Cargando…

Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries

INTRODUCTION: Mental disorders account for a substantial burden of disease and costs in low-income and middle-income countries (LMICs), but attract few resources. With LMIC governments often under economic pressure, an understanding of the external funding landscape is urgently needed. This study de...

Descripción completa

Detalles Bibliográficos
Autor principal: Iemmi, Valentina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936513/
https://www.ncbi.nlm.nih.gov/pubmed/31908860
http://dx.doi.org/10.1136/bmjgh-2019-001826
_version_ 1783483736643338240
author Iemmi, Valentina
author_facet Iemmi, Valentina
author_sort Iemmi, Valentina
collection PubMed
description INTRODUCTION: Mental disorders account for a substantial burden of disease and costs in low-income and middle-income countries (LMICs), but attract few resources. With LMIC governments often under economic pressure, an understanding of the external funding landscape is urgently needed. This study develops a new typology of external actors in global health adapted for the sustainable development goals (SDGs) era and uses it to systematically map available evidence on external actors in global mental health. METHODS: The new typology was developed in line with conceptualisation in the literature and the SDGs to include 11 types of external actors for health in LMICs. Five databases (EconLit, Embase, Global Health, MEDLINE, PsycINFO) were searched for manuscripts published in peer-reviewed journals in English, French, Italian, Portuguese or Spanish between 1 January 2000 and 31 July 2018 and reporting information on external actors for mental disorders in LMICs. Records were screened by abstract, then full-text against inclusion criteria. Data were extracted and synthesised using narrative analysis. RESULTS: 79 studies were included in the final review. Five were quantitative studies analysing the resource flow of development assistance for mental health globally over the last two decades. The remainder were qualitative studies providing a description of external actors: the majority of them were published in the last decade, focused on Africa, and on public sector (bilateral and multilateral governmental organisations) and third sector organisations (non-governmental organisations). Evidence was particularly scarce for for-profit organisations and individual households. CONCLUSION: This study reveals opportunities for unlocking additional funding for global mental health in the SDG-era from an ecosystem of external actors, and highlights the need to coordinate efforts and to use sustainable, ethical approaches to disbursements. Further research is needed to understand all external actors and the allocation of their contributions in different settings.
format Online
Article
Text
id pubmed-6936513
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-69365132020-01-06 Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries Iemmi, Valentina BMJ Glob Health Research INTRODUCTION: Mental disorders account for a substantial burden of disease and costs in low-income and middle-income countries (LMICs), but attract few resources. With LMIC governments often under economic pressure, an understanding of the external funding landscape is urgently needed. This study develops a new typology of external actors in global health adapted for the sustainable development goals (SDGs) era and uses it to systematically map available evidence on external actors in global mental health. METHODS: The new typology was developed in line with conceptualisation in the literature and the SDGs to include 11 types of external actors for health in LMICs. Five databases (EconLit, Embase, Global Health, MEDLINE, PsycINFO) were searched for manuscripts published in peer-reviewed journals in English, French, Italian, Portuguese or Spanish between 1 January 2000 and 31 July 2018 and reporting information on external actors for mental disorders in LMICs. Records were screened by abstract, then full-text against inclusion criteria. Data were extracted and synthesised using narrative analysis. RESULTS: 79 studies were included in the final review. Five were quantitative studies analysing the resource flow of development assistance for mental health globally over the last two decades. The remainder were qualitative studies providing a description of external actors: the majority of them were published in the last decade, focused on Africa, and on public sector (bilateral and multilateral governmental organisations) and third sector organisations (non-governmental organisations). Evidence was particularly scarce for for-profit organisations and individual households. CONCLUSION: This study reveals opportunities for unlocking additional funding for global mental health in the SDG-era from an ecosystem of external actors, and highlights the need to coordinate efforts and to use sustainable, ethical approaches to disbursements. Further research is needed to understand all external actors and the allocation of their contributions in different settings. BMJ Publishing Group 2019-12-03 /pmc/articles/PMC6936513/ /pubmed/31908860 http://dx.doi.org/10.1136/bmjgh-2019-001826 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Research
Iemmi, Valentina
Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries
title Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries
title_full Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries
title_fullStr Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries
title_full_unstemmed Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries
title_short Sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries
title_sort sustainable development for global mental health: a typology and systematic evidence mapping of external actors in low-income and middle-income countries
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6936513/
https://www.ncbi.nlm.nih.gov/pubmed/31908860
http://dx.doi.org/10.1136/bmjgh-2019-001826
work_keys_str_mv AT iemmivalentina sustainabledevelopmentforglobalmentalhealthatypologyandsystematicevidencemappingofexternalactorsinlowincomeandmiddleincomecountries