Indicators for routine monitoring of effective mental healthcare coverage in low- and middle-income settings: a Delphi study.
Journal: Health policy and planning
Volume: 31
Issue: 8
Year of Publication: 2017
Affiliated Institutions:
Department of Research and Development, HealthNet TPO, Lizzy Ansinghstraat , RG Amsterdam, The Netherlands Institute of Psychiatry, Psychology and Neuroscience, Center for Global Mental Health, King's College London, De Crespigny Park, London SE AF UK mark.jordans@hntpo.org.
Department of Mental Health and Substance Abuse, World Health Organization, Avenue Appia, , Geneva, Switzerland.
Institute of Psychiatry, Psychology and Neuroscience, Center for Global Mental Health, King's College London, De Crespigny Park, London SE AF UK.
Transcultural Psychosocial Organization (TPO), CPC , Kathmandu, Nepal.
Department of Psychiatry, University of Ibadan, Queen Elizabeth Road, . Ibadan, Nigeria.
Public Health Foundation of India, Plot Number , Sector , Gurgaon , Delhi, India.
Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Tikur Anbessa Hospital, PO Addis Ababa, Ethiopia.
Institute of Psychiatry, Psychology and Neuroscience, Center for Global Mental Health, King's College London, De Crespigny Park, London SE AF UK Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Tikur Anbessa Hospital, PO Addis Ababa, Ethiopia.
Butabika National Referral and Teaching, Mental Hospital, P.O.Box , Kampala-Uganda, Butabika Road, Kampala, Uganda.
School of Applied Human Sciences, University of Kwazulu-Natal, Mazisi Kunene Road, Glenwood, Durban, , South Africa.
Public Health Foundation of India, Plot Number , Sector , Gurgaon , Delhi, India CAPHRI School for Public Health and Primary Care, Maastricht University, Universiteitssingel , ER Maastricht, The Netherlands.
Institute of Psychiatry, Psychology and Neuroscience, Center for Global Mental Health, King's College London, De Crespigny Park, London SE AF UK Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Sawkins Road, Rondebosch, , Cape Town, South Africa.
Abstract summary
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.
Authors & Co-authors:
Jordans Mark J D MJ
Chisholm Dan D
Semrau Maya M
Upadhaya Nawaraj N
Abdulmalik Jibril J
Ahuja Shalini S
Alem Atalay A
Hanlon Charlotte C
Kigozi Fred F
Mugisha James J
Petersen Inge I
Shidhaye Rahul R
Lund Crick C
Thornicroft Graham G
Gureje Oye O
Study Outcome
Source Link: Visit source