Abstract:
:In 2014, the Indonesian government passed the Mental Health Act (MHA) to address the country's complex mental health situation. The implementation of the MHA has been slow, and little is known about how the MHA is perceived by mental healthcare providers within local settings. This study aimed to obtain insight into psychiatrists' views on the MHA, including on how it affected their clinical practice and on challenges of translating the MHA into practice. The study was conducted in Bali, and 27 psychiatrists (15 men and 12 women) participated in a semi-structured interview. Thematic analysis indicated four overarching themes: raising the profile of mental health, developing a shared understanding of mental illness, integrating psychiatric practice with other services and views on implementation of the MHA into practice. Overall, the psychiatrists viewed the MHA as a step in the right direction to improve mental health services and to create awareness at local and national levels. However, there was consensus that the meaning of the MHA's concepts of mental problems and disorders were not compatible with psychiatric everyday practice or their patients' understandings. As a result, many assumed that the MHA was targeted at government and policy officials. Furthermore, there was a perceived lack of clarity on issues relating to collaborating with other services and unequal access to resources among regencies that impacted on their clinical practice in a negative way. Moreover, a few psychiatrists raised concerns that local beliefs and practices were not acknowledged in the MHA. According to the participants, mental health remained a highly political issue and without national support, mental health would remain a low priority. In conclusion, insights into providers' perspectives contribute to developing an evidence-base that can inform the implementation process of the MHA in Indonesia, and possibly elsewhere, into local level guidelines and regulations.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Bikker AP,Lesmana CBJ,Tiliopoulos Ndoi
10.1093/heapol/czaa139subject
Has Abstractpub_date
2020-11-23 00:00:00eissn
0268-1080issn
1460-2237pii
5998985pub_type
杂志文章abstract::In Ghana, Tanzania and South Africa, health care financing is progressive overall. However, out-of-pocket payments and health insurance for the informal sector are regressive. The distribution of health care benefits is generally pro-rich. This paper explores the factors influencing these distributions in the three co...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs024
更新日期:2012-03-01 00:00:00
abstract::The objective of this study was to assess the impact of National Health Insurance (NHI) on the utilization of neonatal care and childhood vaccination in Taiwan. Data are selected from two nationwide maternal and infant surveys undertaken in 1989 and 1996, which were funded by the Department of Health. The questionnair...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.4.384
更新日期:2002-12-01 00:00:00
abstract::Injury is a growing public health concern worldwide. Since severe injuries require urgent treatment, involving smooth, timely patient referral between facilities, strengthening of the referral system would reduce injury mortality. Smooth referral consists of identification of severe cases, organization of transportati...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czp063
更新日期:2010-07-01 00:00:00
abstract::In 2006, in response to the high maternal mortality, driven largely by unsafe abortions, the government of Ghana, in partnership with other organizations, launched the reducing maternal mortality and morbidity (R3M) programme in seven districts in Greater Accra, Ashanti and Eastern, to improve comprehensive abortion c...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu105
更新日期:2015-10-01 00:00:00
abstract::During the past 10 years, donors have recognized the need for major reforms to achieve sustainable development. Using non-project assistance they have attempted to leverage reforms by offering financing conditioned on the enactment of reform. The experience of USAID's health reform programmes in Niger and Nigeria sugg...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/9.4.371
更新日期:1994-12-01 00:00:00
abstract::Sector-wide approaches (SWAps) in health were developed in the early 1990s in response to widespread dissatisfaction with fragmented donor-sponsored projects and prescriptive adjustment lending. SWAps were intended to provide a more coherent way to articulate and manage government-led sectoral policies and expenditure...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs128
更新日期:2013-12-01 00:00:00
abstract::Integrated Management of Childhood Illness (IMCI) has been adopted by over 80 countries as a strategy for reducing child mortality and improving child health and development. It includes complementary interventions designed to address the major causes of child mortality at community, health facility, and health system...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czh001
更新日期:2004-01-01 00:00:00
abstract::The end of the Cold War brought with it opportunities to resolve a number of conflicts around the world, including those in Angola, Cambodia, El Salvador and Mozambique. International political efforts to negotiate peace in these countries were accompanied by significant aid programmes ostensibly designed to redress t...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/14.3.229
更新日期:1999-09-01 00:00:00
abstract::While the concept of gender mainstreaming has gained acceptance among many national and international development organizations, many obstacles are faced in translating the concept into tangible improvements in the health and well-being of women and men. This paper presents two qualitative case studies, one from Kenya...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi017
更新日期:2005-05-01 00:00:00
abstract::About 87 000 neonates die annually in Ethiopia, with slower progress than for child deaths and 85% of births are at home. As part of a multi-country, standardized economic evaluation, we examine the incremental benefit and costs of providing management of possible serious bacterial infection (PSBI) for newborns at hea...
