Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings

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dc.contributor.authorMakan, Amiten_ZA
dc.contributor.authorFekadu, Abebawen_ZA
dc.contributor.authorMurhar, Vaibhaven_ZA
dc.contributor.authorLuitel, Nagendraen_ZA
dc.contributor.authorKathree, Tasneemen_ZA
dc.contributor.authorSsebunya, Joshuaen_ZA
dc.contributor.authorLund, Cricken_ZA
dc.date.accessioned2015-12-07T08:48:13Z
dc.date.available2015-12-07T08:48:13Z
dc.date.issued2015en_ZA
dc.description.abstractBACKGROUND: The knowledge generated from evidence-based interventions in mental health systems research is seldom translated into policy and practice in low and middle-income countries (LMIC). Stakeholder analysis is a potentially useful tool in health policy and systems research to improve understanding of policy stakeholders and increase the likelihood of knowledge translation into policy and practice. The aim of this study was to conduct stakeholder analyses in the five countries participating in the Programme for Improving Mental health carE (PRIME); evaluate a template used for cross-country comparison of stakeholder analyses; and assess the utility of stakeholder analysis for future use in mental health policy and systems research in LMIC. METHODS: Using an adapted stakeholder analysis instrument, PRIME country teams in Ethiopia, India, Nepal, South Africa and Uganda identified and characterised stakeholders in relation to the proposed action: scaling-up mental health services. Qualitative content analysis was conducted for stakeholder groups across countries, and a force field analysis was applied to the data. RESULTS: Stakeholder analysis of PRIME has identified policy makers (WHO, Ministries of Health, non-health sector Ministries and Parliament), donors (DFID UK, DFID country offices and other donor agencies), mental health specialists, the media (national and district) and universities as the most powerful, and most supportive actors for scaling up mental health care in the respective PRIME countries. Force field analysis provided a means of evaluating cross-country stakeholder power and positions, particularly for prioritising potential stakeholder engagement in the programme. CONCLUSION: Stakeholder analysis has been helpful as a research uptake management tool to identify targeted and acceptable strategies for stimulating the demand for research amongst knowledge users, including policymakers and practitioners. Implementing these strategies amongst stakeholders at a country level will hopefully reduce the knowledge gap between research and policy, and improve health system outcomes for the programme.en_ZA
dc.identifier.apacitationMakan, A., Fekadu, A., Murhar, V., Luitel, N., Kathree, T., Ssebunya, J., & Lund, C. (2015). Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings. <i>International Journal of Mental Health Systems</i>, http://hdl.handle.net/11427/15634en_ZA
dc.identifier.chicagocitationMakan, Amit, Abebaw Fekadu, Vaibhav Murhar, Nagendra Luitel, Tasneem Kathree, Joshua Ssebunya, and Crick Lund "Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings." <i>International Journal of Mental Health Systems</i> (2015) http://hdl.handle.net/11427/15634en_ZA
dc.identifier.citationMakan, A., Fekadu, A., Murhar, V., Luitel, N., Kathree, T., Ssebunya, J., & Lund, C. (2015). Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings. International journal of mental health systems, 9(1), 27.en_ZA
dc.identifier.ris TY - Journal Article AU - Makan, Amit AU - Fekadu, Abebaw AU - Murhar, Vaibhav AU - Luitel, Nagendra AU - Kathree, Tasneem AU - Ssebunya, Joshua AU - Lund, Crick AB - BACKGROUND: The knowledge generated from evidence-based interventions in mental health systems research is seldom translated into policy and practice in low and middle-income countries (LMIC). Stakeholder analysis is a potentially useful tool in health policy and systems research to improve understanding of policy stakeholders and increase the likelihood of knowledge translation into policy and practice. The aim of this study was to conduct stakeholder analyses in the five countries participating in the Programme for Improving Mental health carE (PRIME); evaluate a template used for cross-country comparison of stakeholder analyses; and assess the utility of stakeholder analysis for future use in mental health policy and systems research in LMIC. METHODS: Using an adapted stakeholder analysis instrument, PRIME country teams in Ethiopia, India, Nepal, South Africa and Uganda identified and characterised stakeholders in relation to the proposed action: scaling-up mental health services. Qualitative content analysis was conducted for stakeholder groups across countries, and a force field analysis was applied to the data. RESULTS: Stakeholder analysis of PRIME has identified policy makers (WHO, Ministries of Health, non-health sector Ministries and Parliament), donors (DFID UK, DFID country offices and other donor agencies), mental health specialists, the media (national and district) and universities as the most powerful, and most supportive actors for scaling up mental health care in the respective PRIME countries. Force field analysis provided a means of evaluating cross-country stakeholder power and positions, particularly for prioritising potential stakeholder engagement in the programme. CONCLUSION: Stakeholder analysis has been helpful as a research uptake management tool to identify targeted and acceptable strategies for stimulating the demand for research amongst knowledge users, including policymakers and practitioners. Implementing these strategies amongst stakeholders at a country level will hopefully reduce the knowledge gap between research and policy, and improve health system outcomes for the programme. DA - 2015 DB - OpenUCT DO - 10.1186/s13033-015-0020-z DP - University of Cape Town J1 - International Journal of Mental Health Systems LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings TI - Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings UR - http://hdl.handle.net/11427/15634 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15634
dc.identifier.urihttp://dx.doi.org/10.1186/s13033-015-0020-z
dc.identifier.vancouvercitationMakan A, Fekadu A, Murhar V, Luitel N, Kathree T, Ssebunya J, et al. Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings. International Journal of Mental Health Systems. 2015; http://hdl.handle.net/11427/15634.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_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 Licenseen_ZA
dc.rights.holder2015 Makan et al.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourceInternational Journal of Mental Health Systemsen_ZA
dc.source.urihttp://ijmhs.biomedcentral.com/en_ZA
dc.subject.otherStakeholder analysisen_ZA
dc.subject.otherHealth policy and systems researchen_ZA
dc.subject.otherKnowledge translationen_ZA
dc.subject.otherResearch uptakeen_ZA
dc.subject.otherMental healthen_ZA
dc.titleStakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findingsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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