Setting priorities for mental health care in Nepal: a formative study

 

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dc.contributor.author Jordans, Mark en_ZA
dc.contributor.author Luitel, Nagendra en_ZA
dc.contributor.author Tomlinson, Mark en_ZA
dc.contributor.author Komproe, Ivan en_ZA
dc.date.accessioned 2015-10-28T06:53:50Z
dc.date.available 2015-10-28T06:53:50Z
dc.date.issued 2013 en_ZA
dc.identifier.citation Jordans, M. J., Luitel, N. P., Tomlinson, M., & Komproe, I. H. (2013). Setting priorities for mental health care in Nepal: a formative study. BMC psychiatry, 13(1), 332. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14437
dc.identifier.uri http://dx.doi.org/10.1186/1471-244X-13-332
dc.description.abstract BACKGROUND:There is an urgent need to address the massive treatment gap for mental health problems, especially in low income settings. Packages of care integrated in routine primary health care are posited as a strategy to scale-up mental health care, yet more needs to be known about the most feasible and effective way to go about this. METHODS: The study follows a combined methods design that includes engaging an expert panel in a priority setting exercise, running workshops to develop a Theory of Change and conducting in-depth qualitative interviews and focus group discussions with key stakeholders. The results of each research step were taken forward to inform the subsequent one. RESULTS: There was strong endorsement for a system of care that encompasses both the perspectives of health facility and the community. Issues related to increasing access and demand, guaranteeing a sustainable supply of psychotropic medicine, adequate human resourcing, and ensuring positive family involvement came up as priority areas of attention. CONCLUSION: The study underlines many of the known barriers in developing mental health services. At the same time it provides a distinct pathway and concrete recommendations for overcoming these challenges in Nepal. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an open access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC Psychiatry en_ZA
dc.source.uri http://www.biomedcentral.com/bmcpsychiatry/ en_ZA
dc.subject.other Nepal en_ZA
dc.subject.other Mental health care packages en_ZA
dc.subject.other Formative research en_ZA
dc.subject.other Development en_ZA
dc.title Setting priorities for mental health care in Nepal: a formative study en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2013 Jordans et al.; licensee BioMed Central Ltd en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Centre for Public Mental Health en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Jordans, M., Luitel, N., Tomlinson, M., & Komproe, I. (2013). Setting priorities for mental health care in Nepal: a formative study. <i>BMC Psychiatry</i>, http://hdl.handle.net/11427/14437 en_ZA
dc.identifier.chicagocitation Jordans, Mark, Nagendra Luitel, Mark Tomlinson, and Ivan Komproe "Setting priorities for mental health care in Nepal: a formative study." <i>BMC Psychiatry</i> (2013) http://hdl.handle.net/11427/14437 en_ZA
dc.identifier.vancouvercitation Jordans M, Luitel N, Tomlinson M, Komproe I. Setting priorities for mental health care in Nepal: a formative study. BMC Psychiatry. 2013; http://hdl.handle.net/11427/14437. en_ZA
dc.identifier.ris TY - Journal Article AU - Jordans, Mark AU - Luitel, Nagendra AU - Tomlinson, Mark AU - Komproe, Ivan AB - BACKGROUND:There is an urgent need to address the massive treatment gap for mental health problems, especially in low income settings. Packages of care integrated in routine primary health care are posited as a strategy to scale-up mental health care, yet more needs to be known about the most feasible and effective way to go about this. METHODS: The study follows a combined methods design that includes engaging an expert panel in a priority setting exercise, running workshops to develop a Theory of Change and conducting in-depth qualitative interviews and focus group discussions with key stakeholders. The results of each research step were taken forward to inform the subsequent one. RESULTS: There was strong endorsement for a system of care that encompasses both the perspectives of health facility and the community. Issues related to increasing access and demand, guaranteeing a sustainable supply of psychotropic medicine, adequate human resourcing, and ensuring positive family involvement came up as priority areas of attention. CONCLUSION: The study underlines many of the known barriers in developing mental health services. At the same time it provides a distinct pathway and concrete recommendations for overcoming these challenges in Nepal. DA - 2013 DB - OpenUCT DO - 10.1186/1471-244X-13-332 DP - University of Cape Town J1 - BMC Psychiatry LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Setting priorities for mental health care in Nepal: a formative study TI - Setting priorities for mental health care in Nepal: a formative study UR - http://hdl.handle.net/11427/14437 ER - en_ZA


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