Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review

 

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dc.contributor.author Keynejad, Roxanne
dc.contributor.author Semrau, Maya
dc.contributor.author Toynbee, Mark
dc.contributor.author Evans-Lacko, Sara
dc.contributor.author Lund, Crick
dc.contributor.author Gureje, Oye
dc.contributor.author Ndyanabangi, Sheila
dc.contributor.author Courtin, Emilie
dc.contributor.author Abdulmalik, Jibril O
dc.contributor.author Alem, Atalay
dc.contributor.author Fekadu, Abebaw
dc.contributor.author Thornicroft, Graham
dc.contributor.author Hanlon, Charlotte
dc.date.accessioned 2016-11-01T13:02:14Z
dc.date.available 2016-11-01T13:02:14Z
dc.date.issued 2016-10-21
dc.identifier.citation Keynejad, R., Semrau, M., Toynbee, M., Evans-Lacko, S., Lund, C., Gureje, O., ... & Fekadu, A. (2016). Building the capacity of policy-makers and planners to strengthen mental health systems in low-and middle-income countries: a systematic review. BMC Health Services Research, 16(1), 601. en_ZA
dc.identifier.issn 1472-6963 en_ZA
dc.identifier.uri http://dx.doi.org/10.1186/s12913-016-1853-0
dc.identifier.uri http://hdl.handle.net/11427/22407
dc.description.abstract Background: Little is known about the interventions required to build the capacity of mental health policy-makers and planners in low- and middle-income countries (LMICs). We conducted a systematic review with the primary aim of identifying and synthesizing the evidence base for building the capacity of policy-makers and planners to strengthen mental health systems in LMICs. Methods: We searched MEDLINE, Embase, PsycINFO, Web of Knowledge, Web of Science, Scopus, CINAHL, LILACS, ScieELO, Google Scholar and Cochrane databases for studies reporting evidence, experience or evaluation of capacity-building of policy-makers, service planners or managers in mental health system strengthening in LMICs. Reports in English, Spanish, Portuguese, French or German were included. Additional papers were identified by hand-searching references and contacting experts and key informants. Database searches yielded 2922 abstracts and 28 additional papers were identified. Following screening, 409 full papers were reviewed, of which 14 fulfilled inclusion criteria for the review. Data were extracted from all included papers and synthesized into a narrative review. Results: Only a small number of mental health system-related capacity-building interventions for policy-makers and planners in LMICs were described. Most models of capacity-building combined brief training with longer term mentorship, dialogue and/or the establishment of networks of support. However, rigorous research and evaluation methods were largely absent, with studies being of low quality, limiting the potential to separate mental health system strengthening outcomes from the effects of associated contextual factors. Conclusions: This review demonstrates the need for partnership approaches to building the capacity of mental health policy-makers and planners in LMICs, assessed rigorously against pre-specified conceptual frameworks and hypotheses, utilising longitudinal evaluation and mixed quantitative and qualitative approaches. en_ZA
dc.language eng en_ZA
dc.publisher BioMed Central en_ZA
dc.rights Creative Commons Attribution 4.0 International (CC BY 4.0) *
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en_ZA
dc.source BMC Health Services Research en_ZA
dc.source.uri http://bmchealthservres.biomedcentral.com/
dc.subject.other Mental health
dc.subject.other Capacity-building
dc.subject.other Policy-makers
dc.subject.other Health system strengthening
dc.subject.other LMICs
dc.subject.other Systematic review
dc.subject.other Psychiatry
dc.subject.other Global mental health
dc.title Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review en_ZA
dc.type Journal Article en_ZA
dc.date.updated 2016-10-21T18:20:55Z
dc.language.rfc3066 en
dc.rights.holder The Author(s).
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 Department of Public Health and Family Medicine en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Keynejad, R., Semrau, M., Toynbee, M., Evans-Lacko, S., Lund, C., Gureje, O., ... Hanlon, C. (2016). Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/22407 en_ZA
dc.identifier.chicagocitation Keynejad, Roxanne, Maya Semrau, Mark Toynbee, Sara Evans-Lacko, Crick Lund, Oye Gureje, Sheila Ndyanabangi, et al "Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review." <i>BMC Health Services Research</i> (2016) http://hdl.handle.net/11427/22407 en_ZA
dc.identifier.vancouvercitation Keynejad R, Semrau M, Toynbee M, Evans-Lacko S, Lund C, Gureje O, et al. Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review. BMC Health Services Research. 2016; http://hdl.handle.net/11427/22407. en_ZA
dc.identifier.ris TY - Journal Article AU - Keynejad, Roxanne AU - Semrau, Maya AU - Toynbee, Mark AU - Evans-Lacko, Sara AU - Lund, Crick AU - Gureje, Oye AU - Ndyanabangi, Sheila AU - Courtin, Emilie AU - Abdulmalik, Jibril O AU - Alem, Atalay AU - Fekadu, Abebaw AU - Thornicroft, Graham AU - Hanlon, Charlotte AB - Background: Little is known about the interventions required to build the capacity of mental health policy-makers and planners in low- and middle-income countries (LMICs). We conducted a systematic review with the primary aim of identifying and synthesizing the evidence base for building the capacity of policy-makers and planners to strengthen mental health systems in LMICs. Methods: We searched MEDLINE, Embase, PsycINFO, Web of Knowledge, Web of Science, Scopus, CINAHL, LILACS, ScieELO, Google Scholar and Cochrane databases for studies reporting evidence, experience or evaluation of capacity-building of policy-makers, service planners or managers in mental health system strengthening in LMICs. Reports in English, Spanish, Portuguese, French or German were included. Additional papers were identified by hand-searching references and contacting experts and key informants. Database searches yielded 2922 abstracts and 28 additional papers were identified. Following screening, 409 full papers were reviewed, of which 14 fulfilled inclusion criteria for the review. Data were extracted from all included papers and synthesized into a narrative review. Results: Only a small number of mental health system-related capacity-building interventions for policy-makers and planners in LMICs were described. Most models of capacity-building combined brief training with longer term mentorship, dialogue and/or the establishment of networks of support. However, rigorous research and evaluation methods were largely absent, with studies being of low quality, limiting the potential to separate mental health system strengthening outcomes from the effects of associated contextual factors. Conclusions: This review demonstrates the need for partnership approaches to building the capacity of mental health policy-makers and planners in LMICs, assessed rigorously against pre-specified conceptual frameworks and hypotheses, utilising longitudinal evaluation and mixed quantitative and qualitative approaches. DA - 2016-10-21 DB - OpenUCT DO - 10.1186/s12913-016-1853-0 DP - University of Cape Town J1 - BMC Health Services Research LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1472-6963 T1 - Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review TI - Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review UR - http://hdl.handle.net/11427/22407 ER - en_ZA


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