Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys

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dc.contributor.authorRathod, Sujit Den_ZA
dc.contributor.authorDe Silva, Mary Jen_ZA
dc.contributor.authorSsebunnya, Joshuaen_ZA
dc.contributor.authorBreuer, Ericaen_ZA
dc.contributor.authorMurhar, Vaibhaven_ZA
dc.contributor.authorLuitel, Nagendra Pen_ZA
dc.contributor.authorMedhin, Girmayen_ZA
dc.contributor.authorKigozi, Freden_ZA
dc.contributor.authorShidhaye, Rahulen_ZA
dc.contributor.authorFekadu, Abebawen_ZA
dc.contributor.authorJordans, Marken_ZA
dc.contributor.authorPatel, Vikramen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorLund, Cricken_ZA
dc.date.accessioned2016-10-31T07:36:47Z
dc.date.available2016-10-31T07:36:47Z
dc.date.issued2016en_ZA
dc.description.abstractContext A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown. Objective To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage. METHODS: Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months. Setting Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda Participants 8036 adults residing in these districts between May 2013 and May 2014 Main Outcome Measures Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD. RESULTS: The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%. CONCLUSIONS: Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up surveys will be used to estimate the change in contact coverage coinciding with the implementation of district-level mental health care plans.en_ZA
dc.identifier.apacitationRathod, S. D., De Silva, M. J., Ssebunnya, J., Breuer, E., Murhar, V., Luitel, N. P., ... Lund, C. (2016). Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys. <i>PLoS One</i>, http://hdl.handle.net/11427/22348en_ZA
dc.identifier.chicagocitationRathod, Sujit D, Mary J De Silva, Joshua Ssebunnya, Erica Breuer, Vaibhav Murhar, Nagendra P Luitel, Girmay Medhin, et al "Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys." <i>PLoS One</i> (2016) http://hdl.handle.net/11427/22348en_ZA
dc.identifier.citationRathod, S. D., De Silva, M. J., Ssebunnya, J., Breuer, E., Murhar, V., Luitel, N. P., ... & Jordans, M. (2016). Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low-and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys. PloS one, 11(9), e0162038. doi:10.1371/journal.pone.0162038en_ZA
dc.identifier.ris TY - Journal Article AU - Rathod, Sujit D AU - De Silva, Mary J AU - Ssebunnya, Joshua AU - Breuer, Erica AU - Murhar, Vaibhav AU - Luitel, Nagendra P AU - Medhin, Girmay AU - Kigozi, Fred AU - Shidhaye, Rahul AU - Fekadu, Abebaw AU - Jordans, Mark AU - Patel, Vikram AU - Tomlinson, Mark AU - Lund, Crick AB - Context A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown. Objective To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage. METHODS: Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months. Setting Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda Participants 8036 adults residing in these districts between May 2013 and May 2014 Main Outcome Measures Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD. RESULTS: The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%. CONCLUSIONS: Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up surveys will be used to estimate the change in contact coverage coinciding with the implementation of district-level mental health care plans. DA - 2016 DB - OpenUCT DO - 10.1371/journal.pone.0162038 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys TI - Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys UR - http://hdl.handle.net/11427/22348 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0162038en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/22348
dc.identifier.vancouvercitationRathod SD, De Silva MJ, Ssebunnya J, Breuer E, Murhar V, Luitel NP, et al. Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys. PLoS One. 2016; http://hdl.handle.net/11427/22348.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentCentre for Public Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2016 Rathod et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherDepressionen_ZA
dc.subject.otherMental health and psychiatryen_ZA
dc.subject.otherNepalen_ZA
dc.subject.otherAdultsen_ZA
dc.subject.otherIndiaen_ZA
dc.subject.otherUgandaen_ZA
dc.subject.otherEthiopiaen_ZA
dc.subject.otherAlcoholsen_ZA
dc.titleTreatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveysen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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