Information systems for mental health in six low and middle income countries: cross country situation analysis

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dc.contributor.authorUpadhaya, Nawaraj
dc.contributor.authorJordans, Mark J D
dc.contributor.authorAbdulmalik, Jibril
dc.contributor.authorAhuja, Shalini
dc.contributor.authorAlem, Atalay
dc.contributor.authorHanlon, Charlotte
dc.contributor.authorKigozi, Fred
dc.contributor.authorKizza, Dorothy
dc.contributor.authorLund, Crick
dc.contributor.authorSemrau, Maya
dc.contributor.authorShidhaye, Rahul
dc.contributor.authorThornicroft, Graham
dc.contributor.authorKomproe, Ivan H
dc.contributor.authorGureje, Oye
dc.date.accessioned2016-10-25T10:40:17Z
dc.date.available2016-10-25T10:40:17Z
dc.date.issued2016-09-26
dc.date.updated2016-09-27T18:04:12Z
dc.description.abstractBackground: Research on information systems for mental health in low and middle income countries (LMICs) is scarce. As a result, there is a lack of reliable information on mental health service needs, treatment coverage and the quality of services provided. Methods: With the aim of informing the development and implementation of a mental health information subsystem that includes reliable and measurable indicators on mental health within the Health Management Information Systems (HMIS), a cross-country situation analysis of HMIS was conducted in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), participating in the ‘Emerging mental health systems in low and middle income countries’ (Emerald) research programme. A situation analysis tool was developed to obtain and chart information from documents in the public domain. In circumstances when information was inadequate, key government officials were contacted to verify the data collected. In this paper we compare the baseline policy context, human resources situation as well as the processes and mechanisms of collecting, verifying, reporting and disseminating mental health related HMIS data. Results: The findings suggest that countries face substantial policy, human resource and health governance challenges for mental health HMIS, many of which are common across sites. In particular, the specific policies and plans for the governance and implementation of mental health data collection, reporting and dissemination are absent. Across sites there is inadequate infrastructure, few HMIS experts, and inadequate technical support and supervision to junior staff, particularly in the area of mental health. Nonetheless there are also strengths in existing HMIS where a few mental health morbidity, mortality, and system level indicators are collected and reported. Conclusions: Our study indicates the need for greater technical and resources input to strengthen routine HMIS and develop standardized HMIS indicators for mental health, focusing in particular on indicators of coverage and quality to facilitate the implementation of the WHO mental health action plan 2013–2020.
dc.identifier.apacitationUpadhaya, N., Jordans, M. J. D., Abdulmalik, J., Ahuja, S., Alem, A., Hanlon, C., ... Gureje, O. (2016). Information systems for mental health in six low and middle income countries: cross country situation analysis. <i>International Journal of Mental Health Systems</i>, http://hdl.handle.net/11427/22290en_ZA
dc.identifier.chicagocitationUpadhaya, Nawaraj, Mark J D Jordans, Jibril Abdulmalik, Shalini Ahuja, Atalay Alem, Charlotte Hanlon, Fred Kigozi, et al "Information systems for mental health in six low and middle income countries: cross country situation analysis." <i>International Journal of Mental Health Systems</i> (2016) http://hdl.handle.net/11427/22290en_ZA
dc.identifier.citationUpadhaya, N., Jordans, M. J., Abdulmalik, J., Ahuja, S., Alem, A., Hanlon, C., ... & Shidhaye, R. (2016). Information systems for mental health in six low and middle income countries: cross country situation analysis. International Journal of Mental Health Systems, 10(1), 60.
dc.identifier.ris TY - Journal Article AU - Upadhaya, Nawaraj AU - Jordans, Mark J D AU - Abdulmalik, Jibril AU - Ahuja, Shalini AU - Alem, Atalay AU - Hanlon, Charlotte AU - Kigozi, Fred AU - Kizza, Dorothy AU - Lund, Crick AU - Semrau, Maya AU - Shidhaye, Rahul AU - Thornicroft, Graham AU - Komproe, Ivan H AU - Gureje, Oye AB - Background: Research on information systems for mental health in low and middle income countries (LMICs) is scarce. As a result, there is a lack of reliable information on mental health service needs, treatment coverage and the quality of services provided. Methods: With the aim of informing the development and implementation of a mental health information subsystem that includes reliable and measurable indicators on mental health within the Health Management Information Systems (HMIS), a cross-country situation analysis of HMIS was conducted in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), participating in the ‘Emerging mental health systems in low and middle income countries’ (Emerald) research programme. A situation analysis tool was developed to obtain and chart information from documents in the public domain. In circumstances when information was inadequate, key government officials were contacted to verify the data collected. In this paper we compare the baseline policy context, human resources situation as well as the processes and mechanisms of collecting, verifying, reporting and disseminating mental health related HMIS data. Results: The findings suggest that countries face substantial policy, human resource and health governance challenges for mental health HMIS, many of which are common across sites. In particular, the specific policies and plans for the governance and implementation of mental health data collection, reporting and dissemination are absent. Across sites there is inadequate infrastructure, few HMIS experts, and inadequate technical support and supervision to junior staff, particularly in the area of mental health. Nonetheless there are also strengths in existing HMIS where a few mental health morbidity, mortality, and system level indicators are collected and reported. Conclusions: Our study indicates the need for greater technical and resources input to strengthen routine HMIS and develop standardized HMIS indicators for mental health, focusing in particular on indicators of coverage and quality to facilitate the implementation of the WHO mental health action plan 2013–2020. DA - 2016-09-26 DB - OpenUCT DO - 10.1186/s13033-016-0094-2 DP - University of Cape Town J1 - International Journal of Mental Health Systems LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - Information systems for mental health in six low and middle income countries: cross country situation analysis TI - Information systems for mental health in six low and middle income countries: cross country situation analysis UR - http://hdl.handle.net/11427/22290 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s13033-016-0094-2
dc.identifier.urihttp://hdl.handle.net/11427/22290
dc.identifier.vancouvercitationUpadhaya N, Jordans MJD, Abdulmalik J, Ahuja S, Alem A, Hanlon C, et al. Information systems for mental health in six low and middle income countries: cross country situation analysis. International Journal of Mental Health Systems. 2016; http://hdl.handle.net/11427/22290.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International License
dc.rights.holderThe Author(s)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceInternational Journal of Mental Health Systems
dc.source.urihttp://ijmhs.biomedcentral.com/
dc.subject.otherMental health
dc.subject.otherInformation systems
dc.subject.otherLow and middle income countries
dc.titleInformation systems for mental health in six low and middle income countries: cross country situation analysis
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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