There has been little external analysis of Zimbabwe's mental health system. We did a systems analysis to identify bottlenecks and opportunities for mental health service improvement in Zimbabwe and to generate cost-effective, policy-relevant solutions. We combined in-depth interviews with a range of key stakeholders in health and mental health, analysis of mental health laws and policies, and publicly available data about mental health. Five themes are key to mental health service delivery in Zimbabwe: policy and law; financing and resources; criminal justice; workforce, training, and research; and beliefs about mental illness. We identified human resources, rehabilitation facilities, psychotropic medication, and community mental health as funding priorities. Moreover, we found that researchers should prioritise measuring the economic impact of mental health and exploring substance use, forensic care, and mental health integration. Our study highlights forensic services as a central component of the mental health system, which has been a neglected concept. We also describe a tailored process for mental health systems that is transferable to other low-income settings and that garners political will, builds capacity, and raises the profile of mental health.

中文翻译：

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津巴布韦的心理健康：卫生系统分析。

津巴布韦的精神卫生系统几乎没有外部分析。我们进行了系统分析，以确定津巴布韦改善精神卫生服务的瓶颈和机会，并产生具有成本效益的，与政策相关的解决方案。我们将深度访谈与一系列健康与心理健康领域的关键利益相关者，对心理健康法律和政策的分析以及有关心理健康的公开可用数据相结合。五个主题是津巴布韦提供精神卫生服务的关键：政策和法律；融资和资源；刑事司法; 劳动力，培训和研究；和关于精神疾病的信仰。我们确定了人力资源，康复设施，精神药物和社区心理健康为资助重点。而且，我们发现研究人员应优先衡量心理健康对经济的影响，并探索药物的使用，法医护理和心理健康整合。我们的研究突出了法医服务作为精神卫生系统的核心组成部分，这已被忽略。我们还描述了针对心理健康系统的量身定制的过程，该过程可以转移到其他低收入环境中，并具有政治意愿，建立能力并提高心理健康的形象。