{"id":995,"date":"2016-10-10T10:24:55","date_gmt":"2016-10-10T09:24:55","guid":{"rendered":"http:\/\/blogs.lshtm.ac.uk\/hppdebated\/?p=995"},"modified":"2016-10-10T10:25:55","modified_gmt":"2016-10-10T09:25:55","slug":"poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy","status":"publish","type":"post","link":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/","title":{"rendered":"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy"},"content":{"rendered":"<p>By\u00a0Kjell Arne Johansson (University of Bergen)\u00a0Kirsten Bjerkreim Strand\u00a0(University of Bergen),\u00a0Abebaw Fekadu\u00a0(Addis Ababa University) and Dan Chisholm (World Health Organization)<\/p>\n<p>This\u00a0blog is published as a policy brief here: <a href=\"http:\/\/www.uib.no\/en\/rg\/globpri\">http:\/\/www.uib.no\/en\/rg\/globpri<\/a><\/p>\n<p>Mental and neurological health care has long been neglected in low-income settings. This is a blog\u00a0on an article that was published in <em>Health Policy and Planning:<\/em> <strong><em>\u201c<a href=\"http:\/\/bit.ly\/2eiqfkT\">Health Gains and Financial Protection Provided by the Ethiopian Mental Health Strategy: an Extended Cost-Effectiveness Analysis<\/a>\u201d\u00a0<\/em><\/strong>on 10th October, World Mental Health Day 2016.<\/p>\n<p><iframe loading=\"lazy\" width=\"940\" height=\"400\" scrolling=\"no\" frameborder=\"no\" src=\"https:\/\/w.soundcloud.com\/player\/?visual=true&#038;url=http%3A%2F%2Fapi.soundcloud.com%2Ftracks%2F286958384&#038;show_artwork=true&#038;maxwidth=940&#038;maxheight=1000\"><\/iframe><\/p>\n<p>The Ethiopian mental health policy is ambitious and essential treatments for depression, bipolar disorder, schizophrenia and epilepsy are aimed to be scaled-up in all primary care levels. This study was conducted in Ethiopia because there is a need for equity relevant evidence for priority setting on the path to universal health care. Around <strong>155,000 healthy life years<\/strong> can be gained and the poorest are expected to gain the most. In addition, scale-up of psychological therapy and antidepressants are expected to give US$ 50 million in return to the US$ 65 million investments because the working population will be more productive when not depressed.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-996\" src=\"http:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture.png\" alt=\"capture\" width=\"770\" height=\"337\" srcset=\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture.png 731w, https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-500x219.png 500w, https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-730x320.png 730w\" sizes=\"auto, (max-width: 770px) 100vw, 770px\" \/><\/p>\n<p>This paper estimates health and non-health impacts of fully publicly financed care for selected key interventions in the National Mental Health Strategy in Ethiopia. This policy aims to provide essential mental health care at a primary health centre level and to make such services available to a large proportion of those in need.<\/p>\n<p>A methodology of Extended Cost-Effectiveness Analysis (ECEA) was applied to mental and neurological health care in Ethiopia. The impact of providing a package of selected interventions free of charge in Ethiopia was estimated for:<\/p>\n<p><strong><u>Epilepsy<\/u>:<\/strong> 75% coverage, phenobarbital<\/p>\n<p><strong><u>Depression<\/u>:<\/strong> 30% coverage, fluoxetine, cognitive \u00a0\u00a0therapy and proactive case management<\/p>\n<p><strong><u>Bipolar affective disorder<\/u><\/strong>: 50% coverage, valproate and psychosocial therapy<\/p>\n<p><strong><u>Schizophrenia<\/u>:<\/strong> 75% coverage, haloperidol plus psychosocial treatment).<\/p>\n<p>Multiple outcomes are estimated:<\/p>\n<ul>\n<li>healthy-life-years gained<\/li>\n<li>household out-of-pocket expenditures averted<\/li>\n<li>expected financial risk protection<\/li>\n<li>productivity impact<\/li>\n<\/ul>\n<p>The expected total benefits for the whole population in Ethiopia were evaluated. In addition, we evaluated the expected distribution of benefits across income groups &#8211; if policy targets are achieved.<\/p>\n<p><span style=\"text-decoration: underline\"><strong>Main findings<\/strong><\/span><\/p>\n<p>(1) The National Mental Health Strategy in Ethiopia for depression, bipolar disorder, schizophrenia and epilepsy is estimated to<strong> cost equivalent to US$ 1.8 per capita<\/strong> (US$ 177 million) and to yield large progressive health benefits (see illustration above)<\/p>\n<p>(2) In total, the National Mental Health Strategy is expected to gain <strong>155,000 healthy life years.