policy, planning and legislation that has been developing since 2001. The WHO checklists for assessing the adequacy of mental health policy, plan and laws, and the WHO Mental Health Policy and Service Guidance Package are central to the work of the Project.

The MHaPP examines the broad policy and service framework for mental health in the Uganda along with other study countries in order to understand how comprehensive policies and strategies can be developed in order to break the negative cycle between poverty and mental ill-health and to ensure that the poorest communities have access to mental health care.

The new knowledge generated from the MHaPP will produce evidence and arguments for the inclusion of mental health on national and international poverty reduction, development and health agendas.

For more information on the DFID project click here.

➥Back to the interactive world map

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Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

SOUTH AFRICA

In 2002 South Africa passed its Mental Health Care Act, a progressive law that provides better human rights promotion and protection for people with mental disorders. In addition in 2006 South Africa embarked on the process of drafting a National Mental Health Care Policy to promote the integration of mental health care, treatment and rehabilitation into general health care services.

As part of the DFID funded initiative entitled the Mental Health and Poverty Project: Improving Mental Health, Reducing Poverty (MHaPP), WHO is working alongside government, national academic and research experts from South Africa in order to develop and evaluate policy and legislative interventions and ultimately break the negative cycle of poverty and mental ill-health. The MHaPP, which is coordinated by the University of Cape Town, builds upon the work of WHO in the area of mental health policy, planning and legislation that has been developing since 2001. The WHO checklists for assessing the adequacy of mental health policy, plan and laws, and the WHO Mental Health Policy and Service Guidance Package are central to the work of the Project.

The MHaPP examines the broad policy and service framework for mental health in South Africa along with other study countries in order to understand how comprehensive policies and strategies can be developed in order to break the negative cycle between poverty and mental ill-health and to ensure that the poorest communities have access to mental health care.

The new knowledge generated from the MHaPP will produce evidence and arguments for the inclusion of mental health on national and international poverty reduction, development and health agendas.

For more information on the DFID project click here.

➥Back to the interactive world map

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Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

LESOTHO

Lesotho has drafted a mental health policy and plan with the support of WHO. Lesotho's vision for 2020 is a high standard of mental health for all people, maintained through accessible services that uphold and protect the human rights of people with mental disorders. Specific objectives include a move towards a system of community-based care, integrating mental health services into general care, and a reduction in the number of people treated for mental disorders in institutions and correctional services. The national policy emphasizes the need to provide adequate mental health care and support to people with 'physical' disease including those living with HIV/AIDS.

Another important step that will be taken by the government and supported by WHO is to reform the current mental health law (over 40 years old) in order to align it with international standards and the newly drafted mental health policy and action plan.

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Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

NAMIBIA

On 28 October 2005, Namibia launched their first mental health policy. With the assistance of WHO, the government will be implementing this policy through the strategies and interventions identified within their five year action plan.

Namibia's policy provides a strong framework for the delivery of mental health services and articulates the roles and responsibilities of the different stakeholders involved in the promotion and protection of mental health. The key challenge in implementing the policy will be the need to change the attitudes of individuals, families, health professionals and the general public. Namibia plans to give people the knowledge needed to deal with mental and neurological conditions through training and education.

Other priority strategies include the integration of the mental health services with existing health services, and the development of a network of services and referral systems to help people with mental disorders access the treatment they need.

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Key contacts

Dr Thérèse Agossou (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, African Regional Office Brazzaville)

Email: agossout@afro.who.int

Tel: (+47) 241 39 385 - Fax: (+47) 241 39 514

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

MOZAMBIQUE

In Mozambique, WHO assistance for the drafting of a mental health policy has involved widespread exposure of health and mental health professionals and administrators to the concepts and implementation of community based mental health care. In addition, there has been a successful series of over 75 meetings/consultations across ministries, NGOs and bilateral donors, involving more than 250 people, which has culminated in a consensus building seminar organised as part of the activities to map out the content and vision of the mental health policy. The policy has addressed areas such as the organization of services, human resource development, the provision of psychopharmocological agents, intersectoral collaboration, the role of traditional practitioners and the need for epidemiological information to support the planning process. WHO has also worked with other Departments to address issues such as domestic violence and labour legislation.

