Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study.


Chisholm, D; Burman-Roy, S; Fekadu, A; Kathree, T; Kizza, D; Luitel, NP; Petersen, I; Shidhaye, R; De Silva, M; Lund, C; (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 Suppl 56. s71-8. ISSN 0007-1250 DOI: https://doi.org/10.1192/bjp.bp.114.153866

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Abstract

BACKGROUND: An essential element of mental health service scale up relates to an assessment of resource requirements and cost implications.<br/> AIMS: To assess the expected resource needs of scaling up services in five districts in sub-Saharan Africa and south Asia.<br/> 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.<br/> 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.<br/> 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.<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: 26447170
Web of Science ID: 368470700010
URI: http://researchonline.lshtm.ac.uk/id/eprint/2324750

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