Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study.
Journal: The British journal of psychiatry : the journal of mental science
Volume: 208 Suppl 56
Issue: Suppl 56
Year of Publication: 2016
Affiliated Institutions:
Dan Chisholm, PhD, Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland; Soumitra Burman-Roy, MSc, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK; Abebaw Fekadu, MD, Department of Psychiatry, Addis Ababa University, Ethiopia; Tasneem Kathree, MSc, University of KwaZulu Natal, Durban, South Africa; Dorothy Kizza, PhD, Butabika Mental Hospital, Kampala, Uganda; Nagendra P. Luitel, MA, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal; Inge Petersen, PhD, University of KwaZulu Natal, Durban, South Africa; Rahul Shidhaye, MD, Public Health Foundation of India, Bhopal, Madhya Pradesh, Delhi, India; Mary De Silva, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, 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 chisholmd@who.int.
Dan Chisholm, PhD, Department of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland; Soumitra Burman-Roy, MSc, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK; Abebaw Fekadu, MD, Department of Psychiatry, Addis Ababa University, Ethiopia; Tasneem Kathree, MSc, University of KwaZulu Natal, Durban, South Africa; Dorothy Kizza, PhD, Butabika Mental Hospital, Kampala, Uganda; Nagendra P. Luitel, MA, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal; Inge Petersen, PhD, University of KwaZulu Natal, Durban, South Africa; Rahul Shidhaye, MD, Public Health Foundation of India, Bhopal, Madhya Pradesh, Delhi, India; Mary De Silva, PhD, Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, 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
An essential element of mental health service scale up relates to an assessment of resource requirements and cost implications.To assess the expected resource needs of scaling up services in five districts in sub-Saharan Africa and south Asia.The resource quantities associated with each site's specified care package were identified and subsequently costed, both at current and target levels of coverage.The cost of the care package at target coverage ranged from US$0.21 to 0.56 per head of population in four of the districts (in the higher-income context of South Africa, it was US$1.86). In all districts, the additional amount needed each year to reach target coverage goals after 10 years was below $0.10 per head of population.Estimation of resource needs and costs for district-level mental health services provides relevant information concerning the financial feasibility of locally developed plans for successful scale up.
Authors & Co-authors:
Chisholm Dan D
Burman-Roy Soumitra S
Fekadu Abebaw A
Kathree Tasneem T
Kizza Dorothy D
Luitel Nagendra P NP
Petersen Inge I
Shidhaye Rahul R
De Silva Mary M
Lund Crick C
Study Outcome
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