Improve the access to mental health care in the - PowerPoint Presentation

Slide1

Improve the access to mental health care in the

Kigoma

RegionSlide2

Overview

Fracarita International

Brothers of Charity

Structure of Fracarita Tanzania

Mental Health Situation in Tanzania

Fracarita Tanzania: Our projects in

Kigoma

Fracarita Tanzania: Problems

Fracarita Tanzania: Solution - Outreach

Fracarita Tanzania: ConclusionSlide3

1. Fracarita International

Not for profit organization of the Congregation of the Brothers of Charity

Support its services in Latin America, Africa and Asia

Focus on mental health care, care for people with a disability and education

Attention to capacity building, coaching, exchange of knowledge and expertise, international fundraising and influencing policymakers

Works through regional offices, e.g. Fracarita Tanzania

Has a consultative status to the UN

Open to collaboration with other groups to achieve their objectivesSlide4

2. Brothers of Charity

Founded 200 years ago in Ghent, Belgium

Started in 1911 with their first mission work in Congo

Now active in 32 countries worldwide

Focus on mental health care, care for people with a disability and education

Pioneers in mental health care in the developing countries.

Evolved from a missionary organization to a worldwide multinational and multicultural organization based on subsidiaritySlide5

Brothers of Charity – Tanzania

Trustees Board

Fracarita Tanzania Foundation –

Country Coordinator (

Kigoma

)

Fracarita Tanzania Foundation – Assistant Country Coordinator (Dar Es Salaam)

Mental Health Education Youth Centers & Orphanage and Street Centers Care for people with disabilities

1

.

Marumba

Rehabilitation Center

2.

Kasaka

Psychiatric Centr

e

1.

Kihinga

High School

2. Newman Institute of Social Worker

3. Ahadi Institute Kigoma

Maendeleo

Youth Center

MWOCACHI Orphanage Center

3.

Sanganigwa

B Street Children Center

Bangwe Sheltered Home Centre –

Kigoma

Rumonge Deaf Cooperative – Kigoma

3.

Structure

of Fracarita TanzaniaSlide6

4. Mental Health situation in Tanzania

:2,5 million people in Tanzania are suffering from mental

illness

20% of them have access to mental health services

900 psychiatric beds in the country

1 governmental mental health hospital in Dodoma with 600 beds

1 mission mental health clinic of the Evangelical Lutheran church of Tanzania with 100 beds (in Korogwe District)In Dar Es Salaam: Muhimbili University Hospital with mental health careArusha Mental Health Trust (AMHT)0,04 psychiatrist/100.000 inhabitants vs. USA: 10,9 psychiatrist/100.000 inhabitants0,007 psychologist/100.000 inhabitants vs. USA: 33,9 psychologist/100.000 inhabitantsSlide7

4. Mental Health situation in Tanzania

:There is a growing recognition that mental health is a crucial public health and development issue in Africa.

There is an emerging evidence from low and middle-income countries that mental ill-health is strongly associated with poverty and social deprivation

People with mental disability may be impoverished by increased health expenditure, loss of employment, reduced productivity and exclusionary impact of stigma

People who live in poverty are often isolated, disempowered, helpless, hopeless which can lead to chronic insecurity and social mistrust, affecting people’s mental well being.

=> Vicious circle of mental ill health and poverty

Eradicate extreme hunger and poverty is M.D.G 1 and now S.D.G. 1: End Poverty in all its form everywhereSlide8

5. Fracarita Tanzania:

Our projects

in

Kigoma

Maendeleo

Youth Centre

Smalls scale, but accessible initiative for vulnerable children and adolescents (street children, traumatized children…)Live together in a communityThe patients are treated as a individual and encourage to develop a sense of responsibilityContributing to social aspect of life: education, development, culture and sportsSlide9

5. Fracarita Tanzania:

Our projects

in

Kigoma

Bangwe

Sheltered home for elementary care for mentally disabled children

Through activities focus on their social rehabilitationIntegration into society by the presence of other children or even elderly peopleHave a special class room of them nearby primary schoolSlide10

5. Fracarita Tanzania:

Our projects

in

Kigoma

Kasaka

Mental Health care

Offers ambulatory mental health careTarget group is chronic and acute mental ill peopleCapacity of 20 bedsOnly initiative for acute intake in Kigoma RegionSlide11

5.

Fracarita Tanzania: Our

projects

in

Kigoma

Indices201220132014Number of consultation901

50924796Number of hospitalization32168155

STATISTICS OF CONSULTATION FOR KASAKA

FUNCTION

NUMBER

DIRECTOR

1

DOCTORS

2

Nurse

officer

2

Nurses A3

3

Laboratorian

2

Driver

1

Cook

1

Cleaner

2

Watch man

2

Social work

1

psychologist

1

STAFF FOR KASAKA MENTAL HEALTH HOSPITAL Slide12

5. Fracarita Tanzania:

Our projects

in

Kigoma

St.

