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Strengthening mental health system governance in six low- and middle-income countries in Africa and South Asia: challenges, needs and potential strategies

PETERSEN, Inge
et al
February 2017

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The aim of this study was to identify key governance issues that need to be addressed to facilitate the integration of mental health services into general health care in the six participating "Emerald" countries (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda).  The study adopted a descriptive qualitative approach, using framework analysis. Purposive sampling was used to recruit a range of key informants, to ensure views were elicited on all the governance issues within the expanded framework. Key informants across the six countries included policy makers at the national level in the Department/Ministry of Health; provincial coordinators and planners in primary health care and mental health; and district-level managers of primary and mental health care services. A total of 141 key informants were interviewed across the six countries. Data were transcribed (and where necessary, translated into English) and analysed thematically using framework analysis, first at the country level, then synthesised at a cross-country level.

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

ACHARYA, Bibhav
MARU, Duncan
SCHWARZ, Ryan
et al
January 2017

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"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."

OPERA framework

July 2016

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"A guiding lens for CESR's national enforcement work, the OPERA framework allows an assessment that triangulates outcomes, policies and resources to provide a much fuller picture of what a state is doing to promote the realization of specific rights. Importantly, it traces economic and social deprivations and disparities back to the actions or omissions of the state, to make the case that they constitute an injustice and a violation of human rights."

Strengthening participation of children and young people with disability in advocacy

SIMMONS, Dr. Catharine
ROBINSON, Dr. Sally
October 2014

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Participation by children and young people in advocacy and change-making can not only improve and foster positive change in their own lives, but also influence the lives of others. When young people’s participation is supported, meaningful and engaged, multiple benefits accrue; their perspectives and experiences bring a unique contribution and can result in rights-based empowerment, enacted citizenship and improved relationships. This has the potential to shape policy, to increase the relevance and responsiveness of organisations they use, and to influence change in their communities in positive ways

 

However, there are significant issues and a range of barriers that discourage, prevent or actively exclude children and young people with disability from participating. A culture of low expectations, social and cultural barriers, relationship and identity difficulties and practical hurdles exist for many young people. As a result, many are precluded from participation, particularly around change-making activities

 

This paper examines how meaningful participation of children and young people with disability in advocacy and change-making can be strengthened. In the paper CDA calls for the promotion of children and young people’s participation as active and valued community members

Good governance handbook

BULLIVANT, Dr. John
et al
March 2012

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"This document has been designed to provide some key principles of good governance that can aid decision making at board level in healthcare providers. The guide builds on previous best practice guidance whilst recognising the major impact of the current changes to the NHS architecture. It is intended to be of interest to existing NHS boards, emerging Clinical Commissioning Groups and Health and Wellbeing Boards and those responsible for managing governance systems and processes within healthcare"

What really matters : a guide to person-centered excellence|Application for services for people with mental illness

THE COUNCIL ON QUALITY AND LEADERSHIP (CQL)
2010

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"This guide promotes quality improvement in behavioral health services and supports. These best practices and the resulting quality improvement initiatives can be applied across the range of supports and services for people with mental illness...This manual has eight main sections and each section contains a key factor with its success indicators. We use the term ‘factor’ to refer to the main area: for example, Person-centered Planning. Likewise, each factor has a number of ‘success indicators’ that describe critical aspects of the factor. For each success indicator there are three parts: a statement of the indicator; a brief explanation of the meaning behind this indicator; a description of how organizations apply this indicator in practice"

Child health : generating the will

WORLD VISION
2009

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This edition of Global Future explores the nature of political will and what is required to reduce rates of under-five mortality and realise Millennium Development Goals (MDG) four (to reduce under-five mortality) and five (to improve maternal health). Authors from around the world lay out the "why, who, what and how" of the actions needed to realise these MDGs and get more countries on track quickly. At the time of publication only 16 of the 68 countries with the highest rates of child death were on track to reach MDG four

