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.
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.
|Nyatsanza, Memory; Schneider, Marguerite; Davies, Thandi et al. (2016) Filling the treatment gap: developing a task sharing counselling intervention for perinatal depression in Khayelitsha, South Africa. BMC Psychiatry 16:164|
|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|
|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|
|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|
|Lund, C; Alem, A; Schneider, M et al. (2015) Generating evidence to narrow the treatment gap for mental disorders in sub-Saharan Africa: rationale, overview and methods of AFFIRM. Epidemiol Psychiatr Sci 24:233-40|
|Habtamu, Kassahun; Alem, Atalay; Hanlon, Charlotte (2015) Conceptualizing and contextualizing functioning in people with severe mental disorders in rural Ethiopia: a qualitative study. BMC Psychiatry 15:34|
|Schneider, Marguerite; Baron, Emily; Davies, Thandi et al. (2015) Making assessment locally relevant: measuring functioning for maternal depression in Khayelitsha, Cape Town. Soc Psychiatry Psychiatr Epidemiol 50:797-806|
|Lund, Crick; Schneider, Marguerite; Davies, Thandi et al. (2014) Task sharing of a psychological intervention for maternal depression in Khayelitsha, South Africa: study protocol for a randomized controlled trial. Trials 15:457|
|Udedi, Michael; Swartz, Leslie; Stewart, Robert C et al. (2014) Health service utilization by patients with common mental disorder identified by the Self-Reporting Questionnaire in a primary care setting in Zomba, Malawi: a descriptive study. Int J Soc Psychiatry 60:454-61|
|De Silva, Mary J; Breuer, Erica; Lee, Lucy et al. (2014) Theory of Change: a theory-driven approach to enhance the Medical Research Council's framework for complex interventions. Trials 15:267|
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