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Browsing Book Chapters by Author "Mugisha, James"

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    A patchwork of good intentions: a critical look at different perspectives regarding ethics-based mental health care in under-resourced settings
    (Foundation of Ethics-Based Practices : Springer Nature, 2022-01-01) Knizek, Birthe Loa; Mugisha, James; Kinyanda, Eugene; Hjelmeland, Heidi
    Currently, there is an overall focus on mental health as a global health priority in the United Nations (Sustainable developmental Goals), World Health Organization (WHO), and Global Mental Health (movement and study field). As “mental disorder” is constructed as universal, the consequence is that the focus is on the treatment gap as a result of the huge inequalities regarding access to mental health care and treatment (Mills and Fernando, Disability and the Global South 1:188–202, 2014). UN’s Report of the Special Rapporteur on the Right of Everyone to the Enjoyment of the Highest Attainable Standard of Physical and Mental Health (UN Human Rights Council, https://reliefweb.int/sites/reliefweb.int/files/resources/G1707604.pdf, 2017) urges the promotion of mental health for all ages in all settings as a general human right. In the historical basis for Global Mental Health, we find efforts to improve mental health for people living in under-resourced settings. According to mainstream, this means that the Global South should get better access to staff trained after standards and evidence-based treatment from the Global North. Critics rebut this approach since evidence-based practices developed in a Western setting transferred to different contexts might have unethical consequences, due to the ruling idea of a universal human, by pathologizing individuals rather than their sociopolitical-economic conditions. Attempts have been made to bypass or solve the discussion on the possibility of combining culture and the notion of a universal human which is implicit in Western evidence-based practice. Human rights and ethics-based practices are the ideals of all approaches, but all seem to have unforeseen consequences that go against these ideals. In this chapter, we take a critical look at different perspectives and the debate around ethics-based practice in mental health care in under-resourced settings.
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    Sociocultural aspects of health promotion in palliative care in Uganda
    (Health Promotion in Health Care – Vital Theories and Research., 2021) Mugisha, James
    Despite its vital importance, health promotion has not occupied its due place in public health in Uganda. The country is engulfed into a rising wave of both communicable and non-communicable conditions. This rising burden of both communicable and non-communicable conditions turns health promotion and palliative care essential health care packages; though there is little to show that these two important programs are getting vital support at policy and service delivery levels. A new theoretical framework that is anchored into sociocultural issues is essential in guiding the design and delivery of both health promotion and palliative care in Uganda. The salutogenic theory puts socio-cultural issues at the centre of developing health promotion and palliative care and, seems to solve this dilemma. In this chapter, illustrations from indigenous communities in Uganda are employed to demonstrate the challenges to the health promotion and palliative care agenda in the country and how they can be addressed. Uganda Ministry of Health should develop robust structures within public health for development of health promotion and palliative care in the country. Research should be conducted on the effectiveness of the current strategies on health promotion and palliative care and their cultural sensitivity and appropriateness. Given the limited resources available for development of health care in Uganda, as an overall strategy, health promotion and palliative care should be anchored in public health and its (public health) resources