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.authorKeynejad, Roxanne
dc.contributor.authorSemrau, Maya
dc.contributor.authorToynbee, Mark
dc.contributor.authorEvans-Lacko, Sara
dc.contributor.authorLund, Crick
dc.contributor.authorGureje, Oye
dc.contributor.authorNdyanabangi, Sheila
dc.contributor.authorCourtin, Emilie
dc.contributor.authorAbdulmalik, Jibril O
dc.contributor.authorAlem, Atalay
dc.contributor.authorFekadu, Abebaw
dc.contributor.authorThornicroft, Graham
dc.contributor.authorHanlon, Charlotte
dc.date.accessioned2016-11-01T13:02:14Z
dc.date.available2016-11-01T13:02:14Z
dc.date.issued2016-10-21
dc.date.updated2016-10-21T18:20:55Z
dc.description.abstractBackground: 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.identifier.apacitationKeynejad, 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/11427/22407en_ZA
dc.identifier.chicagocitationKeynejad, 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/11427/22407en_ZA
dc.identifier.citationKeynejad, 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.issn1472-6963en_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
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-016-1853-0
dc.identifier.urihttp://hdl.handle.net/11427/22407
dc.identifier.vancouvercitationKeynejad 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.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderThe Author(s).
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceBMC Health Services Researchen_ZA
dc.source.urihttp://bmchealthservres.biomedcentral.com/
dc.subject.otherMental health
dc.subject.otherCapacity-building
dc.subject.otherPolicy-makers
dc.subject.otherHealth system strengthening
dc.subject.otherLMICs
dc.subject.otherSystematic review
dc.subject.otherPsychiatry
dc.subject.otherGlobal mental health
dc.titleBuilding the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic reviewen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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