Agenda: Quality of Care Issues for Mental Health and Neurological Disorders in sub-Saharan Africa
8:00 a.m. Welcome
PAUL MUGAMBI
President
Uganda National Academy of Sciences
8:05 a.m. Introductions
ALAN LESHNER, IOM Neuroscience Forum Chair
Chief Executive Officer, AAAS
Executive Publisher, Science
EDWARD KIRUMIRA, UNAS Health and Nutrition Forum Chair
and Workshop Co-Chair
Dean, Faculty of Social Sciences
Makerere University
8:15 a.m. Workshop Objectives
STEVE HYMAN, Workshop Co-Chair
Provost
Harvard University
8:25 a.m. Keynote Address: Task-Shifting to Close the Treatment Gap for Mental and Neurological Disorders
VIKRAM PATEL
Professor of International Mental Health
London School of Hygiene and Tropical Medicine
8:55 a.m. Moderated Discussion with Workshop Participants
STEVE HYMAN, Workshop Co-Chair
Provost
Harvard University
SESSION I: BURDEN OF NEUROLOGICAL, MENTAL, AND SUBSTANCE USE DISORDERS IN SUB-SAHARAN AFRICA
Session Objective: Review the prevalence and burden of neurological, mental, and substance use disorders in SSA including an examination of the economic and social impact on communities and health systems.
9:10 a.m. Introduction and Session Objectives
DONALD SILBERBERG, Session Chair
Professor
Department of Neurology
University of Pennsylvania School of Medicine
9:15 a.m. Prevalence of neurological disorders in SSA, economic and social impact of under- or non-treatment of neurologic disorders
DONALD SILBERBERG
Professor
Department of Neurology
University of Pennsylvania School of Medicine
9:30 a.m. Barriers to care for individuals with neurological disorders in SSA
ELLY KATABIRA
Associate Professor
Makerere University School of Medicine
9:45 a.m. Prevalence of mental and substance use disorders in SSA, economic and social impact of under- or non-treatment of mental disorders and substance abuse
HARVEY WHITEFORD
Professor
Department of Psychiatry and Population Health
University of Queensland
10:00 a.m. Barriers to care for individuals with mental and substance use disorders in SSA
FLORENCE BAINGANA
Research Fellow
Makerere University School of Public Health
10:15 a.m. Moderated Discussion with Session Panelists
DONALD SILBERBERG, Session Chair
Professor
Department of Neurology
University of Pennsylvania School of Medicine
10:45 a.m. TEA BREAK
SESSION II: CURRENT NATIONAL HEALTHCARE POLICIES
Session Objective: Discuss current healthcare policies in place for neurological, mental, and substance use disorders in various SSA countries and describe what resources and infrastructure investments were needed to implement these policies.
11:00 a.m. Introduction and Session Objectives
OYE GUREJE, Session Chair
Head, Department of Psychiatry
University of Ibadan College of Medicine
11:05 a.m. Panel Discussion: National Healthcare Policies for Mental and Neurological Disorders
World Health Organization
THERESE AGOSSOU (INVITED)
Regional Adviser for Mental Health and Substance Abuse
WHO Regional Office for Africa, Brazzaville
Uganda
SHEILA NDYANABANGI
Principle Medical Officer, Mental Health Section
Ministry of Health, Uganda
Ghana
ALBERT AKPALU
Neurologist & Lecturer
Korle-Bu Teaching Hospital, Ghana
Zambia
JOHN MAYEYA (INVITED)
Mental Health Specialist
Ministry of Health, Zambia
South Africa
SIFISO PHAKATHI (INVITED)
Director, Mental Health
Department of Health, South Africa
11:55 a.m. Moderated Discussion with Session Panelists
OYE GUREJE, Session Chair
Head, Department of Psychiatry
University of Ibadan College of Medicine
1:00 p.m. LUNCH
SESSION III: EFFECTIVE HEALTHCARE SYSTEMS: LESSONS LEARNED
Session Objective: Examine models for providing effective healthcare that may have utilized health systems, training programs, and dissemination of information. Discuss what can be learned from these models, how they can be expanded, and what can be applied rapidly in other SSA countries.
