World Health Organisation, Mental Health Diplomacy and The Protection of Mental Health in Africa
DOI:
https://doi.org/10.64321/jcr.v2i6.06Keywords:
WHO, mental health diplomacy, Africa, mental health policy, global health governance, socio-economic disparitiesAbstract
The World Health Organisation (WHO) played an active role in mental health advocacy, diplomacy, protection and promotion in Africa. The WHO as an international organisation has engaged with state and non-state actors in the African continent on policy frameworks, diplomatic strategies and collaborative initiatives to address mental health. The study objectives were to assess the WHO's strategies and methods in engaging with mental health diplomacy in Africa; evaluate the effectiveness and outcomes of WHO's policies and initiatives in protecting mental health in Africa and identify the challenges faced by the WHO in promoting mental health diplomacy in Africa continent. A qualitative approach was adopted that relied on content analysis of WHO reports, policy documents and existing literature on mental health diplomacy in Africa. The theoretical framework of Constructivism was blended with global health governance to analyse how WHO’s strategies align with the health systems in Africa and how they interact with state and non-state actors to influence mental health policies and interventions in the African continent.
The findings show that the WHO made some progress in advocating for mental health and strengthening mental health systems in Africa but its efforts are affected by systemic issues such as; socioeconomic disparities, cultural barriers, poverty, political instability and weak health infrastructure within the African continent. These factors impede the full implementation of WHO strategies and also, the positive outcomes of WHO’s initiatives in terms of policy development in the area of mental health in Africa. The study recommends that African nations should collaborate on mental health programs, integrate mental health into security policies and enhance cross-country policies in the region. It also urges leveraging health diplomacy for funding, promoting telehealth for remote areas, increasing mental health funding and implementing awareness campaigns and monitoring frameworks to assess programs effectiveness in the rural and urban areas of the continent.
References
Adams, V., Novotny, T., & Leslie, H. (2008). Global Health Diplomacy. Medical Anthropology, 27, 315 - 323. https://doi.org/10.1080/01459740802427067.
Adler, E. (2013). Constructivism in international relations: Sources, contributions, and debates. Handbook of international relations, 2, 112-144.
Afshari, M., Ahmadi Teymourlouy, A., Asadi-Lari, M., & Maleki, M. (2020). Global Health Diplomacy for noncommunicable diseases prevention and control: a systematic review. Globalisation and health, 16, 1-16.
Alexandrov, M. (2003). The concept of state identity in international relations: A theoretical analysis. Journal of International Development and Cooperation, 10(1), 33-46.
Almeida, C. M. D. (2010). The Fiocruz experience in Global Health and Health Diplomacy capacity building: conceptual framework, curricular structure and first results.
Alradhawi, M., Shubber, N., Sheppard, J., & Ali, Y. (2020). Effects of the COVID-19 pandemic on mental well-being amongst individuals in society letter to the editor on “The socio-economic implications of the coronavirus and COVID-19 pandemic: A review”. International journal of surgery, 78, 147-148.
Assembly, U. G. (2014). Global Health and Foreign Policy: Strategic Opportunities and Challenges. Note by the Secretary-General (A/65/399). 2010b Available from http://www. un. org/Docs/journal/asp/ws. asp.
Attridge, M. (2019). A global perspective on promoting workplace mental health and the role of employee assistance programs. American Journal of Health Promotion, 33(4), 622-629.
Beaglehole, R., Bonita, R., Horton, R., Adams, C., Alleyne, G., Asaria, P., ... & Watt, J. (2011). Priority actions for the non-communicable disease crisis. The Lancet, 377(9775), 1438-1447.
Berridge, G. R. (2022). Diplomacy: theory and practice. Springer Nature. https://doi.org/10.15585/mmwr.su7102a1.
Bower, M., Smout, S., Donohoe-Bales, A., O’Dean, S., Teesson, L., Boyle, J., ... & Teesson, M. (2023). A hidden pandemic? An umbrella review of global evidence on mental health in the time of COVID-19. Frontiers in Psychiatry, 14, 1107560.
Brown, T. M., Cueto, M., & Fee, E. (2006). Public health then and now. The World Health Organisation and the transition from 'international ' global ' public health. American Journal of Public Health, 96(1).
Caldas de Almeida, J. M., & Horvitz-Lennon, M. (2010). Mental health care reforms in Latin America: an overview of mental health care reforms in Latin America and the Caribbean. Psychiatric Services, 61(3), 218-221.
