Display options
Cite
Muga FA, Jenkins R. Health care models guiding mental health policy in Kenya 1965 - 1997. Int J Ment Health Syst. 2010;4(1):9doi: 10.1186/1752-4458-4-9.
Muga, F. A., & Jenkins, R. (2010). Health care models guiding mental health policy in Kenya 1965 - 1997. International journal of mental health systems, 4(1), 9. https://doi.org/10.1186/1752-4458-4-9
Muga, Florence A, and Jenkins, Rachel. "Health care models guiding mental health policy in Kenya 1965 - 1997." International journal of mental health systems vol. 4,1 (2010): 9. doi: https://doi.org/10.1186/1752-4458-4-9
Muga FA, Jenkins R. Health care models guiding mental health policy in Kenya 1965 - 1997. Int J Ment Health Syst. 2010 Apr 28;4(1):9. doi: 10.1186/1752-4458-4-9. PMID: 20426855; PMCID: PMC2872652.
Copy Download .nbib Format: NLM
Share it on

Int J Ment Health Syst. 2010 Apr 28;4(1):9. doi: 10.1186/1752-4458-4-9.

Health care models guiding mental health policy in Kenya 1965 - 1997.

International journal of mental health systems

Florence A Muga, Rachel Jenkins

Affiliations

  1. Department of Psychiatry, University of Papua New Guinea, National Capital District, Papua New Guinea.
  2. Department of Health Services and Population Research, Institute of Psychiatry, Kings College London, De Crespigny Park, London, UK.

PMID: 20426855 PMCID: PMC2872652 DOI: 10.1186/1752-4458-4-9

Abstract

BACKGROUND: Mental health policy is needed to set the strategy and direction for the provision of mental health services in a country. Policy formulation does not occur in a vacuum, however, but is influenced by local and international factors in the health sector and other sectors.

METHODS: This study was carried out in 1997 to examine the evolution of mental health policy in Kenya between 1965 and 1997 in the context of changing international concepts of health and development. Qualitative content analysis of policy documents was combined with interviews of key policy makers.

RESULTS: The study showed that during the period 1965-1997 the generic health policy in Kenya changed from one based on the Medical Model in the 1960s and 1970s to one based on the Primary Health Care Model in the late 1970s and the 1980s and finally to one based on the Market Model of health care in the 1990s. The mental health policy, on the other hand, evolved from one based on the Medical Model in the 1960s to one based on the Primary Health Care Model in the 1990s, but did not embrace the Market Model of health care. This resulted in a situation in the 1990s where the mental health policy was rooted in a different conceptual model from that of the generic health policy under which it was supposed to be implemented. This "Model Muddlement" may have impeded the implementation of the mental health policy in Kenya.

CONCLUSIONS: Integration of the national mental health policy with the general health policy and other sector policies would be appropriate and is now underway.

References

  1. Health Policy Plan. 1994 Sep;9(3):237-51 - PubMed
  2. World Health Organ Tech Rep Ser. 1984;698:5-34 - PubMed
  3. Soc Sci Med Med Psychol Med Sociol. 1980 Oct;14A(5):423-6 - PubMed
  4. Int J Health Plann Manage. 1993 Oct-Dec;8(4):265-74 - PubMed
  5. Acta Psychiatr Scand Suppl. 1991;364:1-132 - PubMed
  6. Int J Health Plann Manage. 1991 Apr-Jun;6(2):89-108 - PubMed
  7. Science. 1977 Apr 8;196(4286):129-36 - PubMed
  8. Cent Afr J Med. 1987 Oct;33(10):239-43 - PubMed
  9. World Health Organ Tech Rep Ser. 1975;(564):1-41 - PubMed
  10. Soc Psychiatry Psychiatr Epidemiol. 2008 Jun;43(6):477-82 - PubMed

Publication Types