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Challenges and priorities for global mental health in the Sustainable Development Goals (SDG) era

ACADEMY OF MEDICAL SCIENCES
June 2018

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Published in 2011, the Grand Challenges in Global Mental Health initiative provided a framework to guide the research needed to improve treatment and prevention of mental health disorders and expand access to mental health services. At the Academy’s workshop on global mental health participants reflected on progress since 2011, focusing on specific life-course stages, and identified priorities for research in treatment and prevention, as well as enduring challenges and emerging opportunities

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."

Interventions for children affected by armed conflict: a systematic review of mental health and psychosocial support in low- and middle-income countries

JORDANS, Mark. J. D.
PIGOTT, Hugo
TOL, Wietse A
January 2016

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Over one billion children under the age of 18 live in countries affected by armed conflict. This systematic review replicates an earlier study, aiming to provide a comprehensive update of the most current developments in interventions for children affected by armed conflict. For the period 2009– 2015, a total of 1538 records were collected. Twenty-four studies met the inclusion criteria, and the included interventions involve data from 4858 children. Two types of analysis were conducted. First, for an account of intervention descriptions, thematic analysis was used to summarise themes, with a specific focus on cultural adaptations. Second, all evaluation studies reporting quantitative data were categorised into level of evidence (1 = randomized controlled trials, all types; 2 = quasi-experimental design and controlled studies; 3 = non-controlled design; 4 = case studies) 

Current Psychiatry Reports, vol 18 (9), doi:10.1007/s11920-015-0648-z

A home-based rehabilitation intervention for people living with HIV and disability in a resource-poor community, KwaZulu-Natal : study protocol for a randomized controlled trial

COBBING, Saul
HANASS-HANCOCK, Jill
MYEZWA, Hellen
2015

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In this paper, the researchers develop a needs-based home-based rehabilitation programme for people living with HIV in order to improve their quality of life and functional ability. The study aims to  provide rehabilitation professionals and researchers with evidence that can be utilised to improve existing rehabilitation interventions for people living with HIV.

The paper outlines a randomised control trial to test the programme, to be conducted at a public hospital in KwaZulu-Natal, South Africa. The trial will assess the participants’ quality of life, perceived level of disability, functional ability and endurance

Trials 16:491

Review of leprosy research evidence (2002-2009) and implications for current policy and practice

VAN BRAKEL, Wim
et al
September 2010

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"The ILEP Technical Commission (ITC) advises ILEP member associations on technical aspects of leprosy. A major review of research evidence in leprosy was published prior to the International Leprosy Congress in 2002. This current report updates that review based on research published between 2002-2009 and focuses on interventions for prevention, early diagnosis, chemotherapy, reactions, prevention of disability, stigma measurement and reduction and rehabilitation in leprosy"
Leprosy Review, Vol 81, Issue 3

Systems thinking for health systems strengthening

Eds
2009

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This third report knits together earlier work by accelerating a more realistic understanding of what works in strengthening health systems, for whom and under what circumstances. Its primary goal is to catalyse new conceptual thinking on health systems, system-level interventions, and health system strengthening

Evidence-based planning for sustainability of government reproductive health services

NEALE, Palena
HUE, Le Ngoc
KUDRATI, Mustafa
June 2008

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This training manual is to help prepare local government health teams to use evidence-based methods to develop long-term plans to strengthen their Reproductive Health programmes and to actively involve participants in the learning process. There is an insistence on the systematic use of local and national data, statistics, and policies to develop an appropriate response; and a recognition that because local governments in most countries develop plans in the context of competing priorities for a limited budget, plans are only as good as the local government health department’s ability to defend them

Evaluating functional & economic outcomes of the mental health development model in North Karnataka, India

MISHRA, Subrat Kumar
et al
2008

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“Poverty and mental illness compound one another, creating an environment of despair for some of the most vulnerable people in low and middle-income countries. Mental health intervention programmes in resource-poor settings such as rural Northern India must understand and address the economic burden of mental illness, in addition to clinical and functional outcomes. The BasicNeeds [BN]- Nav Bharat Jagruti Kendra [NBJK] intervention programme, located in rural Northern India, aims to improve quality of life for people with mental disorders and their families, through treatment, livelihoods and capacity building interventions based on the Mental Health and Development Model. This prospective evaluation assessed economic outcomes of 138 people with mental disorders involved in the BN-NBJK programme over a period of two years”

Reaching truckers in Brazil with non-stigmatizing and effective HIV/STI services

CHINAGLIA, Magda
et al
May 2007

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In 2001, the Population Council conducted an assessment in Brazilian border areas, commissioned by the Brazilian Ministry of Health, with support from USAID/Brazil, to determine which populations were most in need of HIV prevention activities. The research findings in the southern region revealed the presence of an extremely mobile, international truck driver community with little or no access to HIV prevention, testing and treatment services. In response to this need, Horizons/Population Council implemented an operations research study focused on trucker drivers (2002-2005) in the south of Brazil. In collaboration with the administration of the customs stations, municipal and state STI and AIDS programmes, and Health Ministries, the investigators sought to examine the feasibility and impact of an HIV prevention project targeted at truckers crossing the southern border of Brazil