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BENIN

Under construction

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CENTRAL AFRICAN REPUBLIC

Under construction

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LAOS

Under construction

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CAMBODIA

Under construction

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Key contacts

Dr Vijay Chandra (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, SouthEast Asian Regional Office New Delhi)

Email: chandrav@searo.who.int

Tel: (+91) 11 2337 0804 - Fax: (+91) 11 2370 5714

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

MALDIVES

  • WHO has been working with the Maldives since October 2006 to improve the mental health services in the country which are inadequate to meet the needs of people with mental disability as well as a larger number of people requiring some psychosocial support. As a starting point to plan and ensure a coordinated response to mental health needs, the Government made a decision to carry out a detaled situational analysis of the mental health needs of the population and to develop a mental health policy and action framework. Different ministries have been consulted in the preparation of the draft mental health policy and plan including, the Ministry of Gender and Family, Education and Home Affiars, as well as a number of other organisations and groups working in the Maldives including the American Red Cross, Supreme Council for Islamic Affairs, Care Society, UNFPA, Human Rights Commission of Maldives, National Narcotics Control Bureau (NNCB) and Handicap International.
  • As a result of the situational analysis and consultations, the following key objectives were identified:
  • To provide accessible and good quality mental health services of good quality to all people at the community level
  • To sensitize communities on mental health issues in order to change negative perceptions of the population regarding people with mental disability.
  • To ensure the promotion of mental well-being of the community at large, with special emphasis on vulnerable groups such as children and young people, women, older persons and those socially disadvantaged.
  • To ensure that the rights and dignity of people with a mental illness are upheld in the Maldives

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UTTARANCHAL (INDIA)

Under construction

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TAMIL NADU (INDIA)

Under construction

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SRI LANKA

In Sri Lanka, the government has acknowledged the need to establish a network of community based mental health services and with the support of WHO Sri Lanka has developed a useful model to be adopted and expanded on a country-wide basis. The model has used three main strategies: training primary health care workers, medical health officers and divisional directors of health services to provide community-based care; providing extra resources to social workers to enable them to provide more support to the mentally ill in the community; and, establishing the first community based mental health resource centre and a medium term mental health rehabilitation facility in one of the districts in which the project is located. It has also contributed to a reduction in the number of re-admissions to psychiatric hospitals. As a result of specific projects to reintegrate people back into the community from psychiatric hospitals, some people previously living in mental health institutions are now able to find jobs, save money and even buy a house and support their family. In this way, rehabilitation within the community can improve both the quality of life and future prospects not only for individual people but for their families as well. The ability to earn money and be seen as a useful member of society is extremely important.

Key contacts

Dr Vijay Chandra (Regional Adviser in Mental Health and Control of Substance Abuse, World Health Organization, SouthEast Asian Regional Office New Delhi)

Email: chandrav@searo.who.int

Tel: (+91) 11 2337 0804 - Fax: (+91) 11 2370 5714

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

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YUNNAN (CHINA)

Under construction

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Key contacts

Dr Xiangdong Wang Regional Adviser in Mental Health and Control of Substance Abuse World Health Organization, Western Pacific Regional Office Manila

Email: wangx@wpro.who.int

Tel: (632) 528 9858- Fax: (632) 521 1036

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

MONGOLIA

In Mongolia, WHO has supported the integration of mental health care into primary health care. Psychiatrists and general practitioners throughout the country have been trained to provide mental health care to people in the community.

Day-care centres have been established where people with mental disorders receive psychological, social and occupational rehabilitation. They are able to participate in meaningful and fulfilling work while receiving treatment.

'Gers' (a form of tent that is home to many Mongolians) are used for people with mental disorders as an alternative to living in a mental health institution. The gers provide sheltered accommodation as well as greater autonomy and freedom. People living in gers are engaged in day-to-day activities such as herding horses, milking cows, fuel gathering, gardening, carpentry, and embroidery.

