Integrating the Response to NCDS and Mental Health in the Context of Building Resilient Health Systems in Africa
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Washington, DC: World Bank
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From June 6 to 8, 2023, the Ministry
of Health of Rwanda organized an event entitled “Integrating
the Response to Noncommunicable Diseases (NCDs) and Mental
Health (MH) in the Context of Building Resilient Health
Systems in Africa” followed by a technical workshop, with
the participation of representatives from the governments of
Eswatini, Ethiopia, Ghana, Kenya, Lesotho, Rwanda, Uganda,
and Zimbabwe. The event and the workshop were prepared by
the World Bank Group (WBG), with support from the World
Health Organization (WHO) and with collaboration from United
Nations Children’s Fund (UNICEF), the African Centres for
Disease Control and Prevention (Africa CDC), and other
multilateral agencies and nonprofit organizations. The
workshop was under funding provided by the Access
Accelerated (AA) Trust Fund. The full program of the event
is included at the end of this summary report.The rate of
noncommunicable diseases (NCDs) in the African Region
increased by 67 percent between 1990 and 2017. In 2019 NCDs
were responsible for 37 percent of African deaths, and by
the year 2030, they will be the main cause of the burden of
disease in the Region. The incidence of mental health (MH)
challenges increased by 13 percent in the Region since 2017.
In addition, Africa is experiencing high rates of suicide
and alcohol abuse, especially among young people. Yet, the
average per capita expenditure on MH provision in African
countries is US$0.46, with only 1.6 health professionals per
100,000 population working in this field. Primary health
care and community-based services are essential strategies
to support health systems and to avoid the consequences of
early mortality and the social and economic losses brought
on by the increased incidence of NCDs and MH. The challenges
imposed by NCDs require a stronger collaboration among
African countries to see how policies developed in different
countries could be adaptative to other regional needs and
contexts. Countries participating in the workshop shared
some achievements and discussed the challenges ahead for the
integration of the provision of mental health services and
NCDs care at the first level of care.
Palabras clave
HEALTH CARE, NONCOMMUNICABLE DISEASES, MENTAL HEALTH, GOOD HEALTH AND WELL-BEING, SDG 3