PRIME: A Programme to Reduce the Treatment Gap for Mental Disorders in Five Low- and Middle-Income Countries

Lund, Crick; Tomlinson, Mark; Silva, Mary De; Fekadu, Abebaw; Shidhaye, Rahul; Jordans, Mark J. D.; Petersen, Inge; Bhana, Arvin; Kigozi, Fred; Prince, Martin; Thornicroft, Graham; Hanlon, Charlotte; Kakuma, Ritsuko; McDaid, David; Saxena, Shekhar; Chisholm, Dan; Raja, Shoba; Kippen-Wood, Sarah; Honikman, Simone; Fairall, Lara; Patel, Vikram

doi:10.1371/journal.pmed.1001359

Cited by 479 publications

(425 citation statements)

References 22 publications

Supporting

Mentioning

413

Contrasting

Unclassified

Order By: Relevance

“…In order to guarantee treatment of adult patients with CMD, although primary care and mental health integration has been considered a complex process of work 11 , implementing collaborative actions is recommended, specially in Low and Middle Income Countries (LAMIC) [12][13][14] . The aim is to improve primary mental health care access in a vulnerable population through collaborative care 15 , professional´s training and organisation of multidisciplinary teams with non mental health specialists, such as community health workers (CHW) 16 and counsellors 17 .…”

Section: Introductionmentioning

confidence: 99%

Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

Athié

Dowrick

Menezes

et al. 2017

Ciênc. saúde coletiva

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

Athié

Dowrick

Menezes

et al. 2017

Ciênc. saúde coletiva

View full text Add to dashboard Cite

show abstract

“…The mhGAP has provided intervention guidelines [8] (mhGAP-IG) for non-mental health workers on identifying and managing priority conditions such as depression, psychosis, bipolar disorders, epilepsy, developmental and behavioural disorders in children and adolescents, dementia, Sustenance misuse, self-harm and other emotional or medically unexplained complaints. Lund et al [15,16] developed a programme to reduce treatment gap for mental disorders (PRIME) for lowmiddle income countries and a detailed evaluation process. The programme incorporate mhGAP-IG aimed at up-skilling health workers.…”

Section: Integrating Mental Health With Primary Care Up-skilling Exismentioning

confidence: 99%

Mental Health and Primary Care

Sharma¹

2017

J Healthc Commun

View full text Add to dashboard Cite

show abstract

“…PRIME aims to generate health systems research on the best ways to integrate and scale up mental health into maternal and primary health care systems in LMIC, and to stimulate demand for this research. PRIME does this by advocating for evidence-based decision-making, and by promoting the uptake of its implementation research amongst knowledge users, including health and related sector policymakers and practitioners, through a dedicated 'Research Uptake Strategy' [14]. PRIME is piloting the scale-up of mental health services in one District in each country: Sodo in Ethiopia, Sehore in India, Chitwan in Nepal, Dr Kenneth Kaunda in South Africa and Kamuli in Uganda [15].…”

Section: Introductionmentioning

confidence: 99%

Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings

Makan

Fekadu

Murhar

et al. 2015

Int J Ment Health Syst

Self Cite

View full text Add to dashboard Cite

Background:The knowledge generated from evidence-based interventions in mental health systems research is seldom translated into policy and practice in low and middle-income countries (LMIC). Stakeholder analysis is a potentially useful tool in health policy and systems research to improve understanding of policy stakeholders and increase the likelihood of knowledge translation into policy and practice. The aim of this study was to conduct stakeholder analyses in the five countries participating in the Programme for Improving Mental health carE (PRIME); evaluate a template used for cross-country comparison of stakeholder analyses; and assess the utility of stakeholder analysis for future use in mental health policy and systems research in LMIC. Methods:Using an adapted stakeholder analysis instrument, PRIME country teams in Ethiopia, India, Nepal, South Africa and Uganda identified and characterised stakeholders in relation to the proposed action: scaling-up mental health services. Qualitative content analysis was conducted for stakeholder groups across countries, and a force field analysis was applied to the data.Results: Stakeholder analysis of PRIME has identified policy makers (WHO, Ministries of Health, non-health sector Ministries and Parliament), donors (DFID UK, DFID country offices and other donor agencies), mental health specialists, the media (national and district) and universities as the most powerful, and most supportive actors for scaling up mental health care in the respective PRIME countries. Force field analysis provided a means of evaluating cross-country stakeholder power and positions, particularly for prioritising potential stakeholder engagement in the programme. Conclusion:Stakeholder analysis has been helpful as a research uptake management tool to identify targeted and acceptable strategies for stimulating the demand for research amongst knowledge users, including policymakers and practitioners. Implementing these strategies amongst stakeholders at a country level will hopefully reduce the knowledge gap between research and policy, and improve health system outcomes for the programme.

show abstract

PRIME: A Programme to Reduce the Treatment Gap for Mental Disorders in Five Low- and Middle-Income Countries

Cited by 479 publications

References 22 publications

Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

Anxious and depressed women's experiences of emotional suffering and help seeking in a Rio de Janeiro favela

Mental Health and Primary Care

Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings

Contact Info

Product

Resources

About