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.authorHanlon, Charlotte
dc.date.accessioned2021-10-08T06:20:23Z
dc.date.available2021-10-08T06:20:23Z
dc.date.issued2016
dc.description.abstractAbstract 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.
dc.identifier.apacitationHanlon, 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>, 16(1), 174 - 177. http://hdl.handle.net/11427/34265en_ZA
dc.identifier.chicagocitationHanlon, Charlotte "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> 16, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34265en_ZA
dc.identifier.citationHanlon, 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> 16(1):174 - 177. http://hdl.handle.net/11427/34265en_ZA
dc.identifier.issn1472-6963
dc.identifier.ris TY - Journal Article AU - Hanlon, Charlotte AB - 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. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Health Services Research LK - https://open.uct.ac.za 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/11427/34265 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34265
dc.identifier.vancouvercitationHanlon C. 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;16(1):174 - 177. http://hdl.handle.net/11427/34265.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Health Services Research
dc.source.journalissue1
dc.source.journalvolume16
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12913-016-1853-0
dc.subject.otherCapacity-building
dc.subject.otherGlobal mental health
dc.subject.otherHealth system strengthening
dc.subject.otherLMICs
dc.subject.otherMental health
dc.subject.otherPolicy-makers
dc.subject.otherPsychiatry
dc.subject.otherSystematic review
dc.subject.otherAdministrative Personnel
dc.subject.otherCapacity Building
dc.subject.otherDeveloping Countries
dc.subject.otherGovernment Programs
dc.subject.otherHealth Policy
dc.subject.otherHealth Services Research
dc.subject.otherHumans
dc.subject.otherInterprofessional Relations
dc.subject.otherMedical Assistance
dc.subject.otherMental Health Services
dc.subject.otherPoverty
dc.subject.otherQuality of Health Care
dc.titleBuilding the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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