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Health systems context(s) for integrating mental health into primary health care in six Emerald countries : a situation analysis

dc.contributor.authorMugisha, Jamesen_ZA
dc.contributor.authorAbdulmalik, Jibrilen_ZA
dc.contributor.authorHanlon, Charlotteen_ZA
dc.contributor.authorPetersen, Ingeen_ZA
dc.contributor.authorLund, Cricken_ZA
dc.contributor.authorUpadhaya, Nawarajen_ZA
dc.contributor.authorAhuja, Shalinien_ZA
dc.contributor.authorShidhaye, Rahulen_ZA
dc.contributor.authorMntambo, Ntokozoen_ZA
dc.contributor.authorAlem, Atalayen_ZA
dc.contributor.authorGureje, Oyeen_ZA
dc.contributor.authorKigozi, Freden_ZA
dc.date.accessioned2019-02-13T09:52:58Z
dc.date.available2019-02-13T09:52:58Z
dc.date.issued2017-01-05
dc.identifier.citationMugisha, J., et al. 2017. Health systems context(s) for integrating mental health into primary health care in six Emerald countries : a situation analysis. International Journal of Mental Health Systems, 11:7, doi:10.1186/s13033-016-0114-2
dc.identifier.issn1752-4458 (online)
dc.identifier.otherdoi:10.1186/s13033-016-0114-2
dc.identifier.urihttp://hdl.handle.net/10019.1/105408
dc.descriptionCITATION: Mugisha, J., et al. 2017. Health systems context(s) for integrating mental health into primary health care in six Emerald countries : a situation analysis. International Journal of Mental Health Systems, 11:7, doi:10.1186/s13033-016-0114-2.
dc.descriptionThe original publication is available at https://ijmhs.biomedcentral.com
dc.description.abstractBackground: Mental, neurological and substance use disorders contribute to a significant proportion of the world’s disease burden, including in low and middle income countries (LMICs). In this study, we focused on the health systems required to support integration of mental health into primary health care (PHC) in Ethiopia, India, Nepal, Nigeria, South Africa and Uganda. Methods: A checklist guided by the World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS) was developed and was used for data collection in each of the six countries participating in the Emerging mental health systems in low and middle-income countries (Emerald) research consortium. The documents reviewed were from the following domains: mental health legislation, health policies/plans and relevant country health programs. Data were analyzed using thematic content analysis. Results: Three of the study countries (Ethiopia, Nepal, Nigeria, and Uganda) were working towards developing mental health legislation. South Africa and India were ahead of other countries, having enacted recent Mental Health Care Act in 2004 and 2016, respectively. Among all the 6 study countries, only Nepal, Nigeria and South Africa had a standalone mental health policy. However, other countries had related health policies where mental health was mentioned. The lack of fully fledged policies is likely to limit opportunities for resource mobilization for the mental health sector and efforts to integrate mental health into PHC. Most countries were found to be allocating inadequate budgets from the health budget for mental health, with South Africa (5%) and Nepal (0.17%) were the countries with the highest and lowest proportions of health budgets spent on mental health, respectively. Other vital resources that support integration such as human resources and health facilities for mental health services were found to be in adequate in all the study countries. Monitoring and evaluation systems to support the integration of mental health into PHC in all the study countries were also inadequate. Conclusion: Integration of mental health into PHC will require addressing the resource limitations that have been identified in this study. There is a need for up to date mental health legislation and policies to engender commitment in allocating resources to mental health services.en_ZA
dc.description.urihttps://ijmhs.biomedcentral.com/articles/10.1186/s13033-016-0114-2
dc.format.extent13 pagesen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)en_ZA
dc.subjectMental healthen_ZA
dc.subjectPrimary health careen_ZA
dc.subjectHealth systemsen_ZA
dc.titleHealth systems context(s) for integrating mental health into primary health care in six Emerald countries : a situation analysisen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyrighten_ZA


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