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World Health Organization : Year 2000 ; World Health Organization, Department of Mental Health and Substance Dependance. Mental Health Determinants and Population, No. 00.20: Integrating Psychoactive Substance Use Treatment into Primary Health Care and Community Involvement in Health ; A Synthesis of Experiences at the Zimbabwe and Nepal Sites

By Tecla Butau

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Book Id: WPLBN0000177307
Format Type: PDF eBook
File Size: 2.0 MB
Reproduction Date: 2005
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Title: World Health Organization : Year 2000 ; World Health Organization, Department of Mental Health and Substance Dependance. Mental Health Determinants and Population, No. 00.20: Integrating Psychoactive Substance Use Treatment into Primary Health Care and Community Involvement in Health ; A Synthesis of Experiences at the Zimbabwe and Nepal Sites  
Author: Tecla Butau
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Butau, T. (n.d.). World Health Organization : Year 2000 ; World Health Organization, Department of Mental Health and Substance Dependance. Mental Health Determinants and Population, No. 00.20. Retrieved from http://worldpubliclibrary.org/


Description
Medical Reference Publication

Excerpt
Introduction Three World Health Assemblies (WHA) have passed resolutions that have called for integrated approaches to Primary Health Care (PHC) which fully involve the communities. -- (These are resolution WHA33.27, of the Thirtythird World Health Assembly, passed in 1980; resolution WHA42.20, of the Forty-second World Health Assembly, passed in 1989; and resolution (WHA43.11 of the Forty-third World Health Assembly, in 1990.) In 1996 WHO convened a Working Group to set up model projects on psychoactive substance use treatment, Primary Health Care and Community Involvement in Health, (in accord with the resolutions). The first meeting was held in Harare, Zimbabwe the same year, and the Working Group agreed on an approach consisting of three phases. The first phase entailed developing a local plan of action for each project area. The plan's components include compilation of a country profile; definition of aims of the project; and identification and assessment of two communities, one for developing the demonstration project and the other for comparison purposes. The second phase entailed development of a comprehensive plan for implementing and monitoring local projects for the treatment and care of disorders caused by psychoactive substance use, that are integrated into Primary Health Care (PHC). Components of this phase consist of development of local medical and psychosocial interventions for the management of psychoactive substance use disorders, monitoring and evaluation! as well as dissemination of findings. WHO supported the implementation of local pilot projects in Nepal, Pakistan, Trinidad and Tobago, Vietnam and Zimbabwe. The third phase was the overall evaluation of activities at project sites. This document is a based upon the results of pilot project initiatives at two demonstration sites, in Nepal and Zimbabwe. Here basic information about integrating psychoactive substance use treatment into PHC is presented, and examples are given of lessons drawn from the efforts made and the evaluation of these sites. Although project implementers in these sites adopted diverging approaches, in their attempts to meet the project's objectives, there is much to be learned from these local experiences. The information outlined provides a reference point and is of particular value for similar future activities at the Zimbabwe and Nepal project sites.

Table of Contents
Table of Contents Acknowledgements 1 Background 3 Introduction 5 Part 1: Basic facts about psychoactive subtance use and Primary Health Care 6 I I Psychoactive substances and their use 6 1.2 Problems related to psychoactive substance use 7 1.3 Prevention of psychoactive substance use (abuse) 7 1.4 Essential concepts 10 Part 2: Summary of the Case Studies 18 A. Pokhara, Nepal 18 B. Harare, Zimbabwe demonstration project 22 Part 3: Lessons learnt -- Principal activities for integration of substance use treatment into PHC and Community lnvolvemenf in Health 27 3.1 Conducting operational research 27 3.2 Major activity areas 32 Bibliography 56

 

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