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A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India

INTRODUCTION: Lifetime prevalence of psychiatric disorders in India is about 14%, and the treatment gap is huge necessitating large-scale public health efforts. Manochaitanya programme (MCP), one such innovative program, was launched by the Government of Karnataka in October 2014. MCP entails provis...

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Autores principales: Agarwal, Preeti Pansari, Manjunatha, Narayana, Parthasarathy, Rajani, Kumar, Channaveerachari Naveen, Kelkar, Rathan, Math, Suresh Bada, Thirthalli, Jagadisha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776939/
https://www.ncbi.nlm.nih.gov/pubmed/31602107
http://dx.doi.org/10.4103/ijcm.IJCM_287_18
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author Agarwal, Preeti Pansari
Manjunatha, Narayana
Parthasarathy, Rajani
Kumar, Channaveerachari Naveen
Kelkar, Rathan
Math, Suresh Bada
Thirthalli, Jagadisha
author_facet Agarwal, Preeti Pansari
Manjunatha, Narayana
Parthasarathy, Rajani
Kumar, Channaveerachari Naveen
Kelkar, Rathan
Math, Suresh Bada
Thirthalli, Jagadisha
author_sort Agarwal, Preeti Pansari
collection PubMed
description INTRODUCTION: Lifetime prevalence of psychiatric disorders in India is about 14%, and the treatment gap is huge necessitating large-scale public health efforts. Manochaitanya programme (MCP), one such innovative program, was launched by the Government of Karnataka in October 2014. MCP entails provision of outpatient psychiatric care in subdistrict (Taluk) hospitals and primary health centers under a public–private (Indian Psychiatric Society-Karnataka chapter) partnership model, at least one Tuesday of every month. AIM: The aim was to do a secondary care level performance audit of MCP of initial 2½ years at all Taluka general hospitals of Karnataka. METHODOLOGY: Data on MCP were collected and tabulated from all 31 districts using a specially designed semistructured pro forma. This includes the number of self-reported psychiatric consultations in each Tuesday's clinic, number of psychiatrists, and their visit details. Prospective data were obtained from monthly reports. RESULTS: The district coverage was 100% during initial 2½ years over this period, i.e., MCPs were successfully covered in at least one Taluka hospital in all 31 districts. A total number of estimated consultations under this initiative were 73,663 with an average of 24.1 patients per psychiatrist consultation. One hundred and eleven psychiatrists participated in a total of 3,056 visits across the state. Patient footfall increased consistently over this time period. CONCLUSIONS: Psychiatrist-based Manochaitanya programme at secondary care level at Taluk hospitals has noticed substantial benefits to patient care. There is a need for psychiatrist-based secondary care at Talukas (subdistrict) level across the country.
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spelling pubmed-67769392019-10-10 A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India Agarwal, Preeti Pansari Manjunatha, Narayana Parthasarathy, Rajani Kumar, Channaveerachari Naveen Kelkar, Rathan Math, Suresh Bada Thirthalli, Jagadisha Indian J Community Med Original Article INTRODUCTION: Lifetime prevalence of psychiatric disorders in India is about 14%, and the treatment gap is huge necessitating large-scale public health efforts. Manochaitanya programme (MCP), one such innovative program, was launched by the Government of Karnataka in October 2014. MCP entails provision of outpatient psychiatric care in subdistrict (Taluk) hospitals and primary health centers under a public–private (Indian Psychiatric Society-Karnataka chapter) partnership model, at least one Tuesday of every month. AIM: The aim was to do a secondary care level performance audit of MCP of initial 2½ years at all Taluka general hospitals of Karnataka. METHODOLOGY: Data on MCP were collected and tabulated from all 31 districts using a specially designed semistructured pro forma. This includes the number of self-reported psychiatric consultations in each Tuesday's clinic, number of psychiatrists, and their visit details. Prospective data were obtained from monthly reports. RESULTS: The district coverage was 100% during initial 2½ years over this period, i.e., MCPs were successfully covered in at least one Taluka hospital in all 31 districts. A total number of estimated consultations under this initiative were 73,663 with an average of 24.1 patients per psychiatrist consultation. One hundred and eleven psychiatrists participated in a total of 3,056 visits across the state. Patient footfall increased consistently over this time period. CONCLUSIONS: Psychiatrist-based Manochaitanya programme at secondary care level at Taluk hospitals has noticed substantial benefits to patient care. There is a need for psychiatrist-based secondary care at Talukas (subdistrict) level across the country. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6776939/ /pubmed/31602107 http://dx.doi.org/10.4103/ijcm.IJCM_287_18 Text en Copyright: © 2019 Indian Journal of Community Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Agarwal, Preeti Pansari
Manjunatha, Narayana
Parthasarathy, Rajani
Kumar, Channaveerachari Naveen
Kelkar, Rathan
Math, Suresh Bada
Thirthalli, Jagadisha
A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India
title A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India
title_full A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India
title_fullStr A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India
title_full_unstemmed A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India
title_short A Performance Audit of First 30 Months of Manochaitanya Programme at Secondary Care Level of Karnataka, India
title_sort performance audit of first 30 months of manochaitanya programme at secondary care level of karnataka, india
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776939/
https://www.ncbi.nlm.nih.gov/pubmed/31602107
http://dx.doi.org/10.4103/ijcm.IJCM_287_18
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