Evaluation of district mental healthcare plans: the PRIME consortium methodology.


De Silva, MJ; Rathod, SD; Hanlon, C; Breuer, E; Chisholm, D; Fekadu, A; Jordans, M; Kigozi, F; Petersen, I; Shidhaye, R; Medhin, G; Ssebunnya, J; Prince, M; Thornicroft, G; Tomlinson, M; Lund, C; Patel, V; (2015) Evaluation of district mental healthcare plans: the PRIME consortium methodology. The British journal of psychiatry, 208 Suppl 56. s63-70. ISSN 0007-1250 DOI: https://doi.org/10.1192/bjp.bp.114.153858

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Abstract

BACKGROUND: Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings.<br/> AIMS: To describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda.<br/> METHOD: Multidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change.<br/> RESULTS: The following designs are employed to evaluate the MHCPs: (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage; (b) repeat facility-based surveys to assess change in detection of disorders; (c) disorder-specific cohorts to assess the effect on patient outcomes; and (d) multilevel case studies to evaluate the process of implementation.<br/> CONCLUSIONS: To evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across diverse settings.<br/>

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
PubMed ID: 26447175
Web of Science ID: 368470700009
URI: http://researchonline.lshtm.ac.uk/id/eprint/2324721

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