Evaluation of district mental healthcare plans: the PRIME consortium methodology.
Br J Psychiatry
; 208 Suppl 56: s63-70, 2016 Jan.
Article
em En
| MEDLINE
| ID: mdl-26447175
ABSTRACT
BACKGROUND:
Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings.AIMS:
To describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda.METHOD:
Multidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change.RESULTS:
The following designs are employed to evaluate the MHCPs (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage; (b) repeat facility-based surveys to assess change in detection of disorders; (c) disorder-specific cohorts to assess the effect on patient outcomes; and (d) multilevel case studies to evaluate the process of implementation.CONCLUSIONS:
To evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across diverse settings.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Planejamento de Assistência ao Paciente
/
Avaliação de Programas e Projetos de Saúde
/
Serviços Comunitários de Saúde Mental
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Africa
/
Asia
Idioma:
En
Revista:
Br J Psychiatry
Ano de publicação:
2016
Tipo de documento:
Article