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Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal

BIBHAV Acharya
et al
January 2017

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Abstract

Background

Mental illnesses are the largest contributors to the global burden of non-communicable diseases. However, there is extremely limited access to high quality, culturally-sensitive, and contextually-appropriate mental healthcare services. This situation persists despite the availability of interventions with proven efficacy to improve patient outcomes. A partnerships network is necessary for successful program adaptation and implementation.

Partnerships network

We describe our partnerships network as a case example that addresses challenges in delivering mental healthcare and which can serve as a model for similar settings. Our perspectives are informed from integrating mental healthcare services within a rural public hospital in Nepal. Our approach includes training and supervising generalist health workers by off-site psychiatrists. This is made possible by complementing the strengths and weaknesses of the various groups involved: the public sector, a non-profit organization that provides general healthcare services and one that specializes in mental health, a community advisory board, academic centers in high- and low-income countries, and bicultural professionals from the diaspora community.

Conclusions

We propose a partnerships model to assist implementation of promising programs to expand access to mental healthcare in low- resource settings. We describe the success and limitations of our current partners in a mental health program in rural Nepal.

The Internet in developing nations : grand challenges

PRESS, L
2004

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The author outlines the 'grand challenge' or $15 billion project for achieving truly global connectivity. It is based on the methodology for the development of the US National Science Foundation Network. The plan emphasizes the use of wireless technology and input on local means of delivery based on stakeholders' decisions. The author does discuss the intellectual property rights problem and the need to subsidize access in lesser developed regions

Wireless communication

VONK, Tjalling
MULDER, Rolof
March 2003

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The use of wireless networks in developing areas is promising. Since ground cables are only economic in high-density environments, a wireless network is much cheaper when long distances need to be crossed to rural areas

Providing low-cost ICT access to low-income communities in developing countries : what works? what pays?

CASPREY, G
O'CONNOR, D
2003

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This Organization for Economic Cooperation and Development report discusses the potential of and need for telecommunications development in rural areas of low-income countries. It outlines the main challenges, and describes sustainable options. The report also reviews low-cost options and summarizes policies that would support the more rapid diffusion especially telecommunications reform

Grameen Telecom's village phone programme : a multi-media case study

RICHARDSON, Don
RAMIREZ, Ricardo
HAQ, Moinul
March 2000

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GrameenPhone is a commercial operation providing cellular services in both urban and rural areas of Bangladesh, with approximately 40,000 customers. This article describes the company's village phone programme, which is enabling women members of the Grameen Bank's revolving credit system to retail cellular phone services in rural areas. This pilot project currently involves 950 village phones providing telephone access to more than 65,000 people. Village women access micro-credit to acquire digital GSM cellular phones and subsequently re-sell phone calls and phone services within their villages

Voices for change : rural woman and communication

BALIT, Silvia
COMMUNICATION FOR DEVELOPMENT GROUP
1999

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This book describes how, in the current climate of political and socio-economic change, communication can play a decisive role in promoting food security and rural development. By fostering a dialogue between rural people and other sectors of society, communication processes can empower both women and men to provide information and knowledge as a basis for change and innovation. It can give rural women a voice to advocate changes in policies, attitudes and social behaviour or customs that negatively affect them. The book briefly explores these complicated ideas, focussing on how communication processes can be harnessed. It then describes how different technologies, from the internet, video and radio, to traditional media, can be used. It is illustrated with brief case studies throughout

The first mile of connectivity : advancing telecommunications for rural development through a participatory communication approach

RICHARDSON, Don
PAISLEY, Lynnita
Eds
1998

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Begins with the need to work at the 'first mile' of connectivity - essentially the prevailing conditions for rural communities - when discussing the value of new information communication technologies. Emphasises people and the communication process, and the various factors of community dynamics and context that frame any communicaiton initiatives, not the technology . Chapters cover a range of examples of participatory communication methods, such as Participatory Rural Communicaiton Appriasal, and the training of 'community animators'. Looks at examples of rural telephony and radio, telecentres, video and the Internet, and also discusses some issues connected to telecommunications infrastructure and regulation, such as rural networking co-operatives and parterships with the private sector

The internet and rural and agricultural development : an integrated approach

RICHARDSON, Don
1997

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Discusses the potential benefits of using the Internet for rural / agricultural development. Contextualises the growth of the internet in development initiatives and addresses the potential of the internet in specific areas, eg community development, research/education, small and medium enterprise development, and news media. Finallly, identifies several areas of best practice to guide effective use of the internet. Recommends engaging intermediary agencies involved in (project support, research, extension, health etc) in internet initiatives, as well as stakeholders and intended beneficiaries. Warns against the widening information gap between haves and have-nots

Understanding farmers' communication networks : an experience in the Philippines

COMMUNICATION FOR DEVELOPMENT GROUP
1995

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This case study addresses the need to improve the exchange of relevant agricultural information between research, extension networks and farmers in five regions of the Philippines. It focuses on developing an approach to map the communication networks which exist in an agricultural system and to identify the main actors which play a role in shaping agricultural and rural development

Telemedicine project in district village of Andhra Pradesh

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A report on a telemedicine project in the remote hamlet of Andhra Pradesh. Using ISDN and VSAT lines, the village was connected to hospitals in Hyderabad and Chennai, bringing tertiary care to the villagers and making key specialists available to them. Although not a financial success, the popularity of the project means that the organisers want to extend the scheme further

E-link Americas : affordable internet access for the Americas

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Describes the E-Link Americas project, aimed at connecting the remote, under-served, and un-served areas in the Americas using low-cost, high-speed Internet to foster regional development. Satellite and terrestrial wireless technologies are used to deliver affordable, sustainable Internet access to municipalities, universities, schools, hospitals, telecentres and other community-based organizations in Latin America and the Caribbean. The healthcare component of the project is described at http://www.elinkamericas.net/main.php?content=health

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