Empowering health workers and leveraging digital technology to improve access to mental health and epilepsy care: A longitudinal quasi-experimental study in Hlaing Thar Yar Township

Gyee, Khin Maung; Mroueh, Lara; Bruand, Pierre‐Emile; Min, Soe; Kleinebreil, Line; Ohmmar,; Tun, Ye Myint; Preux, Pierre‐Marie; Myint, Win Aung; Boumédiène, Farid

doi:10.1016/j.lansea.2022.100052

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…That is, positive health effect spilled over to non-recipients. KAP theory offers a potential explanation for this positive health spillover effect [ 35 – 37 ]. KAP theory asserts that changes in people’s knowledge and attitudes lead to changes in health behaviors, people’s health behaviors follow the logical chain of information-knowledge-attitude-practice-improve health [ 31 – 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies shown that based on the knowledge-belief-practice model, nurse-led health education improved the self-management ability, satisfaction and compliance of elderly patients successfully [ 32 ]. Interventions such as training frontline health workers and raising people’s awareness could lead to positive health outcomes -- enabling more people with mental disorders to be diagnosed and managed [ 35 ], prediabetes education programs could significantly improve knowledge, attitudes and practices in preventing diabetes [ 36 ] and health disorders among solid waste workers [ 37 ]. LTCI policy might be an influence factor that changing health behaviors in non-disabled people.…”

Section: Introductionmentioning

confidence: 99%

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Effect of long-term care insurance policy on depression in non-disabled people: evidence from China

Jiang,

Yang

2024

BMC Public Health

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Background Policy effect might be multidimensional and spill over to non-recipients. It is unclear how the implementation of Long-Term Care Insurance (LTCI) policy affects depression in non-disabled people and how this effect differs in different non-disabled groups. Methods Using time-varying differences-in-differences method and nationally representative health survey data in wave 2011, wave 2013, wave 2015 and wave 2018 from the China Health and Retirement Longitudinal Study, we assessed the effect of LTCI policy on depression in non-disabled people aged 45 years and older, and discussed the heterogeneity of effect across different population characteristics: retirement, financial support and social participation status. Results We found LTCI policy statistically significant reduced depression by 0.76 units in non-disabled people compared to non-pilot cities. Depression in non-disabled people who unretired, with financial support and without social participation was reduced by 0.8267, 0.7079 and 1.2161 units, respectively. Conclusions Depression in non-disabled people was statistically significant reduced because of LTCI policy in China, and non-disabled people who unretired, with financial support and without social participation benefited more from LTCI policy. Our findings highlight the depression-reducing effect of LTCI policy in non-recipients and suggest that non-disabled people who unretired, with financial support and without social participation should be concerned during LTCI policy progress.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of long-term care insurance policy on depression in non-disabled people: evidence from China

Jiang,

Yang

2024

BMC Public Health

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“…Consequently, low identification, treatment delay, and lack of awareness of MH conditions are common in these nations [ 29 ]. In Bangladesh, MH-seeking behaviour is notably low (12%), with a 92.3% treatment gap in the overall population, higher than in neighbouring India, Pakistan, and Myanmar [ 30 – 32 ]. There is no conclusive research on the MH-seeking behaviour of persons with disabilities in Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Koly,

Saba,

Christopher

et al. 2024

BMC Health Serv Res

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Introduction Bangladesh is a developing country where 11% of the population has at least one disability, but no community-level mental health service is available. There is limited evidence of the burden of mental health issues and health-seeking behaviour among this population. This study assessed the feasibility of a training intervention for persons with disabilities, where peer support providers provided community-based disability-inclusive mental health services. Methods Four stakeholder groups participated in this qualitative study: peer responders (trained persons with disabilities), trainers, representatives of organisations of persons with disabilities and disability-specific organisations, and officials of international and national non-governmental organisations. Two types of qualitative interviews were used to collect data, and thematic analysis techniques were utilised. Result Stakeholders perceived the peer responder training programme as acceptable for persons with disabilities to develop themselves as peer support providers, with potential benefits including increased mental health literacy, ensuring accessible mental health services, and improving the well-being of persons with disabilities. Potential challenges included receiving training and delivering services. Increased training duration, more fieldwork, supervision opportunities, and refresher training were recommended to mitigate training challenges. Financial support and formal community recognition were deemed necessary for training delivery. Conclusion The peer responder training programme was feasible to ensure accessible mental health services for persons with disabilities, build a workforce to screen for mental health conditions, and provide appropriate referrals. A multi-sectoral collaboration of government and non-governmental institutions is recommended to policy advocates to expand the peer responder training programme in the mainstream mental healthcare system.

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“…Consequently, low identi cation, treatment delay, and lack of awareness of MH conditions are common in these nations [29]. In Bangladesh, MH-seeking behaviour is notably low (12%), with a 92.3% treatment gap in the overall population, higher than in neighbouring India, Pakistan, and Myanmar [30][31][32]. There is no conclusive research on the MH-seeking behaviour of persons with disabilities in Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

“…Government-level advocacy is also important to increase funding for the sustainability of community-based MH services[89]. Additionally, increasing peer supporters in the community through internet-based training modalities and subsequent telehealth service provision can be adopted[30]. Integrating digital technology into training delivery and MH-care provision can increase the effective use of human resources and reduce costs [65,[90][91][92].…”

mentioning

confidence: 99%

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Koly

Saba

Christopher

et al. 2023

Preprint

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Introduction: Bangladesh is a developing country where 11% of the population has at least one disability, but no community-level mental health service is available. There is limited evidence of the burden of mental health issues and health-seeking behaviour among this population. This study assessed the feasibility of a training intervention for persons with disabilities, where peer support providers provided community-based disability-inclusive mental health services. Methods: Four stakeholder groups participated in this qualitative study: peer responders (trained persons with disabilities), trainers, representatives of organisations of persons with disabilities and disability-specific organisations, and officials of international and national non-governmental organisations. Two types of qualitative interviews were used to collect data, and thematic analysis techniques were utilised. Result: Stakeholders perceived the peer responder training programme as acceptable for persons with disabilities to develop themselves as peer support providers, with potential benefits including increased mental health literacy, ensuring accessible mental health services, and improving the well-being of persons with disabilities. Potential challenges included receiving training and delivering services. Increased training duration, more fieldwork, supervision opportunities, and refresher training were recommended to mitigate training challenges. Financial support and formal community recognition were deemed necessary for training delivery. Conclusion: The peer responder training programme was feasible to ensure accessible mental health services for persons with disabilities, build a workforce to screen for mental health conditions, and provide appropriate referrals. A multi-sectoral collaboration of government and non-governmental institutions is recommended to policy advocates to expand the peer responder training programme in the mainstream mental healthcare system.

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Empowering health workers and leveraging digital technology to improve access to mental health and epilepsy care: A longitudinal quasi-experimental study in Hlaing Thar Yar Township

Cited by 4 publications

References 24 publications

Effect of long-term care insurance policy on depression in non-disabled people: evidence from China

Effect of long-term care insurance policy on depression in non-disabled people: evidence from China

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

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