journal_title:Health policy and planning
pub_type: 杂志文章,随机对照试验
doi:10.1093/heapol/czx054
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:The Iranian health system, under the banner of family physician (FP) programme, has undergone substantial reforms to change utilization of health services, improve quality of care and enhance affordability. The national implementation of FP initiated in 2005 in parallel with rural health insurance (RHI) in r...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu135
更新日期:2015-12-01 00:00:00
abstract::The potential for academic research institutions to facilitate knowledge exchange and influence evidence-informed decision-making has been gaining ground. Schools of public health (SPHs) may play a key knowledge brokering role-serving as agencies of and for development. Understanding academic-policymaker networks can ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv107
更新日期:2016-06-01 00:00:00
abstract::Because of its policy implications, the income elasticity of health care expenditures is a subject of much debate. Governments may have an interest in subsidizing the care of those with low income. Using more than two decades of data from the Iran Household Expenditure and Income Survey, this article investigates the ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs106
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Many clients of HIV care and treatment services have unmet contraceptive needs. Integrating family planning (FP) services into HIV services is an increasingly utilized strategy for meeting those unmet needs. However, numerous models for services integration are potentially applicable for clients with diverse...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt043
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:To estimate and compare the cost-effectiveness of selected interventions to reduce mother-to-child transmission (MTCT) of HIV in Mexico. METHODS:A spreadsheet-based model was used to examine five scenarios, each estimated using both zidovudine (ZDV) and nevirapine (NVP). Scenarios differ according to coverag...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czg035
更新日期:2003-09-01 00:00:00
abstract::How do practitioners respond to the mental distress of HIV-affected women and communities? And do their understandings of patients' distress matter? The World Health Organization (WHO) along with advocates from the Movement for Global Mental Health (MGMH) champion a primary mental health care model to address burgeoni...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu092
更新日期:2015-09-01 00:00:00
abstract::This paper discusses some conceptual underpinnings of research on gender and quality of health services and demonstrates the importance of training health professionals about how gender influences the health-illness-care process in men and women. It addresses the need to provide opportunities for health providers to u...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.suppl_1.7
更新日期:2001-09-01 00:00:00
abstract::Subsequent to recommendations from the 1994 United Nations International Conference on Population and Development, and given recent findings outlining the links between control of sexually transmitted infections (STIs) and a reduction in HIV incidence, many countries are now seeking to establish STI control programmes...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/13.2.121
更新日期:1998-06-01 00:00:00
abstract::Smoking and drinking constitute two risk factors contributing to the rising burden of non-communicable diseases in low- and middle-income countries. Both issues have gained increased international attention, but tobacco control has made more sustained progress in terms of international and domestic policy commitments,...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv125
更新日期:2016-04-01 00:00:00
abstract::The number of medical students trained in Nepal each year has increased nearly fifty-fold in the last 15 years, primarily through the creation of private medical schools. It is unknown where this expanding cohort of new physicians will ultimately practice. We distributed an anonymous survey to students in their last 2...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr052
更新日期:2012-08-01 00:00:00
abstract::Providing quality emergency obstetric care (EmOC) reduces the risk of maternal and newborn mortality and morbidity. There is evidence that over 50% of maternal health programmes that result in improving access to EmOC and reduce maternal mortality have an EmOC training component. The objective was to review the eviden...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czz028
更新日期:2019-05-01 00:00:00
abstract::Drink-driving is a major cause of global road traffic fatalities, yet few countries have laws that meet international best practices. One possible reason is the alcohol industry's opposition to meaningful policies that are perceived to directly threaten sales. Our primary objectives are to document alcohol industry in...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa097
更新日期:2020-11-21 00:00:00
abstract:Background:This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. Methods:We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health car...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw183
更新日期:2017-11-01 00:00:00
abstract::The Syrian conflict has caused enormous displacement of a population with a high non-communicable disease (NCD) burden into surrounding countries, overwhelming health systems' NCD care capacity. Médecins sans Frontières (MSF) developed a primary-level NCD programme, serving Syrian refugees and the host population in I...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa050
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Afghanistan has one of the highest rates of maternal mortality in the world. We assess the health outcomes and cost-effectiveness of strategies to improve the safety of pregnancy and childbirth in Afghanistan. METHODS:Using national and sub-national data, we adapted a previously validated model that simulat...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs026
更新日期:2013-01-01 00:00:00
abstract::Within the existing health financing literature, males are typically categorized as the household's decision-makers. While this view accurately reflects many local sociocultural realities, approximately a quarter of sub-Saharan African households are now headed by females. In light of various efforts to expand health ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx152
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Between 25 and 44% of mother-to-child transmission (MTCT) of the human immunodeficiency virus (HIV) occurs through breastfeeding. As a result, feeding guidelines for infants of HIV-infected mothers are being formulated in many resource-poor countries. The impact of introducing these guidelines on mothers' ac...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czg020
更新日期:2003-06-01 00:00:00
abstract:INTRODUCTION:There is an immense need for scaling-up neuropsychiatric care in low-income countries. Contextualized cost-effectiveness analyses (CEAs) provide relevant information for local policies. The aim of this study is to perform a contextualized CEA of neuropsychiatric interventions in Ethiopia and to illustrate ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv093
更新日期:2016-05-01 00:00:00
abstract::Low renewal rate is a key challenge facing the sustainability of community-based health insurance (CBHI) schemes. While there is a large literature on initial enrolment into such schemes, there is limited evidence on the factors that impede renewal. This article uses longitudinal data to analyse what determines renewa...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw090
更新日期:2016-12-01 00:00:00
abstract::Formalized task shifting structures have been used to rapidly scale up antiretroviral service delivery to underserved populations in several countries, and may be a promising mechanism for accomplishing universal health coverage. However, studies evaluating the quality of service delivery through task shifting have la...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu072
更新日期:2014-09-01 00:00:00