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Table 1 Strengths and weaknesses of the Nigerian Context

From: Sustainable financing mechanisms for strengthening mental health systems in Nigeria

Strengths Weaknesses
Health system factors Health system factors
Rigorous health sector reforms process
Increasing State/regional awareness about Mental Health and the need to attend to it
Health and social services are a priority for government
Inadequate access to formal health care services
Reduced utilization due to pervasive stigma
Inadequate numbers of mental health professionals
Economic factors Economic factors
Likelihood of economic growth and recovery from recession
More accountability due to government’s war against corruption
Increasing Foreign Direct Investment due to the country’s political stability and increasing positive reputation internationally
Health insurance schemes have commenced and efforts are being made to cover the vulnerable
Mono-culture economy (oil-driven)
Majority of mental health financing goes to mental hospitals
Proportion of government budget for health sector still below the Abuja declaration target of 15%
Households are the main sources of funding for care of persons with mental disorders (OPP)
Increasing recurrent expenditures compared to capital expenditures
Political factors Political factors
The adoption of the revised mental health policy by National Council of Health in 2013
Increasing recognition and political support for Psycho-social interventions in the rebuilding of the north-east region
Establishment of National Desk Office for Mental Health and, increasingly, at regional levels too
Formation of the National Action Committee on Mental Health; which is a ministerial expert advisory body on mental health matters
Endemic corruption
Bureaucratic bottlenecks and the slow pace of getting things done