Evidence map›Paper›PMID 27769270›Full record

SynthesisBMC health services research2016

Building the capacity of policy-makers and planners to strengthen mental health systems in low- and middle-income countries: a systematic review.

Roxanne Keynejad, Maya Semrau, Mark Toynbee, Sara Evans-Lacko, Crick Lund, Oye Gureje, Sheila Ndyanabangi, Emilie Courtin, Jibril O Abdulmalik, Atalay Alem and 3 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Ecologies of care for serious mental illness in Uganda: A scoping review.Global social welfare : research, policy & practice · 2021
    Article
  9. Article
  10. Barriers and drivers to stakeholder engagement in global mental health projects.International journal of mental health systems · 2021
    Article
  11. Article
  12. Barriers and drivers to capacity-building in global mental health projects.International journal of mental health systems · 2020
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Roxanne KeynejadSouth London and Maudsley NHS Foundation Trust, Maudsley Hospital, Denmark Hill, London, SE5 8AZ, UK.
Maya SemrauCentre for Global Mental Health, King's College London, Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, London, SE5 8AF, UK.
Mark ToynbeeDepartment of Psychiatry, University of Oxford, Warneford Hospital, Warneford Lane, Oxford, OX3 7JX, UK.
Sara Evans-LackoHealth Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, London, UK.
Crick LundCentre for Global Mental Health, King's College London, Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, London, SE5 8AF, UK.
Oye GurejeDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Sheila NdyanabangiMinistry of Health, PO Box 7272, Kampala, Uganda.
Emilie CourtinLondon School of Economics and Political Science, Social Policy Department - LSE Health and Social Care, Houghton Street, London, WC2A 2AE, UK.
Jibril O AbdulmalikDepartment of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Atalay AlemCollege of Health Sciences, School of Medicine, Department of Psychiatry, Sixth Floor, College of Health Sciences Building, Addis Ababa University, Tikur Anbessa Hospital, PO 9086, Addis Ababa, Ethiopia.
Abebaw FekaduCollege of Health Sciences, School of Medicine, Department of Psychiatry, Addis Ababa University, PO 9086, Addis Ababa, Ethiopia.
Graham ThornicroftCentre for Global Mental Health and Centre for Implementation Science, King's College London, Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, London, SE5 8AF, UK.
Charlotte HanlonAddis Ababa University, College of Health Sciences, School of Medicine, Department of Psychiatry & Centre for Global Mental Health, King's College London, Institute of Psychiatry, Psychology and Neuroscience, 16 De Crespigny Park, London, SE5 8AF, UK. charlotte.hanlon@kcl.ac.uk.ORCID 0000-0002-7937-3226

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the interventions required to build the capacity of mental health policy-makers and planners in low- and middle-income countries (LMICs). We conducted a systematic review with the primary aim of identifying and synthesizing the evidence base for building the capacity of policy-makers and planners to strengthen mental health systems in LMICs.

methodsWe searched MEDLINE, Embase, PsycINFO, Web of Knowledge, Web of Science, Scopus, CINAHL, LILACS, ScieELO, Google Scholar and Cochrane databases for studies reporting evidence, experience or evaluation of capacity-building of policy-makers, service planners or managers in mental health system strengthening in LMICs. Reports in English, Spanish, Portuguese, French or German were included. Additional papers were identified by hand-searching references and contacting experts and key informants. Database searches yielded 2922 abstracts and 28 additional papers were identified. Following screening, 409 full papers were reviewed, of which 14 fulfilled inclusion criteria for the review. Data were extracted from all included papers and synthesized into a narrative review.

resultsOnly a small number of mental health system-related capacity-building interventions for policy-makers and planners in LMICs were described. Most models of capacity-building combined brief training with longer term mentorship, dialogue and/or the establishment of networks of support. However, rigorous research and evaluation methods were largely absent, with studies being of low quality, limiting the potential to separate mental health system strengthening outcomes from the effects of associated contextual factors.

conclusionsThis review demonstrates the need for partnership approaches to building the capacity of mental health policy-makers and planners in LMICs, assessed rigorously against pre-specified conceptual frameworks and hypotheses, utilising longitudinal evaluation and mixed quantitative and qualitative approaches.

Indexed as

Developing CountriesAdministrative PersonnelCapacity BuildingGovernment ProgramsHealth PolicyHealth Services ResearchHumansInterprofessional RelationsMedical AssistanceMental Health ServicesPovertyQuality of Health CareCapacity-buildingGlobal mental healthHealth system strengtheningLMICsMental healthPolicy-makersPsychiatrySystematic review

Identifiers

PMID27769270
PMCPMC5073499

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.