From Year 3 of the Hub, a shared research project will be initiated In consultation with other NIMH regional hubs. Although the exact details of this project will be determined by networking with other funded NIMH hubs, at this point AFFIRM envisions establishing a regional primary care sentinel network, concentrated initially In Uganda, in health centres linked to the INDEPTH Demographic Surveillance Site in Mayuge, and expanding to sites in Ethiopia, South Africa and other network Hubs. This program will focus on the framework required for effective and sustainable delivery of integrated mental healthcare, and the generic knowledge and skills required by non-specialist health workers.
The specific aims i nclude: 1) Establishing a regional network of sentinel Primary Health Care (PHC) sites, in different hub partner countries, covering urban, semi-rural and rural locations, and representing different levels of development in terms of integration of mental health care into primary care; 2) Estimating the extent and type of the baseline mental health caseload In sentinel PHCs, and appraising pre-existing MHIS. This will be achieved through visits to each of the PHCs, and discussions with clinical staff, district information officers, programme managers and MoH. 3) Establishing a procedure for developing a feasible MHIS for PHC settings, based on recommended by WHO, and processes used in the MHaPP program in two South African provinces; 4) Piloting and evaluating the implementation of the MHIS in the sentinel PHC; 5) Exploring the process of diagnosis and development of initial management plans by trained community health care workers (CHWs) in PHC and; 5) Developing the capacity of the sentinel sites as a research framework for the evaluation of enhancements in integrated mental healthcare.

Public Health Relevance

Increased evidence suggests that integrating mental health services into primary care can be highly effective in the assessment and management of mental disorders. This needs to be accompanied with system change, including, new investment in training PHC personnel and improved information systems for monitoring routine care. The shared project will seek to implement and evaluate this framework across the regional hubs offering the potential for better case management of mental disorders in LMICs

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Program--Cooperative Agreements (U19)
Project #
4U19MH095699-03
Application #
8540999
Study Section
Special Emphasis Panel (ZMH1-ERB-B)
Project Start
Project End
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
3
Fiscal Year
2013
Total Cost
$46,699
Indirect Cost
Name
University of Cape Town
Department
Type
DUNS #
568227214
City
Rondebosch
State
Country
South Africa
Zip Code
7700
Mayston, Rosie; Habtamu, Kassahun; Medhin, Girmay et al. (2017) Developing a measure of mental health service satisfaction for use in low income countries: a mixed methods study. BMC Health Serv Res 17:183
Habtamu, Kassahun; Alem, Atalay; Medhin, Girmay et al. (2017) Validation of the World Health Organization Disability Assessment Schedule in people with severe mental disorders in rural Ethiopia. Health Qual Life Outcomes 15:64
Baron, Emily; Bass, Judith; Murray, Sarah M et al. (2017) A systematic review of growth curve mixture modelling literature investigating trajectories of perinatal depressive symptoms and associated risk factors. J Affect Disord 223:194-208
Davies, T; Lund, C (2017) Integrating mental health care into primary care systems in low- and middle-income countries: lessons from PRIME and AFFIRM. Glob Ment Health (Camb) 4:e7
Munodawafa, Memory; Lund, Crick; Schneider, Marguerite (2017) A process evaluation exploring the lay counsellor experience of delivering a task shared psycho-social intervention for perinatal depression in Khayelitsha, South Africa. BMC Psychiatry 17:236
Hanlon, Charlotte; Alem, Atalay; Medhin, Girmay et al. (2016) Task sharing for the care of severe mental disorders in a low-income country (TaSCS): study protocol for a randomised, controlled, non-inferiority trial. Trials 17:76
Mayston, Rosie; Alem, Atalay; Habtamu, Alehegn et al. (2016) Participatory planning of a primary care service for people with severe mental disorders in rural Ethiopia. Health Policy Plan 31:367-76
Habtamu, Kassahun; Alem, Atalay; Medhin, Girmay et al. (2016) Development and validation of a contextual measure of functioning for people living with severe mental disorders in rural Africa. BMC Psychiatry 16:311
Davies, Thandi; Schneider, Marguerite; Nyatsanza, Memory et al. (2016) ""The sun has set even though it is morning"": Experiences and explanations of perinatal depression in an urban township, Cape Town. Transcult Psychiatry 53:286-312
Schneider, M; Sorsdahl, K; Mayston, R et al. (2016) Developing mental health research in sub-Saharan Africa: capacity building in the AFFIRM project. Glob Ment Health (Camb) 3:e33

Showing the most recent 10 out of 20 publications