Dymphna

psychiatric center MarumbaOffers adapted therapy and medicationTarget group: acute and chronic psychiatric patientsPossibility to participate in therapeutic agricultural activitiesSometimes treatments for people with epilepsyGuidance for cannabis addicts and reintegration into society

Slide13

5. Fracarita Tanzania:

Our projects

in

Kigoma

STATISTICS OF CONSULTATION FOR MARUMBA HEALTH CENTERFunction

NUMBERPharmacy2Clinical officer1Nurse attendant3Social worker1Cook

1

Technical

2

Farmer

1

Cleaner

1

Agriculture

5

Driver

1

Director

1

STAFF FOR MARUMBA HEALTH CENTER

Indices

2010

201

1

2012

2013

2014

Number of consultation

3055

3120

2955

2323

2491

Number of hospitalization

156

147

121

93

112Slide14

A FASCINATING STORY

Mrs. ILAMBONA 

A patient present in the compound of St Dymphna in

Marumba since 2006. She was not talking for weeks and after treatment she could say her name and origin. We concluded that she was coming from the Burundian refugee camp. For 9 years now we have never seen any family members, but thanks to our treatment she’s always keep laughing and smiling. Mrs. Ilambona is a daughter of the center. Can we say that she has seen the sun shinning in her life!Slide15

6. Fracarita Tanzania: Problems

Since 1998 the Brothers of Charity developed Mental health care in

Kigoma

Region and developed

5 strategies in organizing mental health care

programs:

Changing the general mentality with regard to psychiatric illness and psychiatric patients (breaking the chains, removal of stigma,…)Integrating the care of psychiatric patients in the general health care programs (e.g. advocacy at governmental level)Developing adapted therapy, cure and care for different types of mental diseases and on several levels Training of local workers in mental health care ( e.g. Founding schools for psychiatric nurses, training and exchange programs)Strong international structure and organization, focused on quality, continuity and solidarity.More and more people consult us even from Tabora, Arusha and Dar Es Salaam But there are still problems or challenges:a lot of people lack of proper treatment due to a lack of access to mental health servicesA lot of people aren’t well informed about mental health diseasesThere is need for proper data to get a global view about mental health in TanzaniaSlide16

7. Fracarita Tanzania: Solution -

OutreachCreation

of a

Outreach

project

with

our Kigoma institutions and our psychiatric care center from Bujumbura (experience with ‘equipes mobiles’)3 clear objectives:Better acces to Mental Health Treatment for the people in Kigoma RegionAwareness raising on Mental Health issues in Kigoma

Data collection to improve the knowledge about the Mental Health Status in KigomaSlide17

7. Fracarita Tanzania: Solution -

OutreachMore acces

to

Mental

Health Treatment

for the people in Kigoma RegionAdaptation of our existing infrastructureCreation of ‘equipes mobiles’ to visit new patients and provide a full continuum of people with a mental disabilityTrain more mental health workers so more patients can be visited and treatedConduct outreach activities to adress the needs of the population that experience mental health disparities.Slide18

7. Fracarita Tanzania: Solution -

OutreachAwareness raising on Mental Health issues in

Kigoma

To foster more widespread the understanding about mental disorders, so that we help to reduce the misperception and negative attitude towards mental illness (witchcraft, punishment of God…)

To create an awareness raising campaign: ‘disability is not an inability. So the vulnerable people will be more recognized and appreciated in the society.

Fracarita Tanzania wishes to dedicate itself to the challenge of improving the living conditions of the most vulnerable people. It is the mission of Fracarita to increase the quality of life of vulnerable people, and wish to focus on two core values:

* The personal rehabilitation as unique human being* The social reintegration in society as active member of communitySlide19

7. Fracarita Tanzania: Solution -

OutreachCollection of data in order to improve the knowledge about the Mental Health Status in

Kigoma

To collect data (patients, registrations, treatments,…) to learn more about the Mental Health Status in

Kigoma

. This can pass through the National Health office in Tanzania

To increase awareness about the opportunities to benefit from the participation in mental health researchTo create an awareness raising campaign: ‘disability is not an inability. So the vulnerable people will be more recognized and appreciated in the societySlide20

8. Fracarita Tanzania: Conclusion

The Lancet in 2007: ‘No Health without Mental Health’

“About

14% of the global burden of disease has been attributed and other common mental disorders, alcohol-use and psychoses.

Mental health affects progress towards the achievement of several Millennium Development Goals, such as promotion of gender equality and empowerment of women, reduction of child mortality, improvement of maternal health, and reversal of the spread of HIV/AIDS. 

Mental health awareness needs to be integrated into all aspects of health and social policy, health-system planning, and delivery of primary and secondary general health care

.”Slide21

8. Fracarita Tanzania: Conclusion

World bank: “The zero hour” for mental health

Since May 2015, this international organization wants to pay

more attention

to Mental

Health.

A blog was published and they conclude in the article“As we move forward with this task, we will be guided by the belief that the agonies of mental health problems that distort people’s lives, family bonds and communities, and that impose a heavy economic and social burden, can be dealt with effectively if there is political commitment, broad social engagement, and international support to make mental health an integral part of health and societal well-being across the globe”. Slide22

8. Fracarita Tanzania:

ConclusionTo improve the quality of care and services toward

our patients

to

make mental health an integral part of health and societal well-being across the

globe and more specific in Tanzania we need your support

You will receive our appreciation but also it will be of unremitting reward for most neglected of the Tanzanian population in general and most particularly in the Kigoma RegionSlide23
Slide24

Fracarita Tanzania: Contact

Bro. Gilbert K.

Kilassa

, fc

.

Country Coordinator

Fracarita Tanzania FoundationP.O.Box 612Kigoma

Tanzania Mob +255 767 227 024         +255 655 227 024sd.development.gilbert@boc-tz.org  www.fracarita-international.org