ArticleInternational journal of mental health systems2019
Health system constraints in integrating mental health services into primary healthcare in rural Uganda: perspectives of primary care providers.
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 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Pooled it
- Barriers and facilitators of rendering HIV services by community health workers in sub-Saharan Africa: a meta-synthesis.Family medicine and community health · 2021Pooled it
- Healthcare worker perspectives on barriers to integrating mental health services into human immunodeficiency virus care in Windhoek, Namibia: A convergent parallel mixed-methods design.Journal of public health in Africa · 2026Article
- Impact of clinical leadership on frontline nurses' quality of care: work engagement as mediator role.BMC health services research · 2025Article
- A comprehensive review of mental health services across selected countries in sub-Saharan Africa: assessing progress, challenges, and future direction.Discover mental health · 2025Review
- Perceptions of psychiatric-trained nurses on integrating mental health into primary health care in Africa.Health SA = SA Gesondheid · 2025Review
- Mental health in low-income countries: A call to improve mental health in Uganda.PLOS mental health · 2025Article
- Healthcare providers' experiences of community-based collaborative care for serious mental illness: a qualitative study in two integrated clinics in South Africa.Global mental health (Cambridge, England) · 2025Article
- Improving primary healthcare quality in China through training needs analysis.Scientific reports · 2024Article
- Healthcare needs and expectations of family members caring for mental healthcare users in South Africa.Curationis · 2024Article
- The Power of Thought: The Role of Psychological Attentiveness and Emotional Support in Patient Trajectories.The Yale journal of biology and medicine · 2024Review
- Assessing time requirements of two models of SARS-CoV-2 screening and testing in routine healthcare services in Kenya and Cameroon: a descriptive study.BMJ public health · 2024Article
- Health system facilitators and barriers to the integration of mental health services into primary care in the Democratic Republic of the Congo: a multimethod study.BMC primary care · 2024Article
- An mHealth Intervention to Address Depression and Improve Antiretroviral Therapy Adherence Among Youths Living With HIV in Uganda: Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2024Article
- Exploring Effective Approaches: Integrating Mental Health Services into HIV Clinics in Northern Uganda.HIV/AIDS (Auckland, N.Z.) · 2024Article
- Integrating EQUIP competency-based training into a university curriculum: a qualitative inquiry with students and faculty at Makerere University in Uganda.Frontiers in education · 2024Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Enhancing the Capacity of Providers in Mental Health Integration (ECaP-MHI) in Rural Uganda: The Adaptation Process.Journal of multidisciplinary healthcare · 2023Article
- Barriers and facilitators to the utilization of the intensive adherence counselling framework by healthcare providers in Uganda: a qualitative study.BMC health services research · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization issued recommendations to guide the process of integrating mental health services into primary healthcare. However, there has been general as well as context specific shortcomings in the implementation of these recommendations. In Uganda, mental health services are intended to be decentralized and integrated into general healthcare, but, the services are still underutilized especially in rural areas. PURPOSE: The purpose of this study was to explore the health systems constraints to the integration of mental health services into PHC in Uganda from the perspective of primary health care providers (PHCPs).
methodsThis was a cross sectional qualitative study guided by the Supporting the Use of Research Evidence (SURE) framework. We used a semi-structured interview guide to gain insight into the health systems constraints faced by PHCPs in integrating mental health services into PHC.
resultsKey health systems constraints to integrating mental health services into PHC identified included inadequate practical experience during training, patient flow processes, facilities, human resources, gender related factors and challenges with accessibility of care.
conclusionThere is need to strengthen the training of healthcare providers as well as improving the health care system that supports health workers. This would include periodic mental healthcare in-service training for PHCPs; the provision of adequate processes for outreach, and receiving, referring and transferring patients with mental health problems; empowering PHCPs at all levels to manage and treat mental health problems and adequately provide the necessary medical supplies; and increase the distribution of health workers across the health facilities to address the issue of high workload and compromised quality of care provided.
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