Author:
Fekadu Abebaw,Hanlon Charlotte,Medhin Girmay,Alem Atalay,Selamu Medhin,Giorgis Tedla W.,Shibre Teshome,Teferra Solomon,Tegegn Teketel,Breuer Erica,Patel Vikram,Tomlinson Mark,Thornicroft Graham,Prince Martin,Lund Crick
Abstract
BackgroundDeveloping evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority.AimsTo outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia.MethodA mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation).ResultsThe 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.ConclusionsThe 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.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
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