Chao, H. J., Lien, Y. J., Kao, Y. C., Tasi, I. C., Lin, H. S., & Lien, Y. Y. (2020). Mental health literacy in healthcare students: An expansion of the mental health literacy scale. International journal of environmental research and public health, 17(3), 948.
Compton, M. T., & Shim, R. S. (2015). The social determinants of mental health. Focus, 13(4), 419-425.
Convention on the Rights of Persons with Disabilities (2014). Concluding observations on the initial report of the Republic of Korea (CRPD/C/KOR/CO/1); 29 October 2014; paras. 31–32. Geneva: Committee on the Rights of Persons with Disabilities; https://undocs.org/CRPD/C/KOR/CO/1. Accessed 3 August 2024.
Convention on the Rights of Persons with Disabilities (2023). Concluding observations on the combined second and third periodic reports of Argentina (CRPD/C/ARG/CO/2–3); 24 March 2023; paras. 29–31. Geneva: Committee on the Rights of Persons with Disabilities; https://tbinternet.ohchr.org/_layouts/15/treatybodyexternal/Download.aspx?sy mbolno=CRPD%2FC%2FARG%2FCO%2F2-3&Lang=en. Accessed August 8, 2024.
Diaz, A., Baweja, R., Bonatakis, J. K., & Baweja, R. (2021). Global health disparities in vulnerable populations of psychiatric patients during the COVID-19 pandemic. World Journal of Psychiatry, 11(4), 94.
Fabbre, V. D., Gaveras, E., Shabsin, A. G., Gibson, J., & Rank, M. R. (2019). Confronting stigma, discrimination, and social exclusion. Toward a livable life: A 21st-century agenda for social work, 70.
Fidler, D. P. (2005). Health as foreign policy: between principle and power. Whitehead J. Dipl. & Int'l Rel., 6, 179
Fidler, D. P. (2011). Navigating the global health terrain: mapping global health diplomacy. Asian J. WTO & Int'l Health L & Pol'y, 6, 1.
Flockhart, T. (2012). Constructivism and foreign policy. Foreign policy: Theories, actors, cases, 2, 78-92.
Galderisi, S., Heinz, A., Kastrup, M., Beezhold, J., & Sartorius, N. (2015). Toward a new definition of mental health. World Psychiatry, 14. https://doi.org/10.1002/wps.20231.
Goals. Research handbook of responsible management, 228.
Goh, E. (2018). ASEAN-led multilateralism and regional order: The great power bargain deficit. International Relations and Asia’s Southern Tier: ASEAN, Australia, and India, 45-61.
Gooding, P. (2017). A new era for mental health law and policy: supported decision-making and the UN Convention on the Rights of Persons with Disabilities. Cambridge University Press.
Gostin, L. O., & Sridhar, D. (2014). Global health and the law. New England Journal of Medicine, 370(18), 1732-1740.
Gostin, L. O., Sridhar, D., & Hougendobler, D. (2015). The normative authority of the World Health Organisation. Public Health, 129(7), 854-863.
Hart, D., & Siniver, A. (2020). The meaning of diplomacy. International Negotiation, 26(2), 159-183.
Ho, J. T., & Moscovitch, D. A. (2022). The moderating effects of reported pre-pandemic social anxiety, symptom impairment, and current stressors on mental health and affiliative adjustment during the first wave of the COVID-19 pandemic. Anxiety, Stress, & Coping, 35(1), 86-100.
Horton, R., & Lo, S. (2015). Planetary health: a new science for exceptional action. The Lancet, 386(10007), 1921-1922.
Katz, R., Kornblet, S., Arnold, G., Lief, E., & Fischer, J. E. (2011). Defining health diplomacy: changing demands in the era of globalisation. The Milbank Quarterly, 89(3), 503-523.
Kenya Ministry of Health (2020). Psychological First Aid (PSYCHOLOGICAL FIRST AID) guide for COVID-19 response in Kenya. 2020. https:// www.health.go.ke/wp-content/uploads/2020/05/Mental-Health-GUIDE -FOR-COVID-19-RESPONSE-IN-KENYA_compressed-2.pdf. Accessed 31 July 2024
Keyes, C. (2007). Promoting and protecting mental health as flourishing: a complementary strategy for improving national mental health. The American psychologist, 62 2, 95-108. https://doi.org/10.1037/0003-066X.62.2.95.accessed September 20, 2024
Kickbusch, I., Nikogosian, H., Kazatchkine, M., & Kökény, M. (2021). A guide to global health diplomacy: better health–improved global solidarity–more equity.
