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ARTICLES
Year : 2017  |  Volume : 15  |  Issue : 2  |  Page : 136-150

Integrating mental health care into primary care: the case of one rural district in Rwanda


1 Deputy Director of Mental Health at Partners In Health, an Associate Psychiatrist at BrighamandWomen's Hospital, and an Instructor in Psychiatry at Harvard Medical School, Boston,MA, USA. She is also a former Pagenel Fellow in Global Mental Health Delivery at Partners in Health in Rwanda
2 Manager of the Mental Health Division, Rwanda Biomedical Centre, Kigali, Rwanda., Rwanda
3 Director of Community Rehabilitation, Mental Health Division, Rwanda Biomedical Centre, Kigali, Rwanda., Rwanda
4 Director of the Psychiatric Unit, Mental Health Division, Rwanda Biomedical Centre, Kigali, Rwanda., Rwanda
5 Substance Abuse Specialist, Mental Health Division, Rwanda Biomedical Centre, Kigali, Rwanda., Rwanda
6 Technical Assistant Psychiatrist,Mental Health Division,Rwanda Biomedical Centre, Kigali, Rwanda., Rwanda
7 Mental Health Activity Manager, Médecins Sans Frontie'res Belgium, Kenya. She is a former Pagenel Fellow in Global Mental Health Delivery at Partners In Health in Rwanda
8 Director of Global Learning and Training at Partners In Health, Boston, MA
9 Senior Advisor for Mental Health at Partners in Health and a Master of Science in Nursing candidate at the Yale School of Nursing
10 Mental Health Lead, Butaro Hospital, Burera District, Rwanda., Rwanda
11 Psychiatric Nurse at Butaro Hospital, Burera District, Rwanda., Rwanda
12 Director of Mental Health at Partners in Health, Boston; and the Director of the Programin Global Mental Health and Social Change at Harvard Medical School's Department of Global Health and Social Medicine, USA., USA

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Source of Support: None, Conflict of Interest: None


DOI: 10.1097/WTF.0000000000000148

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Integration of mental health care into primary care is a strategic priority of Rwanda's national mental health care programme and a central tenet of global mental health. In 2009, the international health care delivery organisation, Partners In Health, established a community based mental health programme to support national planning goals. In 2012, the organisation collaborated with the Rwanda Ministry of Health to implement a structured mentorship programme enabling government employed, primary care nurses to care for patients with severe mental disorders at primary care health care centres in one rural district. The implementation strategy included decentralised training and consistent supervision for four priority neuropsychiatric disorders. Lessons learned were applied through the transition of supervisory responsibilities to district hospital based government nurses. The programme's focus on structured mentorship for generalist nurses, systems based improvements and use of an existing public health care strengthening efforts highlight its potential as a model for integrating mental health care into primary care in resource limited settings.


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