<\/strong> Divided into disease categories, the benefits (and costs) are:<\/p>\n<p>&#8211; <u>Epilepsy<\/u>: 64,500 healthy life years (US$37m)<\/p>\n<p>&#8211; <u>Depression<\/u>: 61,300 healthy life years (US$65m)<\/p>\n<p>&#8211; <u>Bipolar disorder<\/u>: 20,300 healthy life years (US$44m)<\/p>\n<p>&#8211; <u>Schizophrenia<\/u>: 8,900 healthy life years (US$31m)<\/p>\n<p>(3) <strong>Economic benefits of US$ 51 million<\/strong> are expected from depression treatment in Ethiopia as a result of productivity (equivalent to around 80% to the investment cost)<\/p>\n<p>(4) Patients with mental health disorders in Ethiopia currently spend little money on mental health care in the statutory health system, simply because these services are not available. Universal public finance therefore averts little current private spending on health care and thus <strong>provides minimal financial risk protection<\/strong>.<\/p>\n<p><span style=\"text-decoration: underline\"><strong>Conclusion<\/strong><\/span><\/p>\n<p>The total mental and neurological package in Ethiopia is estimated to cost equivalent to US$1.8 per capita and yields large progressive health benefits. The expected productivity gain is substantially higher than the expected financial risk protection of universal public finance. The policy aims to provide essential mental health care in 50% of the over 3,000 primary health centres in Ethiopia. However, reaching patients with mental disorders is a challenge. Increasing coverage and to motivate patients to seek care will be crucial to achieve the ambitious policy targets in the mental health care strategy in Ethiopia. Future implications for other similar low income settings are that the Extended Cost Effectiveness Analysis approach seems to fit well with the mental health policy challenges and captures important equity implications of scaling up mental health care programmes.<\/p>\n<p>&#8212;<br \/>\nThe full article is available to view and download here:\u00a0<a title=\"http:\/\/bit.ly\/2eiqfkT\" href=\"https:\/\/exit.sc\/?url=http%3A%2F%2Fbit.ly%2F2eiqfkT\" target=\"_blank\" rel=\"nofollow\">bit.ly\/2eiqfkT<br \/>\n<\/a>Image credit: Kjell Arne Johansson<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By\u00a0Kjell Arne Johansson (University of Bergen)\u00a0Kirsten Bjerkreim Strand\u00a0(University of Bergen),\u00a0Abebaw Fekadu\u00a0(Addis Ababa University) and Dan&#8230;<\/p>\n","protected":false},"author":576,"featured_media":1001,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-995","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","odd"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy - Health Policy and Planning Debated<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy - Health Policy and Planning Debated\" \/>\n<meta property=\"og:description\" content=\"By\u00a0Kjell Arne Johansson (University of Bergen)\u00a0Kirsten Bjerkreim Strand\u00a0(University of Bergen),\u00a0Abebaw Fekadu\u00a0(Addis Ababa University) and Dan...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/\" \/>\n<meta property=\"og:site_name\" content=\"Health Policy and Planning Debated\" \/>\n<meta property=\"article:published_time\" content=\"2016-10-10T09:24:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-10T09:25:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"667\" \/>\n\t<meta property=\"og:image:height\" content=\"375\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"phpunsal\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"phpunsal\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/\"},\"author\":{\"name\":\"phpunsal\",\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/28a4efb1d1010ffde9ce165ad9dd7e97\"},\"headline\":\"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy\",\"datePublished\":\"2016-10-10T09:24:55+00:00\",\"dateModified\":\"2016-10-10T09:25:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/\"},\"wordCount\":682,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png\",\"articleSection\":[\"Uncategorized\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/\",\"url\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/\",\"name\":\"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy - Health Policy and Planning Debated\",\"isPartOf\":{\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png\",\"datePublished\":\"2016-10-10T09:24:55+00:00\",\"dateModified\":\"2016-10-10T09:25:55+00:00\",\"author\":{\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/28a4efb1d1010ffde9ce165ad9dd7e97\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage\",\"url\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png\",\"contentUrl\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png\",\"width\":667,\"height\":375},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#website\",\"url\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/\",\"name\":\"Health Policy and Planning Debated\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-GB\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/28a4efb1d1010ffde9ce165ad9dd7e97\",\"name\":\"phpunsal\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-GB\",\"@id\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/0eb8024050dfb79188ec632b3c126b21503861881ec0932af76989917471a5d0?