Wednesday, November 29, 2017

Ghana’s Mental Health Law Facing Implementation Delays


Mr. Kwaku Agyeman-Manu, Health Minister
Ghana’s mental health sector could be in serious jeopardy in a few years’ time owing to delays in the full implementation of measures spelt out by the country’s mental health law.

Five years after the passage of the country’s mental law, many key aspects of the legislation have still not been achieved according to Knowledge and Communications officer of BasicNeeds-Ghana, Frederick Nantogmah.

Speaking to Citi News in an interview during a sensitisation workshop organised for 50 traditional and spiritual healers in Tamale, Mr Nantogmah said apart from the establishment of the Mental Health Authority and the Mental Health Fund which is yet to receive a single payment since creation, the rest of the other equally important aspects of the law have still not been implemented.

He also mentioned for instance, the absence of the Mental Health Board, Visiting Committee, Legislative Instrument and Mental Health Tribunals as well as lack of specialist care in all ten regions and medications for all public mental health facilities in the country.

Mr. Nantogmah however indicated that, in the absence of the full implementation of Act 846 of 2012, other development partners such as DFID, KOICA, Direct Relief and among others have been giving government and its mental health facilities some form of assistance.

“Through funding agencies like DFID a lot has really been done. So right now, the mental health authority has regional coordinators in all the places in all the regions and these guys are helping out with managing mental health services across board.

“We have also had the collaboration of other organisations like Direct Relief from the US who have given us a lot of medicines to be able to distribute to five of the poorest regions in Ghana. These have been the mainstay of psychotropic medicines that have been used in a lot of these places to the extent that now people with mental illness do not have to pay for medications a lot of the time”, he disclosed.

Through the intervention of the Korea International Cooperation Agency and Johnson and Johnson, Mr. Nantogmah also noted that BasicNeeds undertook a number of sustainable livelihood projects which ensured that persons with mental illness or epilepsy were engaged in agriculture and other income generating activities to be able to fend for themselves. 

The workshop was organised as part of the implementation of a 5-year (2013 – 2018) DFID mental health and development project being implemented in all 26 Metropolitan, Municipal and District Assemblies (MMDAs) in the Northern Region.

The project is aimed at supporting the government of Ghana to build a national mental health system that effectively and efficiently responds to the mental health needs of Ghanaians. This will reduce the wide mental health treatment gap currently existing in Ghana and enable adults and children of both sexes with neuropsychiatric conditions to live and work successfully in their communities. 

The project seeks to increase capacity of Ghana's Mental Health Authority to effectively and efficiently run community based mental health services; and support 100,000 adults and children of both sexes with mental health needs to access quality mental health services within the proximity of their communities.

Considering the vital role that traditional and faith-based healers play in the mental health sector, it has become imperative to sensitise them on the mental health law and its requirements as well as encourage practitioners to complement the services provided by orthodox mental health service providers.

According to Sheik Alhaji Yakubu Abdul-Kareem commended participants for the important role they were playing and urged them to respect the human rights of their patients citing the protection of their dignity and cease chaining them as well as bathing them with hot herbs.

Deputy Chief Investigator at the Regional Office of the Commission for Human Rights and Administrative Justice (CHRAJ), Seidu Alhassan, urged participants to play a crucial role in complementing the efforts of the public health delivery system in the country.

He said the important contribution traditional healers could make include but not limited lending themselves to building their capacities in human right values and charters and work towards bringing their standards and procedures to be in sync with the provisions in the mental health act.

Mr. Alhassan also encouraged them to expose practitioners who were perpetrating bad behaviours and open up for better practices, improve their facilities and services and be humble enough to refer cases with the chance of better treatment to psychiatric hospitals for treatment.





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