What challenges does mental and neurological health research face in Latin American countries?

被引:9
作者
Fiestas, Fabian [1 ]
Gallo, Carla [1 ]
Poletti, Giovanni [1 ]
Bustamante, Ines [2 ]
Alarcon, Renato D. [3 ]
Mari, Jair de Jesus [4 ,5 ]
Razzouk, Denise [4 ]
Mazzotti, Guido [1 ,6 ]
机构
[1] Univ Peruana Cayetano Heredia, Fac Ciencias & Filosofia, Lab Invest & Desarrollo, Lima, Peru
[2] Univ Peruana Cayetano Heredia, Fac Salud Publ, Lima, Peru
[3] Mayo Clin, Coll Med, Dept Psychiat & Psychol, Rochester, MN USA
[4] Univ Fed Sao Paulo, Dept Psychiat, Sao Paulo, Brazil
[5] Univ London, Univ London Kings Coll, Inst Psychiat, Hlth Serv & Populat Res Dept,Ctr Publ Mental Hlth, London, England
[6] Univ Peruana Cayetano Heredia, Fac Med, Lima, Peru
关键词
Latin America; Mental health; Research; Health priorities; Public policy;
D O I
10.1590/S1516-44462008000400005
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: The World Health Organization Atlas Project identified important deficiencies in world mental and neurological health resources. These deficiencies, especially evident in low and middle-income countries, can be overcome by improving research capacity. The objective of this study is to assess the status of mental and neurological research in Latin American countries and identify the main difficulties encountered in conducting research, publishing results, and shaping health policies, interventions, and programs. Method: Semi-structured interviews were conducted with 34 key informants from 13 Latin American countries. Results: Participants reported that production of mental and neurological research in Latin American countries is low. Lack of financial and human resources, including lack of support from government agencies, were identified as the main factors contributing to the dearth of local research. The few research projects that do take place in Latin American countries are often funded at researchers' personal expense. Few policies, interventions, or programs are generated from research results. To address these deficiencies, participants called for training in research methodology, mechanisms for identifying funding opportunities, and greater recognition of their research products. Conclusions: Researchers and stakeholders recognize the need to mobilize local and international efforts aimed at strengthening research capacity and results implementation. This will lead to an overall optimization of mental and neurological research in the region.
引用
收藏
页码:328 / 336
页数:9
相关论文
共 12 条
[1]  
[Anonymous], 2005, MENT HLTH ATL
[2]  
[Anonymous], WORLD HLTH REP 2002
[3]  
[Anonymous], 2007, Research capacity for mental health in low- and middle-income countries: Results of a mapping project. http://www.who.int/mental_health/MHRC_FullText.pdf
[4]   Global Mental Health 4 - Mental health systems in countries: where are we now? [J].
Jacob, K. S. ;
Sharan, P. ;
Mirza, J. ;
Garrido-Cumbrera, M. ;
Seedat, S. ;
Mari, J. J. ;
Sreenivas, V. ;
Saxena, Shekhar .
LANCET, 2007, 370 (9592) :1061-1077
[5]   Qualitative research: standards, challenges, and guidelines [J].
Malterud, K .
LANCET, 2001, 358 (9280) :483-488
[6]   Mental health research in Brazil: policies, infrastructure, financing and human resources [J].
Mari, JD ;
Bressan, RA ;
Almeida-Filho, N ;
Gerolin, J ;
Sharan, P ;
Saxena, S .
REVISTA DE SAUDE PUBLICA, 2006, 40 (01) :161-169
[7]   Leading countries in mental health research in Latin America and the Caribbean [J].
Razzouk, Denise ;
Zorzetto, Ricardo ;
Dubugras, Maria Thereza ;
Gerolin, Jeronimo ;
de Jesus Mari, Jair .
REVISTA BRASILEIRA DE PSIQUIATRIA, 2007, 29 (02) :118-122
[8]   Global Mental Health 5 - Barriers to improvement of mental health services in low-income and middle-income countries [J].
Saraceno, Benedetto ;
van Ommeren, Mark ;
Batniji, Rajaie ;
Cohen, Alex ;
Gureje, Oye ;
Mahoney, John ;
Sridhar, Devi ;
Underhill, Chris .
LANCET, 2007, 370 (9593) :1164-1174
[9]   Global Mental Health 2 - Resources for mental health: scarcity, inequity, and inefficiency [J].
Saxena, Shekhar ;
Thornicroft, Graham ;
Knapp, Martin ;
Whiteford, Harvey .
LANCET, 2007, 370 (9590) :878-889
[10]   The Mental Health Policy Template: domains and elements for mental health policy formulation [J].
Townsend, C ;
Whiteford, H ;
Baingana, F ;
Gulbinat, W ;
Jenkins, R ;
Baba, A ;
Mak, FL ;
Manderscheid, R ;
Mayeya, J ;
Minoletti, A ;
Mubbashar, MH ;
Khandelwal, S ;
Schilder, K ;
Tomov, T ;
Deva, MP .
INTERNATIONAL REVIEW OF PSYCHIATRY, 2004, 16 (1-2) :18-23