Planning and evaluating mental health services in low- and middle-income countries using theory of change.

Autor: Breuer, Erica, De Silva, Mary J., Shidaye, Rahul, Petersen, Inge, Nakku, Juliet, Jordans, Mark J. D., Fekadu, Abebaw, Lund, Crick
Předmět:
Zdroj: British Journal of Psychiatry; 2016 Supplement, Vol. 208, ps55-s62, 15p
Abstrakt: Background: There is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings.Aims: To describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME).Method: ToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members; (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13-22) stakeholders per workshop; and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members.Results: One cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts.Conclusions: ToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index