Kickbusch, I., Silberschmidt, G., & Buss, P. (2007). Global health diplomacy: the need for new perspectives, strategic approaches and skills in global health. Bulletin of the World Health Organisation, 85, 230-232.
Kieling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbodun, O., ... & Rahman, A. (2011). Child and adolescent mental health worldwide: evidence for action. The Lancet, 378(9801), 1515-1525.
Kundadak, G. K. (2020). Mental health interventions during the COVID-19 pandemic: a conceptual framework by early career psychiatrists. Asian journal of psychiatry, 51, 102085.
Kutcher, S., Bagnell, A., & Wei, Y. (2015). Mental health literacy in secondary schools: a Canadian approach. Child and Adolescent Psychiatric Clinics, 24(2), 233-244.
Labonté, R., & Gagnon, M. L. (2010). Framing health and foreign policy: lessons for global health diplomacy. Globalisation and health, 6, 1-19.
Lewis, K. J., Lewis, C., Roberts, A., Richards, N. A., Evison, C., Pearce, H. A., ... & Jones, I. (2022). The effect of the COVID-19 pandemic on mental health in individuals with pre-existing mental illness. BJPsych Open, 8(2), e59.
Lorenzo-Luaces, L., Lemmens, L. H., Keefe, J. R., Cuijpers, P., & Bockting, C. L. (2021). The efficacy of cognitive behavioural therapy for emotional disorders. https://psycnet.apa.org/record/2021-23707-003, accessed September 2 2024
Maiyaki, M. B., & Garbati, M. A. (2014). The burden of non-communicable diseases in Nigeria; in the context of globalisation. Annals of African medicine, 13(1), 1-10.
Marshall, M., & Rathbone, J. (2011). Early intervention for psychosis. Cochrane Database of Systematic Reviews, (6).
Mental health atlas (2020); pp 37–45. Geneva: World Health Organisation; https://apps.who.int/iris/ handle/10665/345946. Accessed 3 August 2024.
Ndetei, D. M., Muthike, J., & Nandoya, E. S. (2017). Kenya's mental health law. BJPsych International, 14(4), 96-97.
Nhamo, G., Chikodzi, D., Kunene, H. P., & Mashula, N. (2021). COVID-19 vaccines and treatments nationalism: Challenges for low-income countries and the attainment of the SDGs. Global public health, 16(3), 319-339.
Nicola, M., Alsafi, Z., Sohrabi, C., Kerwan, A., Al-Jabir, A., Iosifidis, C., ... & Agha, R. (2020). The socio-economic implications of the coronavirus pandemic (COVID-19): A review. International journal of surgery, 78, 185-193.
Onditi, F. (2023). Introduction: Diplomatic Thought and Practice. In The Palgrave Handbook of Diplomatic Thought and Practice in the Digital Age (pp. 1-31). Cham: Springer International Publishing.
Onyemelukwe, C. (2016). Stigma and mental health in Nigeria: Some suggestions for law reform. JL Pol'y & Globalisation, 55, 63.
Patel, V. (2010). Global Mental Health New Global Health Discipline Comes of Age. The South African journal of psychiatry, 16(3), 95-95.
Patel, V., & Prince, M. (2010). Global mental health: a new global health field comes of age. JAMA, 303(19), 1976-1977.
Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., ... & Unützer, J. (2011). The Lancet's Series on global mental health: 1 year on. The Lancet, 378(9802), 1600-1601
Perlin, M. L., & Szeli, E. (2012). Mental Health Law and Human Rights. Mental health and human rights: Vision, praxis, and courage, 80.
Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007). No health without mental health. The Lancet, 370(9590), 859-877.
Rana, K. S. (2018). Bilateral diplomacy. The Encyclopedia of Diplomacy, 1-11.
Ransing, R., Adiukwu, F., Pereira-Sanchez, V., Ramalho, R., Orsolini, L., Teixeira, A. L. S., ... &
Rasche, A. (2020). 15. The United Nations Global Compact and the Sustainable Development
Reid, M. A., & Pearse, E. J. (2003). Whither the World Health Organisation? The Medical Journal of Australia, 178(1), 9-12.
Reynolds, C. F., Jeste, D. V., Sachdev, P. S., & Blazer, D. G. (2022). Mental health care for older adults: recent advances and new directions in clinical practice and research. World Psychiatry, 21(3), 336-363.
