@article{8b63bca80f854d368a4d5f920ddb9bb1,
title = "Evaluation of performance and perceived utility of mental healthcare indicators in routine health information systems in five low- and middle-income countries",
abstract = "BackgroundIn most low-and middle-income countries (LMIC), routine mental health information is unavailable or unreliable, making monitoring of mental healthcare coverage difficult. This study aims to evaluate a new set of mental health indicators introduced in primary healthcare settings in five LMIC.MethodA survey was conducted among primary healthcare workers (n = 272) to assess the acceptability and feasibility of eight new indicators monitoring mental healthcare needs, utilisation, quality and payments. Also, primary health facility case records (n = 583) were reviewed by trained research assistants to assess the level of completion (yes/no) for each of the indicators and subsequently the level of correctness of completion (correct/incorrect-with incorrect defined as illogical, missing or illegible information) of the indicators used by health workers. Assessments were conducted within 1 month of the introduction of the indicators, as well as 6-9 months afterwards.ResultsAcross both time points and across all indicators, 78% of the measurements of indicators were complete. Among the best performing indicators (diagnosis, severity and treatment), this was significantly higher. With regards to correctness, 87% of all completed indicators were correctly completed. There was a trend towards improvement over time. Health worker's perceptions on feasibility and utility, across sites and over time, indicated a positive attitude in 81% of all measurements.ConclusionThis study demonstrates high levels of performance and perceived utility for a set of indicators that could ultimately be used to monitor coverage of mental healthcare in primary healthcare settings in LMIC. We recommend that these indicators are incorporated into existing health information systems and adopted within the World Health Organization Mental Health Gap Action Programme implementation strategy.",
keywords = "Mental healthcare, indicators, primary healthcare, low- and middle-income settings, health information system, SCALE-UP, SERVICES, COVERAGE",
author = "Mark Jordans and Dan Chisholm and Maya Semrau and Dristy Gurung and Jibril Abdulmalik and Shalini Ahuja and James Mugisha and Ntokozo Mntambo and Fred Kigozi and Inge Petersen and Rahul Shidhaye and Nawaraj Upadhaya and Crick Lund and Graham Thornicroft and Oye Gureje",
note = "Funding Information: This work was supported by the European Union's Seventh Framework Programme (FP7/2007- 2013) under grant agreement no. 305968, and by the PRIME Research Programme Consortium, funded by the UK Department of International Development for the benefit of developing countries. G.T. is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) South London and by the NIHR Applied Research Centre (ARC) at King's College London NHS Foundation Trust, and the NIHR Applied Research and the NIHR Asset Global Health Unit award. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. G.T. receives support from the National Institute of Mental Health of the National Institutes of Health under award number R01MH100470 (Cobalt study). G.T. is supported by the UK Medical Research Council in relation the Emilia (MR/S001255/1) and Indigo Partnership (MR/R023697/1). awards. I.P., C.L. and G.T. are funded by the NIHR Global Health Research Unit on Health System Strengthening in Sub-Saharan Africa, King's College London (GHRU 16/136/54) using UK aid from the UK Government. The views expressed in this publication are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The views expressed in this publication are not necessarily those of the funders. Funding Information: This work was supported by the European Union's Seventh Framework Programme (FP7/2007–2013) under grant agreement no. 305968, and by the PRIME Research Programme Consortium, funded by the UK Department of International Development for the benefit of developing countries. G.T. is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) South London and by the NIHR Applied Research Centre (ARC) at King{\textquoteright}s College London NHS Foundation Trust, and the NIHR Applied Research and the NIHR Asset Global Health Unit award. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. G.T. receives support from the National Institute of Mental Health of the National Institutes of Health under award number R01MH100470 (Cobalt study). G.T. is supported by the UK Medical Research Council in relation the Emilia (MR/S001255/1) and Indigo Partnership (MR/R023697/1). awards. I.P., C.L. and G.T. are funded by the NIHR Global Health Research Unit on Health System Strengthening in Sub-Saharan Africa, King{\textquoteright}s College London (GHRU 16/136/54) using UK aid from the UK Government. The views expressed in this publication are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. No funding bodies had any role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The views expressed in this publication are not necessarily those of the funders. Acknowledgements Publisher Copyright: Copyright {\textcopyright} The Royal College of Psychiatrists 2019.",
year = "2019",
month = aug,
day = "6",
doi = "10.1192/bjo.2019.22",
language = "English",
volume = "5",
pages = "1--7",
journal = "Bjpsych open",
issn = "2056-4724",
publisher = "Cambridge University Press",
number = "5",
}