ArticleInternational journal of mental health systems2019
Moving towards universal health coverage for mental disorders in Ethiopia.
Article in International journal of mental health systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health financing for universal health coverage in Sub-Saharan Africa: a systematic review.Global health research and policy · 2021Pooled it
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- Strengthening non-communicable disease health systems through sustainable health partnerships in the Horn of Africa using lessons from the Wolverhampton-Somaliland Global Health Partnership.Discover public health · 2026Review
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- The political economy of adolescent mental health in Kenya.Health policy and planning · 2025Article
- The effect of expanded access to mental health care on economic status of households with a person with a mental disorder in rural Ethiopia: a controlled before-after study.International journal of mental health systems · 2025Article
- Mental health conditions of young ethiopians who use substances: a cross-sectional study in West Arsi zone.BMC psychiatry · 2025Article
- Strengthening primary health care in Ethiopia: A scoping review of successes, challenges, and pathways towards universal health coverage using the WHO monitoring framework.PLOS global public health · 2025Article
- Revisiting health systems to integrate perinatal mental health into maternal and child health services: perspectives from research, policy and implementation.BMJ global health · 2024Article
- Quality of life among caregivers of patients with severe mental illness in northwest Ethiopia, 2022: an institutional-based cross-sectional study.Frontiers in psychiatry · 2024Article
- Notes on psychiatrist liability around the world regarding suicide.Frontiers in psychiatry · 2024Review
- "Blood is thicker than water" - experiences and perspectives of family caregivers of people living with severe mental illness at Holy Water traditional healing sites, Addis Ababa, Ethiopia.Frontiers in psychiatry · 2024Article
- Mental health issues and the association of mental health literacy among adolescents in urban Ethiopia.PloS one · 2024Article
- Conceptualising the empowerment of caregivers raising children with developmental disabilities in Ethiopia: a qualitative study.BMC health services research · 2023Article
- Global Mental Health: Where We Are and Where We Are Going.Current psychiatry reports · 2023Review
- Availability, Price and Affordability of Psychotropic Medicines in Addis Ababa, Ethiopia.Risk management and healthcare policy · 2023Article
- Mental health stigma and discrimination in Ethiopia: evidence synthesis to inform stigma reduction interventions.International journal of mental health systems · 2022Article
- Mental health crisis in Somalia: a review and a way forward.International journal of mental health systems · 2022Review
- Article
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7 authors.
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Abstract
backgroundPeople with mental disorders in low-income countries are at risk of being left behind during efforts to expand universal health coverage.
aimsTo propose context-relevant strategies for moving towards universal health coverage for people with mental disorders in Ethiopia.
methodsWe conducted a situational analysis to inform a SWOT analysis of coverage of mental health services and financial risk protection, health system characteristics and the macroeconomic and fiscal environment. In-depth interviews were conducted with five national experts on health financing and equity and analysed using a thematic approach. Findings from the situation analysis and qualitative study were used to develop recommended strategies for adequate, fair and sustainable financing of mental health care in Ethiopia.
resultsOpportunities for improved financing of mental health care identified from the situation analysis included: a significant mental health burden with evidence from strong local epidemiological data; political commitment to address that burden; a health system with mechanisms for integrating mental health into primary care; and a favourable macro-fiscal environment for investment in human capabilities. Balanced against this were constraints of low current general government health expenditure, low numbers of mental health specialists, weak capacity to plan and implement mental health programmes and low population demand for mental health care. All key informants referred to the under-investment in mental health care in Ethiopia. Respondents emphasised opportunities afforded by positive rates of economic growth in the country and the expansion of community-based health insurance, as well as the need to ensure full implementation of existing task-sharing programmes for mental health care, integrate mental health into other priority programmes and strengthen advocacy to ensure mental health is given due attention.
conclusionExpansion of public health insurance, leveraging resources from high-priority SDG-related programmes and implementing existing plans to support task-shared mental health care are key steps towards universal health coverage for mental disorders in Ethiopia. However, external donors also need to deliver on commitments to include mental health within development funding. Future researchers and planners can apply this approach to other countries of sub-Saharan Africa and identify common strategies for sustainable and equitable financing of mental health care.
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