Bibliographic citations
Cavero, V., (2020). Reducing excess mortality of people with mental disorders: A policy-document analysis of the Peruvian Mental Health Reform [University of London (London School of Hygiene and Tropical Medicine)]. https://renati.sunedu.gob.pe/handle/sunedu/2229979
Cavero, V., Reducing excess mortality of people with mental disorders: A policy-document analysis of the Peruvian Mental Health Reform []. GB: University of London (London School of Hygiene and Tropical Medicine); 2020. https://renati.sunedu.gob.pe/handle/sunedu/2229979
@mastersthesis{renati/2369,
title = "Reducing excess mortality of people with mental disorders: A policy-document analysis of the Peruvian Mental Health Reform",
author = "Cavero Huapaya, Victoria María",
publisher = "University of London (London School of Hygiene and Tropical Medicine)",
year = "2020"
}
Aim: People with mental disorders (PMD) die up to 30 years earlier than the general population. This policy report explored the extent in which excess mortality of PMD was recognised as a relevant issue in the Peruvian Mental Health Reform (MHR) agenda, by analysing the role of actors, ideas, political contexts, and issue characteristics proposed by the Shiffman and Smith’s (2007) framework. Findings: A total of 25 documents were analysed, including government policies, research articles and civil society’s reports. Main actors were policymakers and researchers, who portrayed the idea that excess mortality was an important problem to address; and 2014-2018 appeared as a favourable Political context, when most documents stating the issue were published. Nonetheless, excess mortality’s characteristics were not entirely considered, since documents mainly declared its relevance and the need to reduce it; but did not explicitly mention strategies to do so. Recommendations: 1) Expand the agenda setting of excess mortality, by involving professional associations and users-led organisations; framing it in a way that resonates with political leaders; and explicitly present interventions to reduce it. 2) Define which effective interventions to reduce excess mortality will be implemented, by updating legislation to incorporate the goal of reducing excess mortality and tailoring effective interventions to the local context. 3) Strengthen the role of research to set excess mortality into MHR agendas, through conducting local research to inform policy guidelines; building research-capacities in policy communities; enhancing partnerships among policymakers and researchers; and positioning excess mortality into global funders’ priorities. Conclusions: The study found that excess mortality has been gaining position into the Peruvian MHR agenda; in which some determinants proposed by Shiffman and Smith’s (2007) helped its positioning, and some others would still be needed to expand the agenda setting.
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CaveroHuapayaVM.pdf | Trabajo de investigación | 854.24 kB | Adobe PDF | ![]() View/Open |
Autorizacion.pdf Restricted Access | Autorización del registro | 645.24 kB | Adobe PDF | View/Open Request a copy |
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