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Mental health in primary care: Focus on the Third World

  • O. O. Famuyiwa (a1)
Extract

The expression primary health care (PHC) gives the impression of an ensemble of control of communicable diseases, infant care, avoidance of insanitary personal habits and curbing environmental pollution. These indeed constitute the main elements of the scheme but are not exclusive to it. An integral but often ignored aspect is the community dimension of mental health whose importance is underscored by the fact that a significant majority of people in the third world live in rural areas with minimal or no access to formal psychiatric facilities. In this paper, I shall review the conceptual framework and practicality of primary health care with special reference to community mental health, highlight some notable limitations to policy execution and finally propose an organisational model structure for the community mental health services within the primary health care system.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1. Guilbert, J. J. (1981) Educational Handbook for Health Personnel. Geneva: World Health Organization (Offset publication No. 35).
2. Primary Health Care: A report of the International Conference on Primary Health Care, Alma Ata, USSR. 6–12 September, 1978. Geneva: World Health Organization, 1978.
3. Pappoe, M. E. (1987) Primary health care: a challenge to health education in Ghana. Ghana Medical Journal, September, 2936.
4. Wankiiri, V. B. (1984) Mental health and psychiatric nursing in Africa. World Health Forum, 5, 334337.
5. Bamisaiye, A. & Johnson, T. O. (1988) Planning PHC for community: a baseline survey provides essential data. Tropical Doctor,January, 36 & 37.
6. Lambo, T. & Dastoor, D. P. (1972) Evaluation of the community psychiatry experiment at Aro Village, Abeokuta, Nigeria. Mimeograph, Behaviour Sciences Research Unit. University of Ibadan.
7. Weston, D. W. (1975) Development of community psychiatry concepts. Comprehensive Textbook of Psychiatry, 2, 23102323.
8. WHO Report (1978) The International Pilot Study of Schizophrenia. Vol. 1, Geneva: World Health Organization.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Mental health in primary care: Focus on the Third World

  • O. O. Famuyiwa (a1)
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