2:00 p.m. Introduction and Session Objectives
CHARLES NEWTON, Session Co-Chair
Senior Clinical Fellow
KEMRI-Wellcome Research Programme
MICHELLE MCMURRY, Session Co-Chair
Director
Health, Biomedical Science and Society Initiative
Aspen Institute
2:10 p.m. Panel 1 Discussion: Service Models
How was care for neurological, mental, and/or substance use disorders integrated into the health care or information dissemination model? What challenges did you face when integrating care for neurological, mental, and/or substance use disorders into the service model?
Millennium Development Village Project
GARY BELKIN
Associate Professor
New York University School of Medicine
Department of Psychiatry
Bellevue Hospital Center
African Hospital Network
ALFRED NJAMNSHI
Department of Neurology
Yaounde Central Hospital, Cameroon
Patient Advocacy and Support Organizations
OSMAN MIYANJI
Board of Directors Chair
The Kenya Association for the Welfare of People with Epilepsy
Training health care workers programs
DAVID KIIMA
Director Mental Health
Ministry of Health, Kenya
Dissemination of Evidence Based Resources
JULIA ROYALL
Chief, International Programs
U.S. National Library of Medicine
3:00 p.m. Moderated Discussion with Panel 1 Discussants
What can be learned from these models and what can be applied rapidly in other SSA countries? How can these models be expanded to become part of an effective national healthcare system?
MICHELLE MCMURRY, Session Co-Chair
Director
Health, Biomedical Science and Society Initiative
Aspen Institute
3:40 p.m. TEA BREAK
3:55 p.m. Panel Discussion 2: Disease Models
What were/are the challenges and opportunities in utilizing disease models to improve diagnosis and treatment of neurological, mental, and/or substance use disorders?
Epilepsy Model
CHARLES NEWTON
Senior Clinical Fellow
KEMRI-Wellcome Research Programme
HIV/AIDS Model
ANGELINA KAKOOZA MWESIGE
Department of Pediatrics and Child Health
Makerere University School of Medicine
Malaria Model
JAMES TIBENDERANA (INVITED)
Interim Head, Malaria Research Centre, Africa
Deputy Director and Drug Policy Change Specialist/Epidemiologist
Malaria Consortium
4:25 p.m. Moderated Discussion with Panel 2 Discussants
What can be learned from these disease models and what can be applied rapidly in other SSA countries? How can these disease models be leveraged to improve quality of care for neurological, mental, and/or substance use disorders?
CHARLES NEWTON, Session Co-Chair
Senior Clinical Fellow
KEMRI-Wellcome Research Programme
5:10 p.m. Summary of Day One
ALAN LESHNER, IOM Neuroscience Forum Chair
Chief Executive Officer, AAAS
Executive Publisher, Science
5:25 p.m. Discussion with Workshop Speakers and Attendees
Given the state of the disease burden, healthcare policies, and models, what can be learned from today’s discussions and how can these be expanded to become integrated into a national healthcare system?
ALAN LESHNER, IOM Neuroscience Forum Chair
Chief Executive Officer, AAAS
Executive Publisher, Science
EDWARD KIRUMIRA, UNAS Health and Nutrition Forum Chair
and Workshop Co-Chair
Dean, Faculty of Social Sciences
Makerere University
6:00 p.m. ADJOURN TO RECEPTION, Lake Side Terrace Victoria Room
DAY 2
8:00 a.m. Welcome and Review of Day One
STEVE HYMAN, Workshop Co-Chair
Provost
Harvard University
EDWARD KIRUMIRA, UNAS Health and Nutrition Forum Chair
and Workshop Co-Chair
Dean, Faculty of Social Sciences
Makerere University
8:15 a.m. Keynote Address: TBD
PAUL FARMER
Co-Founder
Partners in Health
Professor of Social Medicine
Department of Global Health and Social Medicine
Harvard Medical School
8:45 a.m. Moderated Discussion with Workshop Participants
STEVE HYMAN, Workshop Co-Chair
Provost
Harvard University
SESSION IV: DEVELOPING FEASIBLE HEALTHCARE SYSTEMS
Session Objective: Explore feasible strategies to improve care for neurological, mental, and substance use disorders given the current financial and resource constraints. Discuss opportunities that can be used to better ensure continuity of care and sustainability within a country’s health care system. Identify resources that are presently available or could be made available to aide in implementation of treatments and prevention projects.