Best practices in scaling up case study : Uganda, using a simple survey method for evidence-based decision making at the district level

NSABAGASANI, Xavier
et al
2006

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This document provides a case study of the Uganda Program for Human and Holistic Development (UPHOLD), and its use of the Lot Quality Assurance Sampling (LQAS) survey method. LQAS is used to collect district and sub-district data. This document highlights its importance, the country context before LQAS, the methodology behind it, results, steps in the scale-up process, best practice, lessons learned and challenges. The Ugandan government is currently considering expanding use of the LQAS into every district

Understanding the needs of orphans and other children affected by HIV and AIDS in Africa : the state of the science

BIRDTHISTLE, Isolde
April 2004

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To date, responses to the needs of orphans and vulnerable children have not typically been guided by research, though a body of empirical evidence related to the impact of HIV and AIDS on children is growing. USAID/AFR/SD and the SARA project commissioned a review of 48 selected studies to summarize the findings that represent the most current understanding of children's vulnerability due to AIDS. The review captures what is known and not yet known about the impact of HIV and AIDS on the survival, health, education, social, and emotional needs of children; identifies the content gaps and methodological limitations of existing research; suggests priorities for future research; and informs programmatic and political responses

Double burden : a situation analysis of HIV/AIDS and young people with disabilities in Rwanda and Uganda

YOUSAFZAI, Aisha
EDWARDS, Karen
2004

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This analysis was carried out by Save the Children UK after reports from the field suggested that disabled people were not accessing HIV prevention information or services, despite being at higher risk of infection. It outlines ways in which disabled people are not fully included in safer-sex communications: for instance blind people hear talk about condoms, but have never held one; the necessity to have a sign-language interpreter for deaf people compromises their right to confidentiality; young girls with disabilities are more likely to be raped and are less able to negotiate safe sex. It recommends the greater integration of disabled people into health and HIV communications and further research to develop disabled-friendly means of communication

Family and community practices that promote child survival, growth and development : a review of the evidence

HILL, Zelee
KIRKWOOD, Betty
EDMOND, Karen
2004

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This technical review paper presents the evidence for twelve key practices, identified by UNICEF and WHO to be of key importance in providing good home-care for the child to prevent or treat the Integrated Management of Childhood Illness conditions, in order to ensure survival, reduce morbidity, and promote healthy growth and development. The twelve key practices are: immunisation, breastfeeding, complementary feeding, micronutrients, hygiene, treated bed nets, food and fluids, home treatment, care-seeking, adherence, stimulation, and antenatal care. The paper has 3 objectives: 1. To summarise the available evidence 2. to identify gaps in knowledge 3. To make recommendations concerning next steps and priority-setting for both programme action and research

Designing HIV/AIDS intervention studies : an operations research handbook

FISHER, Andrew A
FOREIT, James R
et al
May 2002

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This handbook is designed to help HIV/AIDS researchers develop and write a detailed operations research proposal. The organisation of the handbook follows that of a research proposal, starting with identifying, defining and justifying a research problem, ending with how to prepare a budget. Chapters in between cover research objectives, study design, data tabulation, data analysis and dissemination and utilisation of research findings

Making a difference for children affected by AIDS : baseline findings from operations research in Uganda

GILBORN, Laelia Zoe
et al
June 2001

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This paper reports on baseline findings from a study of two programmes for AIDS-affected children and their families implemented by PLAN International in the Luwero and Tororo districts of Uganda. One programme, referred to as orphan support, provides educational, health, and nutritional assistance as well as other services to orphans. The second programme, known as succession planning, reaches AIDS-affected children earlier, by helping HIV-positive parents prepare for their children’s future through counseling, will-writing, appointing guardians, and other measures. The study was designed to assess the impact of the orphan support programme on child wellbeing; explore the acceptability of a succession planning programme in the Ugandan context; assess the impact of succession planning on child wellbeing; and determine the impact of succession planning on adult wellbeing and on guardians' capacity to care for orphans

Assessing telemedicine : a systematic review of the literature

ROINE, R
OHINMAA, A
HAILEY, D
2001

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A systematic review of telemedicine research published 1966-2000 found that most of the available literature referred only to pilot projects and short term outcomes and that most of the studies were of low quality. Convincing evidence was only found for teleradiology, teleneurosurgery, telepsychiatry, transmission of echocardiographic images and the use of electronic referrals enabling email consultations and video conferencing between primary and secondary care

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