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Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries: Lessons from the frontlines

Research output: Contribution to journalReview article

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Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries : Lessons from the frontlines. / Petersen, I.; Van Rensburg, A.; Gigaba, S.; Luvuno, Z. P.B.; Fairall, L.

In: Epidemiology and Psychiatric Sciences, 01.01.2020.

Research output: Contribution to journalReview article

Harvard

Petersen, I, Van Rensburg, A, Gigaba, S, Luvuno, ZPB & Fairall, L 2020, 'Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries: Lessons from the frontlines', Epidemiology and Psychiatric Sciences. https://doi.org/10.1017/S2045796020000141

APA

Petersen, I., Van Rensburg, A., Gigaba, S., Luvuno, Z. P. B., & Fairall, L. (2020). Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries: Lessons from the frontlines. Epidemiology and Psychiatric Sciences, [e101]. https://doi.org/10.1017/S2045796020000141

Vancouver

Petersen I, Van Rensburg A, Gigaba S, Luvuno ZPB, Fairall L. Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries: Lessons from the frontlines. Epidemiology and Psychiatric Sciences. 2020 Jan 1. e101. https://doi.org/10.1017/S2045796020000141

Author

Petersen, I. ; Van Rensburg, A. ; Gigaba, S. ; Luvuno, Z. P.B. ; Fairall, L. / Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries : Lessons from the frontlines. In: Epidemiology and Psychiatric Sciences. 2020.

Bibtex Download

@article{b3f3cdbdc0f04d31bf27525db528f860,
title = "Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries: Lessons from the frontlines",
abstract = "Against the backdrop of mounting calls for the global scaling-up of mental health services - including quality care and prevention services - there is very little guidance internationally on strategies for scaling-up such services. Drawing on lessons from scale-up attempts in six low- and middle-income countries (LMICs), and using exemplars from the front-lines in South Africa; we illustrate how health reforms towards people-centred chronic disease management provide enabling policy window opportunities for embedding mental health scale-up strategies into these reforms. Rather than going down the oft-trodden road of vertical funding for scale-up of mental health services, we suggest using the policy window that stresses global policy shifts towards strengthening of comprehensive integrated primary health care systems that are responsive to multimorbid chronic conditions. This is indeed a substantial opportunity to firmly locate mental health within these horizontal health systems strengthening funding agendas. While this approach will promote systems more enabling of scaling up of mental health services, implications for donor funders and researchers alike is the need for increased time commitments, resources and investment in local control.",
keywords = "Chronic care, collaborative care, common mental disorders, health service research, multimorbidity",
author = "I. Petersen and {Van Rensburg}, A. and S. Gigaba and Luvuno, {Z. P.B.} and L. Fairall",
year = "2020",
month = "1",
day = "1",
doi = "10.1017/S2045796020000141",
language = "English",
journal = "Epidemiology And Psychiatric Sciences",
issn = "2045-7960",
publisher = "CAMBRIDGE UNIV PRESS",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Health systems strengthening to optimise scale-up in global mental health in low- And middle-income countries

T2 - Lessons from the frontlines

AU - Petersen, I.

AU - Van Rensburg, A.

AU - Gigaba, S.

AU - Luvuno, Z. P.B.

AU - Fairall, L.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - Against the backdrop of mounting calls for the global scaling-up of mental health services - including quality care and prevention services - there is very little guidance internationally on strategies for scaling-up such services. Drawing on lessons from scale-up attempts in six low- and middle-income countries (LMICs), and using exemplars from the front-lines in South Africa; we illustrate how health reforms towards people-centred chronic disease management provide enabling policy window opportunities for embedding mental health scale-up strategies into these reforms. Rather than going down the oft-trodden road of vertical funding for scale-up of mental health services, we suggest using the policy window that stresses global policy shifts towards strengthening of comprehensive integrated primary health care systems that are responsive to multimorbid chronic conditions. This is indeed a substantial opportunity to firmly locate mental health within these horizontal health systems strengthening funding agendas. While this approach will promote systems more enabling of scaling up of mental health services, implications for donor funders and researchers alike is the need for increased time commitments, resources and investment in local control.

AB - Against the backdrop of mounting calls for the global scaling-up of mental health services - including quality care and prevention services - there is very little guidance internationally on strategies for scaling-up such services. Drawing on lessons from scale-up attempts in six low- and middle-income countries (LMICs), and using exemplars from the front-lines in South Africa; we illustrate how health reforms towards people-centred chronic disease management provide enabling policy window opportunities for embedding mental health scale-up strategies into these reforms. Rather than going down the oft-trodden road of vertical funding for scale-up of mental health services, we suggest using the policy window that stresses global policy shifts towards strengthening of comprehensive integrated primary health care systems that are responsive to multimorbid chronic conditions. This is indeed a substantial opportunity to firmly locate mental health within these horizontal health systems strengthening funding agendas. While this approach will promote systems more enabling of scaling up of mental health services, implications for donor funders and researchers alike is the need for increased time commitments, resources and investment in local control.

KW - Chronic care

KW - collaborative care

KW - common mental disorders

KW - health service research

KW - multimorbidity

UR - http://www.scopus.com/inward/record.url?scp=85079083922&partnerID=8YFLogxK

U2 - 10.1017/S2045796020000141

DO - 10.1017/S2045796020000141

M3 - Review article

C2 - 32029018

AN - SCOPUS:85079083922

JO - Epidemiology And Psychiatric Sciences

JF - Epidemiology And Psychiatric Sciences

SN - 2045-7960

M1 - e101

ER -

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