Ruger, J. P., & Yach, D. (2009). The global role of the World Health Organisation. Global health governance: the scholarly journal for the new health security paradigm, 2(2), 1.
Ryff, C. (1995). Psychological Well-Being in Adult Life. Current Directions in Psychological Science, 4, 104 - 99. https://doi.org/10.1111/1467-8721.EP10772395. Accessed August 21 2024
Schwandt, T. A. (1994). Constructivist, interpretivist approaches to human inquiry. Handbook of qualitative research, 1(1994), 118-137.
Singh, V., Kumar, A., & Gupta, S. (2022). Mental health prevention and promotion—A narrative review. Frontiers in psychiatry, 13, 898009.
Spicer, N., Agyepong, I., Ottersen, T., Jahn, A., & Ooms, G. (2020). ‘It’s far too complicated’: why fragmentation persists in global health. Globalisation and Health, 16, 1-13.
Stanzel, V., & und Politik-SWP-Deutsches, S. W. (2018). New realities in foreign affairs: diplomacy in the 21st century. From https://www.ssoar.info/ssoar/handle/document/60526, accessed March 3, 2024
Sullivan, E. (2018). Multilateral diplomacy in the twenty-first century. In Multilateral Diplomacy and the United Nations Today (pp. 273-285). Routledge.
Sustainable Development Goals (2023). THE 17 GOALS https://sdgs.un.org/goals January 3, 2024
United Nations. (1991). Principles for the protection of persons with mental illness and the improvement of mental health care. Office of the High Commissioner for Human Rights, adopted by General Assembly resolution 46/119 of 17 December 1991.
Vonderheid, S. C., & Al-Gasseer, N. (2002). World Health Organisation and global health policy. From https://deepblue.lib.umich.edu/bitstream/handle/2027.42/71577/j.1547 5069.2002.00109.x.pdf;seque, accessed May 6 2024
Watts, N., Amann, M., Arnell, N., Ayeb-Karlsson, S., Belesova, K., Berry, H., ... & Costello, A. (2018). The 2018 report of the Lancet Countdown on Health and Climate Change: Shaping the Health of Nations for Centuries to Come. The Lancet, 392(10163), 2479-2514.
Wendt, A. (1992). Anarchy is what states make of it: the social construction of power politics. International organisation, 46(2), 391-425.
World Health Organisation (2011). Rio political declaration on social determinants of health. In World conference on social determinants of health (Vol. 21). Rio de Janeiro: World Health Organisation.
World Health Organisation (2020). Coronavirus disease (COVID-19) situation report—196. 2020. https://www.who.int/docs/default-source/coronaviru se/situation-reports/20200803-covid-19-sitrep-196-cleared.pdf?sfvrs n=8a8a3ca4_4. Accessed 4 Aug 2024
World Health Organisation. (1952). Constitution of the World Health Organisation. World Health Organisation: handbook of basic documents, 3-20.
World Health Organisation. (1958). The first ten years of the World Health Organisation. World Health Organisation.
World Health Organisation. (2005). Ecosystems and human well-being: health synthesis: a report of the Millennium Ecosystem Assessment. World Health Organisation. Accessed May 2, 2024
World Health Organisation. (2006). The world health report 2006: working together for health. World Health Organisation.
World Health Organisation. (2015). Fourth seminar on health diplomacy, Cairo, Egypt 2-4 May 2015: summary report (No. WHO-EM/HHR/004/E). World Health Organisation. Regional Office for the Eastern Mediterranean. Accessed May 2, 2024
World Health Organisation. (2015). WHO's six-year strategic plan to reduce the impact of emergencies and disasters: 2014-2019 (No. WHO/PEC/ERM/ERX/2015.6/STR). World Health Organisation. Accessed May 2, 2024
World Health Organisation. (2017). Reaching every newborn national 2020 milestone: country progress, plans and moving forward.
World Health Organisation. (2020). Mental Health and COVID-19: Early evidence of the pandemic impact. 22-31
Youde, J. (2012). Global health governance. Polity. From https://books.google.com/books?hl=en&lr=&id=RRXSzlIEXy8C&oi=fnd&pg=PR5&dq=Youde,+J.+(2012).+Global+health+governance.+Polity+Press.&ots=Bp8VvvgeOH&sig=I5136kx79QJBalzmsDFdSw3SWus, accessed September 21, 2024
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Comfort Iregbenosi ADAMS

This work is licensed under a Creative Commons Attribution 4.0 International License.