Development of a scalable mental healthcare plan for a rural district in Ethiopia.
Journal: The British journal of psychiatry : the journal of mental science
Volume: 208 Suppl 56
Issue: Suppl 56
Year of Publication: 2016
Affiliated Institutions:
Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK abe.wassie@kcl.ac.uk.
Abebaw Fekadu, MD, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Charlotte Hanlon, PhD, MRCPsych, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Girmay Medhin, PhD, Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia; Atalay Alem, MD, PhD, Medhin Selamu, MA, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Tedla W. Giorgis, PhD, Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia; Teshome Shibre, MD, PhD, Solomon Teferra, MD, PhD, Teketel Tegegn, MD, Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia; Erica Breuer, MPH, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Vikram Patel, PhD, MRCPsych, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India; Mark Tomlinson, PhD, Stellenbosch University and University of Cape Town, Cape Town, South Africa; Graham Thornicroft, PhD, FRCPsych, Martin Prince, MD, FRCPsych, Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK; Crick Lund, PhD, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Abstract summary
Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority.To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia.A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation).The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability.The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC.
Authors & Co-authors:
Fekadu Abebaw A
Hanlon Charlotte C
Medhin Girmay G
Alem Atalay A
Selamu Medhin M
Giorgis Tedla W TW
Shibre Teshome T
Teferra Solomon S
Tegegn Teketel T
Breuer Erica E
Patel Vikram V
Tomlinson Mark M
Thornicroft Graham G
Prince Martin M
Lund Crick C
Study Outcome
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