Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study.
Chisholm, Dan;
Burman-Roy, Soumitra;
Fekadu, Abebaw;
Kathree, Tasneem;
Kizza, Dorothy;
Luitel, Nagendra P;
Petersen, Inge;
Shidhaye, Rahul;
De Silva, Mary;
Lund, Crick;
(2015)
Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study.
The British journal of psychiatry, 208 Su (Suppl ).
s71-s78.
ISSN 0007-1250
DOI: https://doi.org/10.1192/bjp.bp.114.153866
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BACKGROUND: An essential element of mental health service scale up relates to an assessment of resource requirements and cost implications. AIMS: To assess the expected resource needs of scaling up services in five districts in sub-Saharan Africa and south Asia. METHOD: The resource quantities associated with each site's specified care package were identified and subsequently costed, both at current and target levels of coverage. RESULTS: 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. CONCLUSIONS: 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.