ArticleGlobal mental health (Cambridge, England)2017
Implementing mhGAP training to strengthen existing services for an internally displaced population in Pakistan.
Article in Global mental health (Cambridge, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Mental Health Gap Action Programme intervention Guide (mhGAP-IG) for Child and Adolescent Mental Health in Low- and Middle-Income Countries (LMIC): A Systematic Review.Community mental health journal · 2023Pooled it
- Educational and Training Interventions Aimed at Healthcare Workers in the Detection and Management of People With Mental Health Conditions in South and South-East Asia: A Systematic Review.Frontiers in psychiatry · 2021Pooled it
- WHO Mental Health Gap Action Programme (mhGAP) Intervention Guide: a systematic review of evidence from low and middle-income countries.Evidence-based mental health · 2018Pooled it
- Improving mental health literacy of frontline community health workers in a rural district of Pakistan: mPareshan project.BJPsych open · 2026Article
- Characterizing modifications to the mental health gap action programme (mhGAP) intervention guide during implementation in low- and middle-income countries using the framework for reporting adaptations and modifications to evidence-based interventions: a systematic review of reviews.International journal of mental health systems · 2025Review
- Perspectives on the decriminalisation of suicide in Pakistan: historical context, societal impacts, and the way forward.The Lancet regional health. Southeast Asia · 2025Review
- Contextualization and adaptation of the child and adolescent mental and behavioural disorders module of the mhGAP-IG in Kilifi and Nairobi counties in Kenya.Global mental health (Cambridge, England) · 2025Article
- Impact of an online WHO mental health guideline-based training on stigma and clinical confidence among non-psychiatrist physicians in Mexico: a pre-experimental pilot study.Frontiers in public health · 2025Article
- Integrating mental health into primary health care in fragile and conflict-affected settings: a scoping review of mhGAP effectiveness.Cadernos de saude publica · 2025Article
- Self-harm and suicide prevention in humanitarian and fragile contexts: A systematic scoping review.Global mental health (Cambridge, England) · 2025Review
- Addition of mental health to the lady health worker curriculum in Pakistan: now or never.Human resources for health · 2023Article
- Feasibility and preliminary efficacy of training health workers in detecting Priority Mental Health Conditions among adolescents in rural South India.Pilot and feasibility studies · 2022Article
- Ten years of tracking mental health in refugee primary health care settings: an updated analysis of data from UNHCR's Health Information System (2009-2018).BMC medicine · 2022Article
- Barriers and facilitators for scaling up mental health and psychosocial support interventions in low- and middle-income countries for populations affected by humanitarian crises: a systematic review.International journal of mental health systems · 2021Review
- Developing competencies for the WHO mhGAP Intervention Guide Version 2.0 training package.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- Implementing an mhGAP-based training and supervision package to improve healthcare workers' competencies and access to mental health care in Malawi.International journal of mental health systems · 2020Article
- Lessons from humanitarian clusters to strengthen health system responses to mass displacement in low and middle-income countries: A scoping review.Journal of migration and health · 2020Article
- WHO Mental Health Gap Action Programme Intervention Guide (mhGAP-IG): the first pre-service training study.International journal of mental health systems · 2020Article
- Challenges and lessons learned in re-filming the WHO mhGAP training videos for Sri Lankan context - a qualitative study.Conflict and health · 2020Article
- Testing the Effectiveness of Implementing a Model of Mental Healthcare Involving Trained Lay Health Workers in Treating Major Mental Disorders Among Youth in a Conflict-Ridden, Low-Middle Income Environment: Part II Results.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2014, over a million people were internally displaced after the launch of a military operation in North Waziristan, a tribal region on Pakistan's side of the Durand Line. Despite security concerns and restrictions, a collaborative mental health and psychosocial support initiative was undertaken in the district of Bannu. Monthly mental health camps were conducted for a period of 6 months by a multidisciplinary mental health team. The initiative also helped to assess mental health needs and plan training for primary care staff to strengthen existing resources.
methodsAs part of this initiative, Mental Health Gap Action Programme (mhGAP) training was conducted for physicians and psychosocial staff in the affected district. This marked the first instance of implementing these guidelines in Pakistan following a humanitarian crisis. This paper describes the training process including the adaptation of the mhGAP curriculum, training of trainers, training workshops for primary care staff and an analysis of results of pre- and post-testing of their knowledge about common mental disorders using a 25-item questionnaire.
resultsThe gaps in knowledge of primary care physicians in recognizing and managing common mental disorders were clearly identified. The mean pre- and post-test scores of the participants were 15.43, 62% (
conclusionsDespite the challenges of a humanitarian crisis, mhGAP guidelines can be successfully implemented to train primary care physicians in in low- and middle-income countries such as Pakistan. However, the dearth of primary care resources can hinder the complete integration of mental health services into primary healthcare.
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