The global burden of disease related to mental disorders is on the increase, with the World Health Organization (WHO) estimating that over 450 million people are affected worldwide. The Mental Health Global Action Program (mhGAP) was launched by the WHO in 2002 in order to address the widening gap in access to mental healthcare in low-income countries. Despite these efforts, access to mental healthcare in low-income countries remains poor and is often described as inadequate, inefficient and inequitable, with an 85% estimated treatment gap in low-income countries, as compared with 35% to 50% in high-income countries.In this article, the authors argue that integrating mental health services into primary healthcare settings through capacity building is vital with regard to achieving mhGAP goals. The article explores the challenges to and potential enablers for the improvement of the delivery of broad-based mental healthcare services in Kenya. The authors propose the integration of the conceptual dimensions of both the cosmopolitanism and capabilities approaches as a combined strategy for dealing with capacity building in heterogeneous settings such as Kenya.
The decline of multiculturalism as a public discourse has been caused by various socio-political factorssuch as 9/11 and its aftermath and the growth in migrationand new pro-and anti-diversity isms have been offered instead. One such pro-diversity discourse is interculturalism. Whilst some of its advocates, especially in Quebec and Europe, have seen it as a replacement of multiculturalism, a closer examination shows a high degree of complementarity. We demonstrate this by a theoretical-normative unpacking of multiculturalism and of the claims of interculturalism, and by evidence that Australian publics see multiculturalism as supportive of interculturalism, perceived as a renewal of multiculturalism. We express the hope that the sometimes oppositional debate between these two isms may now move forward into a phase of complementarity.
Tunisia, the birthplace of the 'Arab Spring', has emerged as the only credible story of political transition and democratic consolidation across the region. However, ongoing challenges are tempering the euphoria of the early emancipatory mantra of freedom and dignity. Nevertheless, the political transformation continues to gather assured democratic momentum. And whilst the country's political elite and leading civil society organizations have managed to avoid the chaotic, and in some cases violent, scenarios in neighbouring countries, some significant challenges remain ahead, none less important than enduring corruption, socio-economic inequalities, sporadic but highly damaging security events, and persistent economic problems, most notably high unemployment among university graduates. Based on qualitative insights and quantitative data, this paper shows that many of these challenges are epitomized in the critical demographic cohort of youth who are disengaging from all forms of formal political activities. The paper argues that democratic gains can be fragile and will be jeopardized unless urgent structural reforms and transformative initiatives are introduced in the country to restore, even partially, the youth's capacity to influence the social reform agenda and the overall democratization process.
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