From Vision To Action: Implementation of Community Mental Health in North Sulawesi

Abstract

World Populations are seriously taking action to develop and to employ Community Mental Health, except Indonesia. This discrepancy has taken a great attention to be clarified since risen were some questions such as: In what extent CMH is fulfilled in the Primary Health Care setting, what are inhibiting factors, Difficulties and barriers encountered, what kind of approach and the model need to be create. Upon those two primary units of analysis after the exertions of the WHO AIMS domain 3 version 2.2, interviews and the study of relevant documents PHCs, were revealed some issues such as ignorance, apathy, lethargy, disincentive of Mental Health Program; roommates bring about of no decisive action in Mental Health. These facts were Followed on by some pertinent interviews with informants such as formal and informal citizens, Medical School Alumni and Lecture, the study of documents Ministry of Health, Medical School study of curricula. A bigger picture was summarized that at least three games of stakeholders (the government includes the Ministry of Health, the Community Themselves, Medical Education Institutions) possess an important responsibility of the Neglected CMH program. WHO AIMS version 2.2 on domains PHC has exposed the inadequacy program the which is developed by the three stakeholders. The Medical School curricula do not show its heavy on Mental Health, those are prevention and promotion, the government has shown CMH concepts in its direction, but inconclusive and not sharp enough in implementation. The community has no understanding of its urgency, this is leads to a no-public need and participation. Implementation of Community Mental concept is shown as in the figure 2 and 3. Keywords: Implementation of Community, Mental Health