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Title page

Contents

Acknowledgements 3

Terminology 3

Acronyms 4

Executive summary 8

Introduction: The needs of the global mental health sector 10

Chapter 1: Who is currently funding global mental health? 12

Country governments and households 12

Donors via development assistance 13

Who isn't funding mental health? 17

What's missing? 17

Chapter 2: Why global mental health funding needs to change, now 19

There is momentum 19

It makes economic sense 20

It can help improve the effectiveness of other development programmes 21

There are cost-effective solutions 21

Chapter 3: Who could fund global mental health in the future? 23

Seeking more financing from existing funders 23

Attracting other conventional health funders into financing mental health 25

Approaching less traditional players and financing mechanisms for consideration 27

Conclusion: Next steps for the sector 31

Annex 1: Types of health donors 34

Annex 2: Suggested barriers to funding mental health 35

Annex 3: Categories of mental health assistance 36

Annex 4: Supporting arguments for, and potential barriers against, investment in mental health 37

Bibliography 38

Tables

Table 1. Top funders of development assistance to mental health 15

Table 2. Overview of funders and their spending in mental health 17

Table 3. Identifying funders for the future 23

Figures

Figure 1. The state of mental health 8

Figure 2. Distribution of mental health expenditure per capita, by care setting 13

Figure 3. Development assistance for mental health (2007-2013) 14

Figure 4. Global health burden vs development assistance spending in LICs 16

Figure 5. The mental health funding gap 18

Figure 6. Annual DAMH by sector (2007-2013) 32

Boxes

Box 1. Categories of mental health activities 11

Box 2. Francis's story, Ghana 13

Box 3. The Chain-Free Initiative, Somalia 20

Box 4. The Friendship Bench, Zimbabwe 22

Box 5. Summary of recommendations 33

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