title: Mental health care in Anglophone West Africa.
abstract: This column describes the current state of resources and practice in mental health care in the Anglophone countries of West Africa: the Gambia, Sierra Leone, Ghana, Nigeria, and Liberia. Information was systematically gathered from the five countries by using a standard framework for country situation analysis. Mental health services, which are in various stages of development, are characterized by inadequate human resources and long policy neglect. Despite the low numbers of specialists, the region has made important contributions to community service development and global mental health research. Challenges include manpower development, policy and legislation updates, and increased attention to policy and budget. Although mental health service is still grossly inadequate in the context of human and material constraints, there are slowly evolving signs of positive modernization and service development.
authors.forename: Oluyomi
authors.initials: O
authors.lastname: Esan
authors.forename: Jibril
authors.initials: J
authors.lastname: Abdumalik
authors.forename: Julian
authors.initials: J
authors.lastname: Eaton
authors.forename: Lola
authors.initials: L
authors.lastname: Kola
authors.forename: Woye
authors.initials: W
authors.lastname: Fadahunsi
authors.forename: Oye
authors.initials: O
authors.lastname: Gureje
mesh_terms: D005714:Gambia / Q000453:epidemiology; D005869:Ghana / Q000453:epidemiology; D014943:Global Health; D006801:Humans; D007988:Liberia / Q000453:epidemiology; D001523:Mental Disorders / Q000191:economics / Q000453:epidemiology / Q000628:therapy; D008603:Mental Health / Q000191:economics / Q000331:legislation & jurisprudence; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration; D009549:Nigeria / Q000453:epidemiology; D012807:Sierra Leone / Q000453:epidemiology; D000078329:Workforce