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.accessioned2021-10-08T07:04:22Z
dc.date.available2021-10-08T07:04:22Z
dc.date.issued2016
dc.description.abstractAbstract 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 sub-system 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>, 10(1), 174 - 177. http://hdl.handle.net/11427/34489en_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> 10, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34489en_ZA
dc.identifier.citationUpadhaya, N., Jordans, M.J.D., Abdulmalik, J., Ahuja, S., Alem, A., Hanlon, C., Kigozi, F. & Kizza, D. et al. 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> 10(1):174 - 177. http://hdl.handle.net/11427/34489en_ZA
dc.identifier.issn1752-4458
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 - Abstract 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 sub-system 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 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - International Journal of Mental Health Systems LK - https://open.uct.ac.za PY - 2016 SM - 1752-4458 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/11427/34489 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34489
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;10(1):174 - 177. http://hdl.handle.net/11427/34489.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceInternational Journal of Mental Health Systems
dc.source.journalissue1
dc.source.journalvolume10
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s13033-016-0094-2
dc.subject.otherrecherche
dc.subject.othersanté
dc.subject.othercroix
dc.subject.otherdélation
dc.subject.otherémeraude
dc.subject.otheroutil
dc.subject.otherclé
dc.subject.otherpuits
dc.subject.otherrecueil
dc.subject.othersoutènement
dc.subject.otherquartier
dc.subject.otherplan
dc.subject.otherInformation systems
dc.subject.otherLow and middle income countries
dc.subject.otherMental health
dc.subject.otherPhychiatric Mental Health
dc.subject.otherHealth Policy
dc.subject.otherPublic Health
dc.subject.otherEnvironmental and Occupational Health
dc.subject.otherPsychiatry and Mental health
dc.titleInformation systems for mental health in six low and middle income countries: cross country situation analysis
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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