GENERAL INFORMATION Guinea Guinea is a country with an approximate area of 246 thousand square kilometers (O, 2008). The population is 10,323,755 and the sex ratio (men per hundred women) is 102 (O, 2009). The proportion of the population under the age of 18 years is 50% and the proportion above age 60 is 3% (O, 2009). The literacy rate is 67% for men and 51% for women ( Statistics, 2008). The life expectancy at birth is 51 years for males and 54 years for females (O, 2005-2010). The healthy life expectancy at birth is 46 years for males and 54 years for females (PD, 2010). The country is in the Low income group (based on 2010 World Bank criteria). The total expenditure on health as a percentage of gross domestic product is 5.73% and the per capita government expenditure on health (PPP int. $) is $9.0 (WHO, 2006). Suicide rate information is not available. In Guinea, neuropsychiatric disorders are estimated to contribute to 6.5% of the global burden of disease (WHO, 2008). GOVERNANCE An officially approved mental health policy exists and was approved or most recently revised in 2000. Mental health is specifically mentioned in the general health policy. A mental health plan exists and was approved or most recently revised in 2000. The mental health plan components include: Integration of mental health services into primary care. Dedicated mental health legislation does not exist and legal provisions concerning mental health are not covered in other laws (e.g., welfare, disability, general health legislation etc.). FINANCING Mental health expenditures by the government health department/ministry are not available. Mental hospital expenditures are not available. MENTAL HEALTH CARE DELIVERY Primary Care Prescription regulations authorize primary health care doctors to prescribe and/or to continue prescription of psychotherapeutic medicines but with restrictions. The department of health authorizes primary health care nurses to prescribe and/or to continue prescription of psychotherapeutic medicines, but with restrictions. Likewise, official policy does not permit primary health care nurses to independently diagnose and treat mental disorders within the primary care system. The majority of primary health care doctors and nurses have not received official in-service training on mental health within the last five years. Officially approved manuals on the management and treatment of mental disorders are not available in the majority of primary health care clinics. Official referral procedures for referring persons from primary care to secondary/tertiary care exist, as do referral procedures from tertiary/secondary care to primary care. = information unavailable, NA = item not applicable
= information unavailable, NA = item not applicable
Mental Health Services Mental Health Atlas 2011 - Department of Mental Health and Substance Abuse, World Health Organization Availability of mental health Total number of /beds population Number of /beds reserved for children and adolescents only Mental health outpatient 0 0.0 0 0.0 Day treatment 2 0.02 0 0.0 Psychiatric beds in general 82 0.79 0 0.0 hospitals Community residential 0 0.0 0 0.0 Beds/places in community 0 0 0.0 residential 0.0 Mental hospitals 0 0.0 0 0.0 Beds in mental hospitals 0 0.0 0 0.0 Access to care Rates per 100,000 population) Females (%) Persons treated in mental health outpatient NA NA NA Persons treated in mental health day treatment Admissions to psychiatric beds 26.11 32% 2% in general hospitals Persons staying in community NA NA NA residential at the end of the year Admissions to mental hospitals Long term care in mental hospitals (% of persons staying): Less than 1 year 97% More than 1 and less than 5 years 2% More than 5 years 1% Rate per 100,000 population Under age 18 (%) = information unavailable, NA = item not applicable
HUMAN RESOURCES Workforce and training Mental Health Atlas 2011 - Department of Mental Health and Substance Abuse, World Health Organization Health professionals working in the mental health sector Psychiatrists 0.03 NA Medical doctors, not specialized in psychiatry 0.11 NA Nurses 0.07 NA Psychologists 0.00 Social workers 0.00 Occupational 0.00 NA therapists Other health workers NA Informal human resources (Family and User Associations) Training of health professions in educational institutions User Present in the country? No No Number of members NA NA Participation in the NA NA formulation/implementation of policy/plan/legislation? Family MEDICINES Expenditures for medicines for mental and behavioral disorders at country level Type of Medicines Expenditures at country level per year and per 100,000 population (in USD) All the psychotherapeutic medicines 1 Medicines used for bipolar disorders 2 Medicines for psychotic disorders 3 Medicines used for general anxiety 4 Medicines used for mood disorders 5 1 N03AG01, N05A, N05B, N05C, N06A 2 N03AG01, N05A, N05B, N05C, N06A 3 N05A (excluding N05AN) 4 N05B & N05C = information unavailable, NA = item not applicable
INFORMATION SYSTEMS Data on number of people/ activities are collected and Data on age and gender are collected and Persons with mental disorders treated in primary No No No health care Interventions (psychopharmacological and No No No psychosocial) delivered in primary health care for people with mental disorders Persons treated in mental health outpatient No No No Contacts in mental health outpatient No No No Persons treated in mental health day treatment No No No Admissions in general hospitals with psychiatric Yes Yes Yes beds Admissions in mental hospitals No No No Days spent in mental hospitals No No No Admissions in community residential No No No Data on patient's diagnosis are collected and Note: no mental health data have been compiled in a report for policy, planning or management purposes in the last three years 5 N06A = information unavailable, NA = item not applicable