Successful leadership : country actions for maternal, newborn and child health

PARTNERSHIP FOR MATERNAL, NEWBORN AND CHILD HEALTH
2008

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This document provides country-specific summaries of actions taken on a national level to improve maternal and child health. The summaries do not provide a comprehensive assessment of the progress made by individual countries, but demonstrate the importance of five factors: 1. Successful political leadership (Thailand) 2. Sound health policies (Indonesia and Tanzania) 3. Effective financing (Mexico) 4. Strong health systems (Nepal and Senegal) 5. Action to achieve equity (Bangladesh and Chile). Each summary covers: progress on MDGs, supportive policies and interventions, outcome, and key lesson

Gender, sexuality, rights and HIV : an overview for community sector organizations

BANERJEE, Sumita
SHARMA, Upasana
2007

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This is a summary of a desk-based literature review that examines the factors that contribute to the vulnerability and risk of HIV infection in men, women, and men-who-have-sex-with-men. It is a resource for NGOs and Community Based Organisations to build a greater understanding of how gender and sexuality determine vulnerability to HIV. It also highlights major human rights declarations, treaties and recommendations that can be used by individuals and associations to advocate for their rights and hold decision makers accountable to their commitments

Relevant health information for empowered citizens

HEALTH ACTION INTERNATIONAL (HAI)
2006

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Information is an integral part of healthcare: the need for patients to give informed consent is the basis of all care and treatment. For patients to be able to make informed choices they need information that is reliable, comparative and adapted to users, and that is not linked to advertising and drug promotion

Prevalence, severity and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys

THE WHO WORLD MENTAL HEALTH SURVEY CONSORTIUM
June 2004

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This article provides estimates of the prevalence, severity, and treatment of mental disorders from the WHO World Mental Health Survey which included data from 14 countries (six less developed, eight developed) by conducting 60,463 face-to-face interviews with adult individuals representing the general population. The article concludes by recommending careful consideration of mild cases and a reallocation of treatment resources; however, it also acknowledges that structural barriers may exist to this reallocation
The Journal of the American Medical Association (JAMA), Vol 291, No 21

Health systems strengthening and HIV/AIDS : an annotated bibliography and resources

KOLYADA, Lena
March 2004

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This annotated bibliography has been prepared in an effort to provide policy makers, technical personnel and other stakeholders with comprehensive information on the costs of interventions and impact of HIV on health systems. The documents included in the bibliograpy focus on those aspects of the pandemic most related to economic impact, financing and resource allocation, costing, health system strengthening, scaling up antiretroviral therapy, surveillance systems, and programme monitoring and evaluation. The bibliography describes 101 publications describing work done from 1995 onwards as well as a directory of web resources. The bibliography is not a comprehensive reveiw, but is rather intended to highlight current information in the field of HIV and health systems strengthening

Twenty five years of primary health care : lessons learned and proposals for revitalisation

SANDERS, David
2003

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This report highlights the lessons learned from 25 years of primary health care. It highlights the gains that there have been in health status, but also looks at the setbacks, for example the increased gap between the health of rich and poor, and the resurgence and spread of old communicable diseases and new epidemics. It highlights the mixed progress in implementing primary health care and makes proposals for the revitalisation of primary health care

Country health information profiles (CHIPS) : 2002

WORLD HEALTH ORGANIZATION (WHO). WPRO
2002

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Each of the profiles contains data on a country's health and demographic conditions, health indicators and trends, and health care system. The data are either supplied by the country's respective health ministries or compiled from national databases and reference libraries

Reshaping health care in Latin America : a comparative analysis of health care reform in Argentina, Brazil and Mexico

FLEURY, Sonia
BELMARTINO, Susana
BARIS, Enis
Eds
2000

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This book assesses the health care reforms of the past decade in Argentina, Brazil and Mexico. The authors are in agreement that reform in the governance, management and financing of the provision of health services was essential. However, they criticize the outcomes of the reform process not only for the anticipated exacerbation of social and economic inequalities, but also because of inattention paid to human resources as well as much-needed development of science and technology

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