Cargando…
Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers
BACKGROUND: Strengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to ena...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688464/ https://www.ncbi.nlm.nih.gov/pubmed/31530318 http://dx.doi.org/10.1192/bjo.2019.14 |
_version_ | 1783442895551856640 |
---|---|
author | Evans-Lacko, Sara Hanlon, Charlotte Alem, Atalay Ayuso-Mateos, Jose Luis Chisholm, Dan Gureje, Oye Jordans, Mark Kigozi, Fred Lempp, Heidi Lund, Crick Petersen, Inge Shidhaye, Rahul Thornicroft, Graham Semrau, Maya |
author_facet | Evans-Lacko, Sara Hanlon, Charlotte Alem, Atalay Ayuso-Mateos, Jose Luis Chisholm, Dan Gureje, Oye Jordans, Mark Kigozi, Fred Lempp, Heidi Lund, Crick Petersen, Inge Shidhaye, Rahul Thornicroft, Graham Semrau, Maya |
author_sort | Evans-Lacko, Sara |
collection | PubMed |
description | BACKGROUND: Strengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to enable and sustain comprehensive improvements. AIMS: Within the Emerald project, the goal of this study was to evaluate capacity-building activities for three target groups: (a) service users with mental health conditions and their caregivers; (b) policymakers and planners; and (c) mental health researchers. METHOD: We developed and tailored three short courses (between 1 and 5 days long). We then implemented and evaluated these short courses on 24 different occasions. We assessed satisfaction among 527 course participants as well as pre–post changes in knowledge in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). Changes in research capacity of partner Emerald institutions was also assessed through monitoring of academic outputs of participating researchers and students and via anonymous surveys. RESULTS: Short courses were associated with high levels of satisfaction and led to improvements in knowledge across target groups. In relation to institutional capacity building, all partner institutions reported improvements in research capacity for most aspects of mental health system strengthening and global mental health, and many of these positive changes were attributed to the Emerald programme. In terms of outputs, eight PhD students submitted a total of 10 papers relating to their PhD work (range 0–4) and were involved in 14 grant applications, of which 43% (n = 6) were successful. CONCLUSIONS: The Emerald project has shown that building capacity of key stakeholders in mental health system strengthening is possible. However, the starting point and appropriate strategies for this may vary across different countries, depending on the local context, needs and resources. DECLARATION OF INTEREST: S.E.L. received consulting fees from Lundbeck. |
format | Online Article Text |
id | pubmed-6688464 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-66884642019-08-23 Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers Evans-Lacko, Sara Hanlon, Charlotte Alem, Atalay Ayuso-Mateos, Jose Luis Chisholm, Dan Gureje, Oye Jordans, Mark Kigozi, Fred Lempp, Heidi Lund, Crick Petersen, Inge Shidhaye, Rahul Thornicroft, Graham Semrau, Maya BJPsych Open Emerald Series BACKGROUND: Strengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to enable and sustain comprehensive improvements. AIMS: Within the Emerald project, the goal of this study was to evaluate capacity-building activities for three target groups: (a) service users with mental health conditions and their caregivers; (b) policymakers and planners; and (c) mental health researchers. METHOD: We developed and tailored three short courses (between 1 and 5 days long). We then implemented and evaluated these short courses on 24 different occasions. We assessed satisfaction among 527 course participants as well as pre–post changes in knowledge in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). Changes in research capacity of partner Emerald institutions was also assessed through monitoring of academic outputs of participating researchers and students and via anonymous surveys. RESULTS: Short courses were associated with high levels of satisfaction and led to improvements in knowledge across target groups. In relation to institutional capacity building, all partner institutions reported improvements in research capacity for most aspects of mental health system strengthening and global mental health, and many of these positive changes were attributed to the Emerald programme. In terms of outputs, eight PhD students submitted a total of 10 papers relating to their PhD work (range 0–4) and were involved in 14 grant applications, of which 43% (n = 6) were successful. CONCLUSIONS: The Emerald project has shown that building capacity of key stakeholders in mental health system strengthening is possible. However, the starting point and appropriate strategies for this may vary across different countries, depending on the local context, needs and resources. DECLARATION OF INTEREST: S.E.L. received consulting fees from Lundbeck. Cambridge University Press 2019-08-06 /pmc/articles/PMC6688464/ /pubmed/31530318 http://dx.doi.org/10.1192/bjo.2019.14 Text en © The Royal College of Psychiatrists 2019 http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work. |
spellingShingle | Emerald Series Evans-Lacko, Sara Hanlon, Charlotte Alem, Atalay Ayuso-Mateos, Jose Luis Chisholm, Dan Gureje, Oye Jordans, Mark Kigozi, Fred Lempp, Heidi Lund, Crick Petersen, Inge Shidhaye, Rahul Thornicroft, Graham Semrau, Maya Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers |
title | Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers |
title_full | Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers |
title_fullStr | Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers |
title_full_unstemmed | Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers |
title_short | Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers |
title_sort | evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers |
topic | Emerald Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6688464/ https://www.ncbi.nlm.nih.gov/pubmed/31530318 http://dx.doi.org/10.1192/bjo.2019.14 |
work_keys_str_mv | AT evanslackosara evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT hanloncharlotte evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT alematalay evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT ayusomateosjoseluis evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT chisholmdan evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT gurejeoye evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT jordansmark evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT kigozifred evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT lemppheidi evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT lundcrick evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT peterseninge evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT shidhayerahul evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT thornicroftgraham evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers AT semraumaya evaluationofcapacitybuildingstrategiesformentalhealthsystemstrengtheninginlowandmiddleincomecountriesforserviceusersandcaregiverspolicymakersandplannersandresearchers |