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A nationwide evaluation study of the quality of care and respect of human rights in mental health facilities in Ghana: results from the World Health Organization QualityRights initiative.

  • Academic Journal
  • Moro MF; Columbia University Irving Medical Center, New York, US, USA. mfmoro@gmail.com.
    Carta MG; University of Cagliari, Cagliari, IT, Italy.
    Gyimah L; WHO Country Office for Ghana, Accra, GH, Ghana.
    Orrell M; Institute of Mental Health, University of Nottingham, Nottingham, UK.
    Amissah C; Ghana Ministry of Health - Mental Health Authority, Accra, GH, Ghana.
    Baingana F; WHO Regional Office for Africa, Brazzaville, CG, Congo.
    Kofie H; Mental Health Society of Ghana, Accra, GH, Ghana.
    Taylor D; MindFreedom Ghana, Accra, GH, Ghana.
    Chimbar N; Methods Consult, Accra, GH, Ghana.
    Coffie M; Mental Health Society of Ghana, Accra, GH, Ghana.
    Cole C; Charité University Medicine Berlin, Berlin, DE, Germany.
    Ansong J; WHO Country Office for Ghana, Accra, GH, Ghana.
    Ohene SA; WHO Country Office for Ghana, Accra, GH, Ghana.
    Tawiah PE; Ghana Ministry of Health - Mental Health Authority, Accra, GH, Ghana.
    Atzeni M; University of Cagliari, Cagliari, IT, Italy.
    D'Oca S; University of Cagliari, Cagliari, IT, Italy.
    Gureje O; Department of Psychiatry, WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences and Substance Abuse, University of Ibadan, Ibadan, NG, Nigeria.
    Funk M; Policy, Law and Human Rights, Department of Mental Health & Substance Use, World Health Organization, Geneva, CH, Switzerland.
    Drew N; Policy, Law and Human Rights, Department of Mental Health & Substance Use, World Health Organization, Geneva, CH, Switzerland.
    Osei A; Ghana Ministry of Health - Mental Health Authority, Accra, GH, Ghana.
  • BMC public health [BMC Public Health] 2022 Apr 02; Vol. 22 (1), pp. 639. Date of Electronic Publication: 2022 Apr 02.
  • English
  • Background: In 2012, Ghana ratified the United Nations Convention on the Rights of Persons with Disabilities and enacted a Mental Health Act to improve the quality of mental health care and stop human rights violations against people with mental health conditions. In line with these objectives, Ghanaian stakeholders collected data on the quality of mental health services and respect for human rights in psychiatric facilities to identify challenges and gather useful information for the development of plans aimed to improve the quality of the services offered. This study aimed to assess psychiatric facilities from different Ghanaian regions and provide evidence on the quality of care and respect of human rights in mental health services.
    Methods: Assessments were conducted by independent visiting committees that collected data through observation, review of documentation, and interviews with service users, staff, and carers, and provided scores using the World Health Organization QualityRights Toolkit methodology.
    Results: This study revealed significant key challenges in the implementation of the United Nations Convention on the Rights of Persons with Disabilities principles in Ghanaian psychiatric services. The rights to an adequate standard of living and enjoyment of the highest attainable standard of health were not fully promoted. Only initial steps had been taken to guarantee the right to exercise legal capacity and the right to personal liberty and security. Significant gaps in the promotion of the right to live independently and be included in the community were identified.
    Conclusions: This study identifies shortcomings and critical areas that the Ghanaian government and facilities need to target for implementing a human rights-based approach in mental health and improve the quality of mental health care throughout the country.
    (© 2022. The Author(s).)
Additional Information
Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
Original Publication: London : BioMed Central, [2001-
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001 International WHO_ World Health Organization
Keywords: Ghana*; Human Rights*; Mental healthcare*; Psychiatric services*; Quality of care*; UN CRPD*; WHO QualityRights*
Date Created: 20220403 Latest Revision: 20220517
20220520
PMC8976418
10.1186/s12889-022-13102-2
35366832

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