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Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work

Given the low availability of trained mental health professionals, there is evidence on task sharing where basic mental healthcare can be provided by trained community health workers (CHWs). A potential way to reduce the mental health care gap in rural and urban areas in India is to utilize the serv...

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Autores principales: Daniel, Mercian, Maulik, Pallab K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012787/
https://www.ncbi.nlm.nih.gov/pubmed/36926503
http://dx.doi.org/10.3389/frhs.2023.1119213
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author Daniel, Mercian
Maulik, Pallab K.
author_facet Daniel, Mercian
Maulik, Pallab K.
author_sort Daniel, Mercian
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description Given the low availability of trained mental health professionals, there is evidence on task sharing where basic mental healthcare can be provided by trained community health workers (CHWs). A potential way to reduce the mental health care gap in rural and urban areas in India is to utilize the services of community health workers known as Accredited Social Health Activists (ASHAs). There is a paucity of literature that have evaluated incentivizing non-physician health workers (NPHWs) vis-à-vis maintaining a competent and motivated health workforce especially in the Asia and Pacific regions. The principles around what works and does not work in terms of a mix of incentive packages for CHWs, while providing for mental healthcare in rural areas have not been adequately evaluated. Moreover, performance-based incentives which are receiving increasing attention from health systems worldwide, though evidence on the effectiveness of these incentives in Pacific and Asian countries is limited. CHW programs that have shown to be effective rely on an interlinked incentive framework at the individual, community, and health system levels. Drawing learnings from the past eight years in implementing the SMART (systematic medical appraisal, referral and treatment) Mental Health Program in rural India, we critically examine some of the emerging principles in incentivizing ASHAs while scaling up mental healthcare in communities using a systems approach.
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spelling pubmed-100127872023-03-15 Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work Daniel, Mercian Maulik, Pallab K. Front Health Serv Health Services Given the low availability of trained mental health professionals, there is evidence on task sharing where basic mental healthcare can be provided by trained community health workers (CHWs). A potential way to reduce the mental health care gap in rural and urban areas in India is to utilize the services of community health workers known as Accredited Social Health Activists (ASHAs). There is a paucity of literature that have evaluated incentivizing non-physician health workers (NPHWs) vis-à-vis maintaining a competent and motivated health workforce especially in the Asia and Pacific regions. The principles around what works and does not work in terms of a mix of incentive packages for CHWs, while providing for mental healthcare in rural areas have not been adequately evaluated. Moreover, performance-based incentives which are receiving increasing attention from health systems worldwide, though evidence on the effectiveness of these incentives in Pacific and Asian countries is limited. CHW programs that have shown to be effective rely on an interlinked incentive framework at the individual, community, and health system levels. Drawing learnings from the past eight years in implementing the SMART (systematic medical appraisal, referral and treatment) Mental Health Program in rural India, we critically examine some of the emerging principles in incentivizing ASHAs while scaling up mental healthcare in communities using a systems approach. Frontiers Media S.A. 2023-02-21 /pmc/articles/PMC10012787/ /pubmed/36926503 http://dx.doi.org/10.3389/frhs.2023.1119213 Text en © 2023 Daniel and Maulik. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Services
Daniel, Mercian
Maulik, Pallab K.
Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work
title Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work
title_full Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work
title_fullStr Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work
title_full_unstemmed Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work
title_short Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work
title_sort incentivizing community health workers for scaling up mental health care in rural communities in india: a critical look at principles that work
topic Health Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10012787/
https://www.ncbi.nlm.nih.gov/pubmed/36926503
http://dx.doi.org/10.3389/frhs.2023.1119213
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