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/0eb8024050dfb79188ec632b3c126b21503861881ec0932af76989917471a5d0?s=96&d=mm&r=g\",\"caption\":\"phpunsal\"},\"url\":\"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/author\/phpunsal\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy - Health Policy and Planning Debated","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/","og_locale":"en_GB","og_type":"article","og_title":"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy - Health Policy and Planning Debated","og_description":"By\u00a0Kjell Arne Johansson (University of Bergen)\u00a0Kirsten Bjerkreim Strand\u00a0(University of Bergen),\u00a0Abebaw Fekadu\u00a0(Addis Ababa University) and Dan...","og_url":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/","og_site_name":"Health Policy and Planning Debated","article_published_time":"2016-10-10T09:24:55+00:00","article_modified_time":"2016-10-10T09:25:55+00:00","og_image":[{"width":667,"height":375,"url":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png","type":"image\/png"}],"author":"phpunsal","twitter_misc":{"Written by":"phpunsal","Estimated reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#article","isPartOf":{"@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/"},"author":{"name":"phpunsal","@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/28a4efb1d1010ffde9ce165ad9dd7e97"},"headline":"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy","datePublished":"2016-10-10T09:24:55+00:00","dateModified":"2016-10-10T09:25:55+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/"},"wordCount":682,"commentCount":0,"image":{"@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png","articleSection":["Uncategorized"],"inLanguage":"en-GB","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/","url":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/","name":"Poor can gain more healthy life years as compared to the rich by the Ethiopian mental health strategy - Health Policy and Planning Debated","isPartOf":{"@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage"},"image":{"@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png","datePublished":"2016-10-10T09:24:55+00:00","dateModified":"2016-10-10T09:25:55+00:00","author":{"@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/28a4efb1d1010ffde9ce165ad9dd7e97"},"inLanguage":"en-GB","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/"]}]},{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/2016\/10\/10\/poor-can-gain-more-healthy-life-years-as-compared-to-the-rich-by-the-ethiopian-mental-health-strategy\/#primaryimage","url":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png","contentUrl":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/files\/2016\/10\/Capture-1.png","width":667,"height":375},{"@type":"WebSite","@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#website","url":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/","name":"Health Policy and Planning Debated","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-GB"},{"@type":"Person","@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/28a4efb1d1010ffde9ce165ad9dd7e97","name":"phpunsal","image":{"@type":"ImageObject","inLanguage":"en-GB","@id":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/0eb8024050dfb79188ec632b3c126b21503861881ec0932af76989917471a5d0?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/0eb8024050dfb79188ec632b3c126b21503861881ec0932af76989917471a5d0?s=96&d=mm&r=g","caption":"phpunsal"},"url":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/author\/phpunsal\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/posts\/995","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/users\/576"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/comments?post=995"}],"version-history":[{"count":19,"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/posts\/995\/revisions"}],"predecessor-version":[{"id":1016,"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/posts\/995\/revisions\/1016"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/media\/1001"}],"wp:attachment":[{"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/media?parent=995"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/categories?post=995"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.lshtm.ac.uk\/hppdebated\/wp-json\/wp\/v2\/tags?post=995"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}