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Papua New Guinea

Samoa

Solomon Islands

Palau

Tokelau

Niue

Tonga

New Caledonia

Tuvalu

Nauru

Vanuatu

Micronesia

Marshall Islands

Northern Mariana Islands

Cook Islands

Fiji

Guam

Kiribati

Wallis & Futuna Islands

PACIFIC ISLANDS NETWORK

Under construction

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GUYANA

Under construction

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Key contacts

Dr Jorge Jacinto Rodriguez (Unit Chief of Mental Health & Specialized Programs, PAHO, Washington)

Email: rodrigjo@paho.org ; Tel: +1 (202) 974 33 30 - Fax: +1 (202) 974 3663

Mr Javier Vasquez (Human Rights Lawyer, PAHO, Washington)

Email: vasquezj@paho.org ; Tel: +1202 974 37 62 - Fax: +1202 974 36 09

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva) - Email: funkm@who.int ; Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva) - Emails: drewn@who.int; faydie@who.int

PARAGUAY

In February 2005, the Government of Paraguay and the NGO Mental Disability Rights International (MDRI) signed an agreement at the Inter-American Commission on Human Rights, in Washington, D.C, in which the Government of Paraguay made a commitment to set up community-based mental health services. As part of this plan, Paraguay is undertaking a reform of its mental health services, policies, and national legislation with the assistance of PAHO, WHO, and MDRI. This is the first time that the mechanism of Precautionary Measures has been used by the Commission to protect the life and integrity of persons confined to a psychiatric facility. This action sets an important precedent in international human rights law that can be used in other contexts involving the health of the most vulnerable groups and public health institutions.

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Key contacts

Dr Jorge Jacinto Rodriguez (Unit Chief of Mental Health & Specialized Programs, PAHO, Washington)

Email: rodrigjo@paho.org ; Tel: +1 (202) 974 33 30 - Fax: +1 (202) 974 3663

Mr Javier Vasquez (Human Rights Lawyer, PAHO, Washington)

Email: vasquezj@paho.org ; Tel: +1202 974 37 62 - Fax: +1202 974 36 09

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva) - Email: funkm@who.int ; Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva) - Emails: drewn@who.int; faydie@who.int

PERU

WHO/PAHO has recently provided support to Peru in the area of mental health and human rights. During an official visit to Peru in 2006 PAHO staff members met with the National Council on Mental Health(Ministry of Health), which is drafting regulations to protect the human rights of institutionalized people with mental disabilities and provided recommendations. PAHO provided recommendations on basic matters such as independent monitoring of rights; voluntary commitment procedures; periodic review of commitments (due process); and the creation of independent review boards. PAHO also offered to collaborate in reviewing the consistency of these regulations with international human rights law. During the mission, a training workshop on mental health and human rights was held for 50 employees working in general hospitals, psychiatric hospitals, mobile teams in emergency zones, and Bureaus of Health in Lima and Callao.

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Key contacts

 Dr Jorge Jacinto Rodriguez (Unit Chief of Mental Health & Specialized Programs, PAHO, Washington)

Email: rodrigjo@paho.org

Tel: +1 (202) 974 33 30 - Fax: +1 (202) 974 3663

Mr Javier Vasquez (Human Rights Lawyer, PAHO, Washington)

Email: vasquezj@paho.org

Tel: +1202 974 37 62 - Fax: +1202 974 36 09

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

Chile country webpage

Chile country summary" New legislation to protect and promote human rights of people with mental disorders"

CHILE

  • WHO/PAHO is supporting Chile to improve the rights of people with mental disorders consistent with international human rights treaties ratified by Chile and existing international/regional mental health standards.
  • The specific objectives are to:
        • Include human rights oriented provisions in relation to mental health within the Charter of Rights and Duties of Patients and the Law for the Social Integration of People with disability.
        • Revise the current mental health decree for Psychiatric Hospitalization in the longer term
        • Train multidisciplinary professionals on the human rights of people with mental disabilities: lawyers, journalists, police, physicians, social workers, psychologists, nurses, occupational therapists.
        • Empower consumer and family organizations.
        • Sensitize leaders from Government, Parliament and the Judiciary.
  • In July 2007, Chile's Health Commission approved the Charter of Rights and Duties of Patientscontaining relevant sections related to the rights of people with mental and intellectual disabilities

