The project supports the health authorities in Bosnia and Herzegovina to develop a sustainable system of community-based mental health care which provides quality services for persons with mental health problems and takes measures to reduce risks of development of such problems among the population. The respect of human rights and dignity of women and men with mental health disorders, their families and of those at risk of developing such disorders shall be improved as well as social inclusion and quality of life of these persons.
Pays/région | Thème | Période | Budget |
---|---|---|---|
Bosnie et Herzégovine |
Santé nothemedefined
Santé mentale & bien-être
Système de santé primaire Renforcement des systèmes de santé |
01.03.2018
- 30.06.2023 |
CHF 6’107’000
|
Contexte | The burden of mental disorders among the population in BiH is considerable due to still present deep psychological scars from the war, wide social deprivation, poverty, and difficult political and economic situation. The health authorities have undertaken a reform of mental health care, focusing on the decentralization of services from hospitals to a nowadays network of 70 community-based mental health care centres, providing services to the whole population of BiH. The project has enabled the continuation of the reform which got stalled after initial achievements. The results it has achieved so far are significant but the introduced changes are yet not fully sustainable. The project final phase will ensure sustainable improvement of the performance of the mental health care system in BiH. |
Objectifs | Social inclusion and quality of life of persons with mental health problems are enhanced and risks of development of mental health disorders are reduced among t poulation in BiH. |
Groupes cibles | Direct project beneficiaries are about 700 MH professionals who work in CMHCs and psychiatric hospitals. Beneficiaries of the project are also health authorities and institutions and associations of service users. End beneficiaries are persons with mental disorders and those at risk of developing MH problems, notably belonging to disadvantaged and socially excluded groups. |
Effets à moyen terme |
|
Résultats |
Principaux résultats attendus: - Entity mental health strategies have been developed and policy and regulatory framework brought in line with European standards. - The hospital referrals rate of patients has decreased by 30% and hospital readmissions reduced up to 50% in 43 (66%) community mental healthcare centers accredited for meeting set quality standards. - 2,735 (48% f) persons with severe mental disorders have benefited from the case management approach and 69% of them show significant recovery and improved quality of life. - Studies in occupational therapy have been opened at two public universities and this therapy is now being provided by 74% of centres. - Over 2,500 persons at risk have benefited from prevention and promotion programs in mental health in their communities. - 350 (48% f) persons with mental disorders have benefited from social inclusion activities - 34 (15 f) persons with mental disorders have benefited from paid engagement in two pilot social entrepreneurship models. Principaux résultats antérieurs: 1. Health authorities and care providers ensure quality and continuity of care in mental health in a sustainable way. 2. Persons with mental health problems and those at risk of developing these problems, and their families, including children and adolescents, benefit from effective and gender sensitive community-based mental health services. 3. Persons with mental health problems increasingly participate in economic, social and cultural life of their community. |
Direction/office fédéral responsable |
DDC |
Crédit |
Coopération avec l'Europe de l'Est |
Partenaire de projet |
Partenaire contractuel ONG internationale ou étrangère Autres partenaires Association XY (Bosnia and Herzegovina) |
Coordination avec d'autres projets et acteurs | Besides relevant ministries, the project closely cooperates with the public health institutes, health insurance funds, agencies for quality and accreditation on health, mental health facilities, schools and universities, association of mental health service users, and the media. Synergies with other SDC-funded projects are ensured: the Strengthening Nursing Project, Reducing Health Risk Factors Project, Promoting Healthy Lifestyles and Gender Equitable Attitudes among Young Men and Women Project, Strengthening the Role of Local Communities Project, Youth for Change and Youth Employment Project. |
Budget | Phase en cours Budget de la Suisse CHF 6’107’000 Budget suisse déjà attribué CHF 6’129’352 |
Phases du projet |
Phase 3 01.03.2018 - 30.06.2023 (Completed) Phase 2 01.03.2014 - 28.02.2018 (Completed) Phase 1 05.06.2009 - 28.02.2014 (Completed) |
Secteur selon catégorisation du Comité d'aide au développement de l'OCDE |
SANTE SANTE SANTE |
Sous-Secteur selon catégorisation du Comité d'aide au développement de l'OCDE |
Promotion de la santé mentale et du bien-être
Soins et services de santé de base
Politique de la santé et gestion administrative
|
Thème transversal |
Le projet contribue à améliorer le fonctionnement de l'organisation partenaire |
Type d'aide |
Mandat avec gestion de fonds Assistance technique avec détachement d'experts |
Numéro de projet |
7F06515 |
Dernière mise à jour 26.01.2022
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