■爆发与焦虑症的风险增加有关,抑郁症,和严重的精神状况。将心理健康和社会心理支持(MHPSS)纳入疫情应对措施有助于向受影响社区提供整体护理。随着全球疫情的增加,将MHPSS纳入准备和应对计划对于加强现有卫生系统的能力并应对心理健康和社会心理需求至关重要。然而,在爆发响应期间对MHPSS的关注非常低。本研究的目的是确定MHPSS整合的领域,并探讨在疫情应对期间阻碍提供综合护理的挑战。
■进行了一项参与性定性研究,以探讨在低收入和中等收入国家的背景下,如何将MHPSS作为交叉干预措施纳入疫情准备和应对计划。我们召集了民间社会代表,关键利益相关者,和公共卫生专家在疫情应对期间探索MHPSS整合领域。
■将MHPSS系统整合到爆发响应中被认为是可行的。研究参与者强烈同意MHPSS可以纳入大多数疫情应对支柱,包括合作伙伴协调,案件管理,感染预防和控制,员工健康和福祉,风险沟通和社区参与。然而,这项工作需要多部门合作,政治承诺,以及在规划和融资方面的充分认可。
■尽管面临复杂的挑战,将MHPSS整合到爆发支柱中是可能的。此外,应强调MHPSS指南的文化适应,并在协调MHPSS与爆发计划和应对方面发挥强有力的领导作用。
UNASSIGNED: Outbreaks are associated with increased risk of anxiety disorders, depression, and severe mental conditions. Integrating mental health and psychosocial support (MHPSS) into outbreak response facilitates the delivery of holistic care to the affected community. As there is an increasing incidence of outbreaks globally, integrating MHPSS into preparedness and response plans is paramount to strengthen the capacity of existing health systems and respond to mental health and psychosocial needs. However, the attention given to MHPSS during outbreak response is critically low. The objectives of this study were to identify areas of MHPSS integration and explore the challenges that hinder the delivery of an integrated care during outbreak response.
UNASSIGNED: A participatory qualitative study was conducted to explore how MHPSS can be incorporated into outbreak preparedness and response plans as a cross-cutting intervention in the context of low- and middle-income countries. We brought together civil society representatives, key stakeholders, and public health experts to explore areas of MHPSS integration during outbreak response.
UNASSIGNED: Systematic integration of MHPSS into outbreak response was perceived to be feasible. Study participants strongly agreed that MHPSS can be integrated into most of the outbreak response pillars including partner coordination, case management, infection prevention and control, staff health and well-being, and risk communication and community engagement. However, the effort requires multi-sectoral collaboration, political commitment, and adequate recognition in planning and financing.
UNASSIGNED: Despite complex challenges, integrating MHPSS into outbreak pillars is possible. Moreover, emphasis should be placed on cultural adaptation of MHPSS guidelines and strong leadership in coordinating MHPSS into outbreak planning and response.