Sustainable financing mechanisms for strengthening mental health systems in Nigeria

 

Show simple item record

dc.contributor.author Abdulmalik, Jibril
dc.contributor.author Olayiwola, Saheed
dc.contributor.author Docrat, Sumaiyah
dc.contributor.author Lund, Crick
dc.contributor.author Chisholm, Dan
dc.contributor.author Gureje, Oye
dc.date.accessioned 2019-07-02T10:55:47Z
dc.date.available 2019-07-02T10:55:47Z
dc.date.issued 2019-05-31
dc.identifier.citation Abdulmalik, J., Olayiwola, S., Docrat, S., Lund, C., Chisholm, D., & Gureje, O. (2019). Sustainable financing mechanisms for strengthening mental health systems in Nigeria. International journal of mental health systems.13(1): 38.
dc.identifier.uri https://doi.org/10.1186/s13033-019-0293-8
dc.identifier.uri http://hdl.handle.net/11427/30277
dc.description.abstract Background and aims Current coverage of mental health care in low- and middle-income countries is limited, not only in terms of access to services but also in terms of financial protection of persons in need of care and treatment. This is especially pertinent considering the established relationship between mental illness and poverty and the need to ensure the financial risk protection of persons with mental disorders and their families as part of country’s efforts to attain universal health coverage. This study set out to review the health and socio-economic contexts of Nigeria as well as to generate strategies for sustainable mental health financing that will be feasible, within the specific context of the country. Methods A multi-methods approach was developed and applied, consisting of three steps: a situational analysis of Nigeria’s health system, macro-fiscal economic profile, and socio-political status, including a strengths, weaknesses, opportunities and threats (SWOT) analysis of the Nigerian socio-economic, general and mental health context; key informant interviews with 12 expert stakeholders drawn from state and non-state actors in the health and financial sectors; and a policy analysis of sustainable financing options. Results Key challenges identified were: poor funding; reduced access to care, resulting in a huge treatment gap; and out of pocket payment for services—leading to impoverishment. Comprehensive coverage of mental health conditions within the ongoing health insurance reforms was identified as a key strategy for moving towards sustainable mental health financing in Nigeria. Other identified strategies include enhanced integration of mental health into primary care; incorporation of mental health into other strategic and currently funded programmes; adoption of performance-based financing measures; and renewed engagement with stakeholders, including external donor institutions. Conclusions A suite of feasible and actionable measures can be implemented to increase mental health service financing, reduce health-related financial burden on households, increase help-seeking and access to quality mental health care and, ultimately, reduce the large treatment and financing gap for mental disorders in Nigeria.
dc.source International journal of mental health systems
dc.source.uri https://ijmhs.biomedcentral.com/
dc.subject Mental health financing
dc.subject Nigeria
dc.subject Mental health systems
dc.subject Low income countries
dc.subject Global mental health
dc.title Sustainable financing mechanisms for strengthening mental health systems in Nigeria
dc.type Journal Article
dc.date.updated 2019-06-02T06:22:56Z
dc.language.rfc3066 en
dc.rights.holder The Author(s)
dc.identifier.apacitation Abdulmalik, J., Olayiwola, S., Docrat, S., Lund, C., Chisholm, D., & Gureje, O. (2019). Sustainable financing mechanisms for strengthening mental health systems in Nigeria. <i>International journal of mental health systems</i>, http://hdl.handle.net/11427/30277 en_ZA
dc.identifier.chicagocitation Abdulmalik, Jibril, Saheed Olayiwola, Sumaiyah Docrat, Crick Lund, Dan Chisholm, and Oye Gureje "Sustainable financing mechanisms for strengthening mental health systems in Nigeria." <i>International journal of mental health systems</i> (2019) http://hdl.handle.net/11427/30277 en_ZA
dc.identifier.vancouvercitation Abdulmalik J, Olayiwola S, Docrat S, Lund C, Chisholm D, Gureje O. Sustainable financing mechanisms for strengthening mental health systems in Nigeria. International journal of mental health systems. 2019; http://hdl.handle.net/11427/30277. en_ZA
dc.identifier.ris TY - AU - Abdulmalik, Jibril AU - Olayiwola, Saheed AU - Docrat, Sumaiyah AU - Lund, Crick AU - Chisholm, Dan AU - Gureje, Oye AB - Background and aims Current coverage of mental health care in low- and middle-income countries is limited, not only in terms of access to services but also in terms of financial protection of persons in need of care and treatment. This is especially pertinent considering the established relationship between mental illness and poverty and the need to ensure the financial risk protection of persons with mental disorders and their families as part of country’s efforts to attain universal health coverage. This study set out to review the health and socio-economic contexts of Nigeria as well as to generate strategies for sustainable mental health financing that will be feasible, within the specific context of the country. Methods A multi-methods approach was developed and applied, consisting of three steps: a situational analysis of Nigeria’s health system, macro-fiscal economic profile, and socio-political status, including a strengths, weaknesses, opportunities and threats (SWOT) analysis of the Nigerian socio-economic, general and mental health context; key informant interviews with 12 expert stakeholders drawn from state and non-state actors in the health and financial sectors; and a policy analysis of sustainable financing options. Results Key challenges identified were: poor funding; reduced access to care, resulting in a huge treatment gap; and out of pocket payment for services—leading to impoverishment. Comprehensive coverage of mental health conditions within the ongoing health insurance reforms was identified as a key strategy for moving towards sustainable mental health financing in Nigeria. Other identified strategies include enhanced integration of mental health into primary care; incorporation of mental health into other strategic and currently funded programmes; adoption of performance-based financing measures; and renewed engagement with stakeholders, including external donor institutions. Conclusions A suite of feasible and actionable measures can be implemented to increase mental health service financing, reduce health-related financial burden on households, increase help-seeking and access to quality mental health care and, ultimately, reduce the large treatment and financing gap for mental disorders in Nigeria. DA - 2019-05-31 DB - OpenUCT DP - University of Cape Town J1 - International journal of mental health systems KW - Mental health financing KW - Nigeria KW - Mental health systems KW - Low income countries KW - Global mental health LK - https://open.uct.ac.za PY - 2019 T1 - Sustainable financing mechanisms for strengthening mental health systems in Nigeria TI - Sustainable financing mechanisms for strengthening mental health systems in Nigeria UR - http://hdl.handle.net/11427/30277 ER - en_ZA


Files in this item

This item appears in the following Collection(s)

Show simple item record