Development of a district mental healthcare plan in Uganda
| Autor: | Joshua Ssebunnya, Blandina Nakiganda, Crick Lund, Juliet Nakku, Dorothy Kizza, Sheila Ndyanabangi, Vikram Patel, Fred Kigozi |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Rural Population
Gerontology Process management Plan (drawing) Health Services Accessibility Patient Care Planning Mental healthcare 03 medical and health sciences 0302 clinical medicine Strategic investment Humans Medicine Uganda Health Workforce 030212 general & internal medicine Human resources Developing Countries Qualitative Research Primary Health Care business.industry Mental Disorders Theory of change Mental health Community Mental Health Services 030227 psychiatry Psychiatry and Mental health Papers business Program Evaluation Situation analysis Qualitative research |
| Zdroj: | The British Journal of Psychiatry |
| ISSN: | 0007-1250 |
| Popis: | BackgroundEvidence is needed for the integration of mental health into primary care advocated by the national health sector strategic investment plan in Uganda.AimsTo describe the processes of developing a district mental healthcare plan (MHCP) in rural Uganda that facilitates integration of mental health into primary care.MethodMixed methods using a situational analysis, qualitative studies, theory of change workshops and partial piloting of the plan at two levels informed the MHCP.ResultsA MHCP was developed with packages of care to facilitate integration at the organisational, facility and community levels of the district health system, including a specified human resource mix. The partial embedding period supports its practical application. Key barriers to scaling up the plan were identified.ConclusionsA real-world plan for the district was developed with involvement of stakeholders. Pilot testing demonstrated its feasibility and implications for future scaling up. |
| Databáze: | OpenAIRE |
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