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

Charlotte Hanlon, Abebaw Fekadu, Mark Jordans, Fred Kigozi, Inge Petersen, Rahul Shidhaye, Simone Honikman, Crick Lund, Martin Prince, Shoba Raja, Graham Thornicroft, Mark Tomlinson, Vikram Patel

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)

Abstract

Background

Little 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).

Aims

To 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).

Method

A comparative analysis of MHCP components and human resource requirements.

Results

A 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.

Conclusions

Application of a standardised methodological approach to MHCP across five LMIC allowed identification of core and site-specific interventions needed for implementation.

Original languageEnglish
JournalBritish Journal of Psychiatry
DOIs
Publication statusPublished - 7 Oct 2015

Fingerprint

Dive into the research topics of 'District mental healthcare plans for five low- and middle-income countries: commonalities, variations and evidence gaps'. Together they form a unique fingerprint.

Cite this