Background Mental health has recently gained increasing attention on global health and development agendas, including calls for an increase in international funding. Few studies have previously characterized official development assistance for mental health (DAMH) in a nuanced and differentiated manner in order to support future funding efforts. Methods Data from the Organisation for Economic Cooperation and Development Creditor Reporting System were obtained through keyword searches. Projects were manually reviewed and categorized into projects dedicated entirely to mental health and projects that mention mental health (as one of many aims). Analysis of donor, recipient, and sector characteristics within and between categories was undertaken cumulatively and yearly. Findings Between the two categories of official DAMH defined, characteristics differed in terms of largest donors, largest recipient countries and territories, and sector classification. However, across both categories there were clear and consistent findings: the top donors accounted for over 80% of all funding identified; the top recipients were predominantly conflict-affected countries and territories, or were receiving nations for conflict-affect refugees; and sector classification demonstrated shifting international development priorities and political drivers. Conclusion Across DAMH, significant amounts of funding are directed toward conflict settings and relevant emergency response by a small majority of donors. Our analysis demonstrated that, within minimal international assistance for mental health overall, patterns of donor, recipient, and sector characteristics favor emergency conflict-affected settings. Calls for increased funding should be grounded in understanding of funding drivers and directed toward both emergency and general health settings.

中文翻译：

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精神卫生发展援助资金模式分析：谁、何时、何地、何地

背景 心理健康最近在全球健康和发展议程上获得了越来越多的关注，包括呼吁增加国际资助。以前很少有研究以细致入微和差异化的方式描述官方精神卫生发展援助 (DAMH) 的特征，以支持未来的资助工作。方法通过关键词检索获得经济合作与发展组织债权人报告系统的数据。项目被人工审查并分类为完全致力于心理健康的项目和提到心理健康的项目（作为众多目标之一）。对类别内和类别之间的捐助者、接受者和部门特征进行了累积和每年的分析。结果 在官方定义的两类 DAMH 之间，最大捐助者、最大受援国和地区以及部门分类的特点各不相同。然而，在这两个类别中都有明确和一致的发现：最大的捐助者占所有已确定资金的 80% 以上；主要接受者是受冲突影响的国家和地区，或者是受冲突影响难民的接收国；和部门分类表明国际发展优先事项和政治驱动因素不断变化。结论 在整个 DAMH 中，大量资金由少数捐助者用于冲突环境和相关应急响应。我们的分析表明，在对整体心理健康的最低限度国际援助范围内，捐赠者、接受者、和部门特征有利于受冲突影响的紧急情况。增加资金的呼吁应以了解资金驱动因素为基础，并针对紧急和一般卫生环境。