TY - JOUR
T1 - Indicators for routine monitoring of effective mental healthcare coverage in low- and middle-income settings
T2 - A Delphi study
AU - Jordans, Mark J D
AU - Chisholm, Dan
AU - Semrau, Maya
AU - Upadhaya, Nawaraj
AU - Abdulmalik, Jibril
AU - Ahuja, Shalini
AU - Alem, Atalay
AU - Hanlon, Charlotte
AU - Kigozi, Fred
AU - Mugisha, James
AU - Petersen, Inge
AU - Shidhaye, Rahul
AU - Lund, Crick
AU - Thornicroft, Graham
AU - Gureje, Oye
N1 - © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: [email protected].
PY - 2016/10/1
Y1 - 2016/10/1
N2 - High-quality information to measure the need for, and the uptake, cost, quality and impact of care is essential in the pursuit of scaling up mental health care in low- and middle-income countries (LMIC). The aim of this study was to identify indicators for the measurement of effective coverage of mental health treatment. We conducted a two-round Delphi study (n = 93 experts from primarily LMIC countries Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), in order to generate and prioritize a set of indicators. First, 52 unique indicators were generated (based on a total of 876 responses from participants). Second, the selected indicators were then scored for significance, relevance and feasibility. Mean priority scores were calculated per indicator (score range, 1-5). All 52 indicators had a weighted mean score that ranged from 3.20 for the lowest ranked to 4.27 for the highest ranked. The 15 highest ranked indicators cover the different domains of measuring effective mental health treatment coverage. This set of indicators is highly stable between the different groups of experts, as well as between the different participating countries. This study provides data on how mental health service and financial coverage can be assessed in LMIC. This is an important element in the move to scale-up mental health care.
AB - High-quality information to measure the need for, and the uptake, cost, quality and impact of care is essential in the pursuit of scaling up mental health care in low- and middle-income countries (LMIC). The aim of this study was to identify indicators for the measurement of effective coverage of mental health treatment. We conducted a two-round Delphi study (n = 93 experts from primarily LMIC countries Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), in order to generate and prioritize a set of indicators. First, 52 unique indicators were generated (based on a total of 876 responses from participants). Second, the selected indicators were then scored for significance, relevance and feasibility. Mean priority scores were calculated per indicator (score range, 1-5). All 52 indicators had a weighted mean score that ranged from 3.20 for the lowest ranked to 4.27 for the highest ranked. The 15 highest ranked indicators cover the different domains of measuring effective mental health treatment coverage. This set of indicators is highly stable between the different groups of experts, as well as between the different participating countries. This study provides data on how mental health service and financial coverage can be assessed in LMIC. This is an important element in the move to scale-up mental health care.
KW - Delphi study
KW - Health information system
KW - Indicators
KW - Routine monitoring
KW - Treatment coverage
UR - http://www.scopus.com/inward/record.url?scp=84994691904&partnerID=8YFLogxK
U2 - 10.1093/heapol/czw040
DO - 10.1093/heapol/czw040
M3 - Article
C2 - 27107294
SN - 0268-1080
VL - 31
SP - 1100
EP - 1106
JO - Health Policy and Planning
JF - Health Policy and Planning
IS - 8
ER -
