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Development of a scalable mental healthcare plan for a rural district in Ethiopia

Published online by Cambridge University Press:  02 January 2018

Abebaw Fekadu ,
Charlotte Hanlon ,
Girmay Medhin ,
Atalay Alem ,
Medhin Selamu ,
Tedla W. Giorgis ,
Teshome Shibre ,
Solomon Teferra ,
Teketel Tegegn  and
Erica Breuer
...Show all authors
Abebaw Fekadu*
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia, Department of Psychological Medicine, Centre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK
Charlotte Hanlon
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia and Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK
Girmay Medhin
Affiliation:
Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia
Atalay Alem
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
Medhin Selamu
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
Tedla W. Giorgis
Affiliation:
Federal Ministry of Health of Ethiopia, Addis Ababa, Ethiopia
Teshome Shibre
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
Solomon Teferra
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
Teketel Tegegn
Affiliation:
Department of Psychiatry, Addis Ababa University, Addis Ababa, Ethiopia
Erica Breuer
Affiliation:
Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
Vikram Patel
Affiliation:
Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK, Centre for Mental Health, the Public Health Foundation of India and Sangath, Alto-Porvorim, Goa India
Mark Tomlinson
Affiliation:
Stellenbosch University and University of Cape Town, Cape Town, South Africa
Graham Thornicroft
Affiliation:
Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK
Martin Prince
Affiliation:
Centre for Global Mental Health, Health Services and Population Research Department, King's College London, London, UK
Crick Lund
Affiliation:
Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
*
Abebaw Fekadu, Addis Ababa University, College of Health Sciences, School of Medicine, Department of Psychiatry, PO Box 9086, Addis Ababa, Ethiopia. Email: [email protected]
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Abstract

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Background

Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority.

Aims

To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia.

Method

A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation).

Results

The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability.

Conclusions

The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC.

Type
Papers
Information
The British Journal of Psychiatry , Volume 208 , Issue s56: Mental health plans in five low- and middle-income countries: PRogramme for Improving Mental health carE (PRIME) , January 2016 , pp. s4 - s12
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
Copyright
Copyright © Royal College of Psychiatrists, 2016

Footnotes

This material has been funded by UK aid from the UK government. However, the views expressed here do not necessarily reflect the UK government's official policies.

Declaration of interest

None.

References

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