9:00 a.m. Introduction to the Session
MARCELO CRUZ, Session Co-Chair
President
Global Network for Research on Mental and Neurological Health Ecuador
EDWARD KIRUMIRA, Session Co-Chair
Dean, Faculty of Social Sciences
Makerere University
9:05 a.m. Traditional Healers and Epilepsy Treatment
ROY BASKIND
Division of Neurology
Department of Medicine
University of Toronto
9:20 a.m. Continuity of Care, Sustainability, and Standardization
OYE GUREJE
Head, Department of Psychiatry
University of Ibadan College of Medicine
9:35 a.m. Partners in Health
PAUL FARMER
Co-Founder
Partners in Health
Professor of Social Medicine
Department of Global Health and Social Medicine
Harvard Medical School
9:50 a.m. Moderated Discussion with Session Panelists
MARCELO CRUZ, Session Chair
President
Global Network for Research on Mental and Neurological Health Ecuador
EDWARD KIRUMIRA, Session Co-Chair
Dean, Faculty of Social Sciences
Makerere University
11:30 a.m. LUNCH
SESSION V: IMPROVING THE PRESENT, LOOKING TO THE FUTURE: DEVELOPING EVIDENCE-BASED HEALTH POLICIES
Session Objective: Explore the greatest opportunities for improving evidence-based health policies, leveraging resources, and developing meaningful collaborations between various countries and healthcare networks.
12:30 p.m. Introduction to the Session
FLORENCE BAINGANA, Session Chair
Research Fellow
Makerere University School of Public Health
12:50 p.m. Panel Discussion: Opportunities for Improving Evidence-based Health Policies
Note: Each panelist will provide approximately 10 minutes of remarks.
World Health Organization
SHEKHAR SAXENA
Programme Manager, Department of Mental Health and Substance Abuse
Coordinator, Evidence, Research and Action on Mental and Brain Disorders (MER)
World Health Organization
Lesotho
MATHAABE CECILIA RANTHIMO
Acting Director, Mental Health Services
Ministry of Health and Social Welfare, Lesotho
Neurology Perspective
MARCELO CRUZ
President
Global Network for Research on Mental and Neurological Health
Ecuador
Kenya
DAVID NDETEI
Director
African Mental Health Foundation
Psychiatric Perspective
FRANK NJENGA
President
African Association of Psychiatrists & Allied Professions
WILLIAM MATUJA
Consultant Neurologist
Department of Neurology
Muhimbili University College of Health Sciences
Muhimbili National Hospital
1:50 p.m. Moderated Discussion with Session Panelists
FLORENCE BAINGANA, Session Chair
Research Fellow
Makerere University School of Public Health
SESSION VI: NEXT STEPS
Session Objective: Identify practical next steps by which to facilitate collaborative activities among stakeholders aimed to improve quality of care of neurological, mental, and substance use disorders.
2:35 p.m. Closing Remarks: Where do we go from here?
EDWARD KIRUMIRA, UNAS Health and Nutrition Forum Chair
and Workshop Co-Chair
Dean, Faculty of Social Sciences
Makerere University
ALAN LESHNER, IOM Neuroscience Forum Chair
Chief Executive Officer, AAAS
Executive Publisher, Science
2:55 p.m. Moderated Discussion with Session Panelists and Attendees
What next steps were identified during the workshop that could: 1) better ensure continuity of care and sustainability within a country’s health care system; 2) aide in implementation of treatments and prevention projects; 3) better emphasize the need for national, evidence-based policies; and 4) facilitate collaborations among a variety of stakeholders, including policy makers and health care professionals?
ALAN LESHNER, Moderator
Chief Executive Officer, AAAS
Executive Publisher, Science
EDWARD KIRUMIRA, Moderator
Dean, Faculty of Social Sciences
Makerere University
3:45 p.m. ADJOURN
PAUL MUGAMBI
President
Uganda National Academy of Sciences
Back to Meeting