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MAURITIUS

Under construction

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ERITREA

Under construction

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Key contacts

Dr Xiangdong Wang (Regional Adviser in Mental Health and Control of Substance Abuse World Health Organization, Western Pacific Regional Office, Manila)

Email: wangx@wpro.who.int

Tel: (632) 528 9858- Fax: (632) 521 1036

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

The Pacific Islands Mental Health Network webpage

FIJI

WHO is providing technical support to Fiji in the reform of its mental health law. After a fact finding mission to Fiji in 2003 and on the basis of its analysis of the existing law, WHO recommended that the Mental Treatment Act (Cap. 113) be repealed upon the passing of a new Mental Health Law. Between November 2006 and February 2007, Fiji has undertaken a major review of the Act, using WHO guidance materials and tools. The review has involved two rounds of consultations with people living with mental disorders, their families and carers, staff and St Giles Hospital, the National Advisory Council on Mental Health, the Ministry of Health and many other government and non-government organisations. Following the first round of consultations the Commission prepared 8 Issues Papers to help inform the broader consultation being undertaken in 2007.

WHO continues to review and provide technical recommendations on the development of Fiji's new mental health law.

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SAMOA

In Samoa, WHO provided technical assistance for the development of a National Mental Health Policy and Mental Health Law Reform. A situational analysis identified many of the strengths of the current mental health system, in particular the focus on primary care services. In 2003 a national symposium was held in which all mental health stakeholders were invited to participate and discuss whether mental health is an issue in Samoa. Following this WHO financially and technically supported a workshop in 2005, during which key issues for policy and legislative reform were identified. Select members were identified to form a Working committee to draft the mental policy and to work collaboratively with the Attorney General’s office on Mental Health Bill. This committee was established in February 2005, and from that time, they started work on the formulation of the a Mental Health Policy for Samoa with the technical assistance from the Policy Unit of the Ministry of Health till December 2005 and with support and comments from WHO. Public consultation on the Mental Health Policy for Samoa was conducted in February 2006 for stakeholders and public’s feedback before submission for approval.

The Mental Health Policy Working Committee used the WHO Mental Health Mental Health Policy and Service Guidance Package as a Guide whilst working on Samoa’s Mental Health Policy. Samoa also adopted some strategies from this guidance package which are relevant to Samoa’s situation. The mental health policy was officially approved in June 2006 by the Cabinet Development Committee, which is the committee that approves all national policies.

Also importantly the mental health bill was approved by cabinet in 2005 and enacted by the Legislative Assembly of Samoa in Parliament on 2 February 2007. The Bill makes provisions for the care, support, treatment and protection of persons with a mental disorder and for related purposes. Other objectives of this Bill and those enacting it, is to minimize the restrictions upon the liberty of persons with a mental disorder and interference in their rights, dignity and self respect, so for as is consistent with their proper care, support, treatment and protection and the protection of other persons. This Bill also works towards eliminating discrimination against, and abuse, mistreatment and neglect of persons with a mental disorder.

Contact information: Ministry of Health, Strategic Development & Planning Division, Ministry of Health, Private Bag, Apia, SAMOA

Phone: 685-28595; Fax: 685-23483; Email: CEO@health.gov.ws

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Key contacts

Dr Xiangdong Wang (Regional Adviser in Mental Health and Control of Substance Abuse World Health Organization, Western Pacific Regional Office, Manila)

Email: wangx@wpro.who.int

Tel: (632) 528 9858- Fax: (632) 521 1036

Dr Michelle Funk (Coordinator, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse ,WHO Geneva)

Email: funkm@who.int

Tel: +41 22 791 38 55 - Fax: +41 22 791 41 60

Ms Natalie Drew and Dr Edwige Faydi (Technical Officers, Mental Health Policy & Service Development, Department of Mental Health & Substance Abuse, WHO Geneva)

Emails: drewn@who.int; faydie@who.int

The Pacific Islands Mental Health Network webpage

SAMOA (2)

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