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South Africa still faced with several mental health challenges – Dr Joe Phaahla

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Health Minister Dr Joe Phaahla said while the department had grown the number of human resources available for mental health services, the equitable distribution of such resources needed attention.
Health Minister Dr Joe Phaahla said while the department had grown the number of human resources available for mental health services, the equitable distribution of such resources needed attention.
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Mpumalanga had been reported as the only province without a specialised psychiatric hospital and had to refer people requiring this service to Gauteng.

This was announced by Health Minister Dr Joe Phaahla, who was speaking on the first day of the mental health conference in Pretoria on Monday.

The two-day conference was convened by the health department in collaboration with the Foundation for Professional Development.

South Africa ranks among global countries with high mental health issues and has scored the lowest average on the mental health scale.

According to several authors and research findings, mental health had been identified as a key area of public health concern in South Africa and globally.

READ: Psychiatric patients ‘not fed or cared for’

“All provinces have at least one facility rendering services for people with dual diagnosis except Mpumalanga, as there is no specialised psychiatric hospital in this province. However, it is welcomed that Mpumalanga has plans to construct a specialised mental health hospital,” he said.

Phaahla stated while the department had grown the number of human resources available for mental health services, the equitable distribution of such resources needed attention.

He said: 

While the Western Cape and Gauteng have 50 and 72 psychiatrists working in the public sector, respectively, Northern Cape and Mpumalanga only have three and four psychiatrists working in the public sector.

He added another serious weakness was the absence in most provinces and at the national level of an information system that provided patient-level data that enabled seamless care, treatment and follow-ups for patients.

“South Africa is still facing a number of challenges in the area of mental health and the absence of data makes it impossible for the country to accurately state its mental health incidence and prevalence and leads to misleading interpretations.” 

He said to effectively address the weaknesses, the department together with other provincial health departments was currently building on the strengths of the implementation of the 2013 to 2020 Mental Health Policy Framework and Strategy, through the implementation of the newly approved Mental Health Policy Framework and Strategy 2023 to 2030.

READ: Here’s how little government spends on mental health

Phaahla said through the implementation of the 2023 Policy Framework and Strategy, the department was going to develop and implement a national plan to raise awareness and educate the public on mental health with elements targeting issues of mental illness, encouraging self-agency, promoting healthy lifestyles and directing the public on where to go for help and treatment.

He added: 

We will further expand and improve primary healthcare mental health services and improve the quality of community-based mental health services. The department would ensure that infrastructure is fit for purpose in line with the mental health infrastructure norms that were published in 2014.



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