scholarly journals Indicators for routine monitoring of effective mental healthcare coverage in low- and middle-income settings: a Delphi study

2016 ◽  
Vol 31 (8) ◽  
pp. 1100-1106 ◽  
Author(s):  
Mark J D Jordans ◽  
Dan Chisholm ◽  
Maya Semrau ◽  
Nawaraj Upadhaya ◽  
Jibril Abdulmalik ◽  
...  
Keyword(s):  
Delphi Study ◽  
Mental Healthcare ◽  
Middle Income ◽  
Routine Monitoring ◽  
Healthcare Coverage ◽  
Low And Middle Income

scholarly journals Assessing barriers to quality trauma care in low and middle-income countries: A Delphi study

Injury ◽  
2020 ◽  
Vol 51 (2) ◽  
pp. 278-285 ◽  
Author(s):  
J Whitaker ◽  
D Nepogodiev ◽  
A Leather ◽  
J Davies
Keyword(s):  
Trauma Care ◽  
Delphi Study ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Cost of scaling up mental healthcare in low-and middle-income countries

2007 ◽  
Vol 191 (6) ◽  
pp. 528-535 ◽  
Author(s):  
Dan Chisholm ◽  
Crick Lund ◽  
Shekhar Saxena
Keyword(s):  
Low Income ◽  
Scale Up ◽  
Mental Healthcare ◽  
Scaling Up ◽  
Psychosocial Treatment ◽  
Economic Evaluations ◽  
Middle Income ◽  
Middle Income Countries ◽  
Per Capita ◽  
Low And Middle Income

BackgroundNo systematic attempt has been made to calculate the costs of scaling up mental health services in low-and middle-income countries.AimsTo estimate the expenditures needed to scale up the delivery of an essential mental healthcare package over a 10-year period (2006–2015).MethodA core package was defined, comprising pharmacological and/or psychosocial treatment of schizophrenia, bipolar disorder, depression and hazardous alcohol use. Current service levels in 12 selected low-and middle-income countries were established using the WHO–AIMS assessment tool. Target-level resource needs were derived from published need assessments and economic evaluations.ResultsThe cost per capita of providing the core package attarget coverage levels (in US dollars) ranged from $1.85 to $2.60 per year in low-income countries and $3.20 to $6.25 per year in lower-middle-income countries, an additional annual investment of $0.18–0.55 per capita.ConclusionsAlthough significant new resources need to be invested, the absolute amount is not large when considered at the population level and against other health investment strategies.

Mental healthcare in low and middle income countries

BMJ ◽  
2014 ◽  
Vol 349 (nov25 8) ◽  
pp. g7086-g7086 ◽  
Author(s):  
R. E. Drake ◽  
A. Binagwaho ◽  
H. C. Martell ◽  
A. G. Mulley
Keyword(s):  
Mental Healthcare ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Integration of mental health into primary care in low- and middle-income countries: The PRIME mental healthcare plans

2016 ◽  
Vol 208 (s56) ◽  
pp. s1-s3 ◽  
Author(s):  
Crick Lund ◽  
Mark Tomlinson ◽  
Vikram Patel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Healthcare ◽  
Design Evaluation ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

SummaryThis supplement outlines the development and piloting of district mental healthcare plans from five low- and middle-income countries, together with the methods for their design, evaluation and costing. In this editorial we consider the challenges that these programmes face, highlight their innovations and draw conclusions.

scholarly journals Effective methods for knowledge transfer to strengthen mental health systems in low- and middle-income countries

BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
Jose L. Ayuso-Mateos ◽  
Maria Miret ◽  
Pilar Lopez-Garcia ◽  
Atalay Alem ◽  
Dan Chisholm ◽  
...  
Keyword(s):  
Mental Health ◽  
Knowledge Transfer ◽  
Health System ◽  
Health Systems ◽  
Mental Healthcare ◽  
Health System Strengthening ◽  
Mental Health Systems ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Background The Emerald project's focus is on how to strengthen mental health systems in six low- and middle-income countries (LMICs) (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda). This was done by generating evidence and capacity to enhance health system performance in delivering mental healthcare. A common problem in scaling-up interventions and strengthening mental health programmes in LMICs is how to transfer research evidence, such as the data collected in the Emerald project, into practice. Aims To describe how core elements of Emerald were implemented and aligned with the ultimate goal of strengthening mental health systems, as well as their short-term impact on practices, policies and programmes in the six partner countries. Method We focused on the involvement of policy planners, managers, patients and carers. Results Over 5 years of collaboration, the Emerald consortium has provided evidence and tools for the improvement of mental healthcare in the six LMICs involved in the project. We found that the knowledge transfer efforts had an impact on mental health service delivery and policy planning at the sites and countries involved in the project. Conclusions This approach may be valid beyond the mental health context, and may be effective for any initiative that aims at implementing evidence-based health policies for health system strengthening.

scholarly journals District mental healthcare plans for five low-and middle-income countries: Commonalities, variations and evidence gaps

2016 ◽  
Vol 208 (s56) ◽  
pp. s47-s54 ◽  
Author(s):  
Charlotte Hanlon ◽  
Abebaw Fekadu ◽  
Mark Jordans ◽  
Fred Kigozi ◽  
Inge Petersen ◽  
...  
Keyword(s):  
Low Income ◽  
Methodological Approach ◽  
Mental Healthcare ◽  
Psychosocial Interventions ◽  
Middle Income ◽  
Site Specific ◽  
Middle Income Countries ◽  
Core Set ◽  
Resource Requirements ◽  
Low And Middle Income

BackgroundLittle is known about the service and system interventions required for successful integration of mental healthcare into primary care across diverse low- and middle-income countries (LMIC).AimsTo examine the commonalities, variations and evidence gaps in district-level mental healthcare plans (MHCPs) developed in Ethiopia, India, Nepal, Uganda and South Africa for the PRogramme for Improving Mental health carE (PRIME).MethodA comparative analysis of MHCP components and human resource requirements.ResultsA core set of MHCP goals was seen across all countries. The MHCPs components to achieve those goals varied, with most similarity in countries within the same resource bracket (low income v. middle income). Human resources for advanced psychosocial interventions were only available in the existing health service in the best-resourced PRIME country.ConclusionsApplication of a standardised methodological approach to MHCP across five LMIC allowed identification of core and site-specific interventions needed for implementation.

scholarly journals Traditional healers’ and biomedical practitioners’ perceptions of collaborative mental healthcare in low- and middle-income countries: A systematic review

2020 ◽  
Vol 57 (1) ◽  
pp. 94-107 ◽  
Author(s):  
Bethany Green ◽  
Erminia Colucci
Keyword(s):  
Systematic Review ◽  
Mental Healthcare ◽  
Traditional Healers ◽  
Psychiatric Medication ◽  
Middle Income ◽  
Middle Income Countries ◽  
Online Databases ◽  
Study Characteristics ◽  
Biomedical Practitioners ◽  
Low And Middle Income

Access to mental healthcare in low- and middle-income countries (LMICs) is one of the greatest challenges in public health today. One suggestion for improving accessibility is through collaboration between biomedical practitioners and traditional healers. This paper reviews studies of traditional healers’ and biomedical practitioners’ perceptions of collaboration. We conducted a systematic review of online databases, selected journals, and reference lists for relevant studies. Eligible papers were assessed using a tool designed for this review for quality and study characteristics, and qualitative data demonstrating participants’ views were extracted. A total of 14 papers from seven countries were included. The published literature on this topic is relatively homogenous and studies are of variable quality. The findings suggest that, despite differing conceptualisations of mental illness causation, both traditional healers and biomedical practitioners recognise that patients can benefit from a combination of both practices and demonstrate a clear willingness to work together. There are concerns about patients’ safety and human rights regarding traditional methods and some healers are sceptical about the effectiveness of Western psychiatric medication. Despite keeping the inclusion criteria open to all LMICs, 13 of the studies were conducted in Africa, seven of which were in South Africa. This limits the applicability of the findings of this review to the wider LMIC context. The paper concludes with recommendations for research and practice.

Sign in / Sign up

Export Citation Format

Share Document