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Background: Recognition of mental health problems among children continues to be a diagnostic challenge especially in resource poor countries where integration of such services within the primary health care framework has not been fully successfully. Objective: To document the prevailing mental services among children in Eritrea Methods: prospective descriptive study on policies, practices and interventions targeted at improvement of mental health services among children in Eritrea. Results: The Pediatric Residency Programme established at Orotta School Postgraduate School of Medicine developed a curriculum which was sensitive to recognition and management of mental disorders among children. Of a total of 42 children with mental health disorders, one third had anxiety disorders, 30% had pervasive developmental disorders one quarter psychosomatic disorders and 10% had behaviour disorders predominantly attention deficit disorder. Two illustrative cases have been presented to highlight the challenges and the requisite solutions. Conclusion: The establishment of the Pediatric residency with a dedicated curriculum to address mental health services has contributed to the awareness and integration of such services with primary health care in Eritrea.

Integration of pediatric mental health in general pediatrics in eritrea: improving access and collaboration