ArticleInternational journal of mental health systems2019
Implementation of the mental health Gap Action Programme (mhGAP) within the Fijian Healthcare System: a mixed-methods evaluation.
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 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Evaluation of global health capacity building initiatives in low-and middle-income countries: A systematic review.Journal of global health · 2020Pooled it
- Navigating the Unknown: A Sensemaking Inquiry into the Mental Health Experiences of First-Year University Students at a Regional University in Fiji.Behavioral sciences (Basel, Switzerland) · 2026Article
- Effectiveness of WHO mhGAP-IG in identification and management of depression by primary level non-specialist health workers - protocol of a cluster randomized controlled trial from India.BMC public health · 2026Article
- Mental health systems in Pacific island countries and territories: a scoping review of current evidence.The Lancet regional health. Western Pacific · 2026Review
- Integrating mental health into primary health care in fragile and conflict-affected settings: a scoping review of mhGAP effectiveness.Cadernos de saude publica · 2025Article
- Implementation of the Community Component of the Mental Health Gap Action Programme (mhGAP): A Scoping Review.Public health reviews · 2025Review
- Scalable interventions for refugees.Global mental health (Cambridge, England) · 2023Review
- Evidence to Practice for Mental Health Task-Sharing: Understanding Readiness for Change among Accredited Social Health Activists in Sehore District, Madhya Pradesh, India.Administration and policy in mental health · 2022Article
- [Mental Health Global Action Programme (mhGAP) in Chile: Lessons Learned and Challenges for Latin America and the CaribbeanPrograma de ação mundial para reduzir as lacunas em saúde mental (mhGAP) no Chile: aprendizados e desafios para América Latina e Caribe].Revista panamericana de salud publica = Pan American journal of public health · 2021Article
- 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
- Contextualizing and pilot testing the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) to primary healthcare workers in Kilifi, Kenya.Global mental health (Cambridge, England) · 2020Article
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Authors and funding
9 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo facilitate decentralisation and scale-up of mental health services, Fiji's Ministry of Health and Medical Services committed to implementing the World Health Organization's mental health Gap Action Programme (mhGAP). mhGAP training has been prolific; however, it remains unclear, beyond this, how successfully Fiji's national mental health program has been implemented. We aim to evaluate Fiji's mental health program to inform Fiji's national mental health program and to develop an evidence-base for best practice.
methodsThe study design was guided by the National Implementation Research Network and adhered to the Consolidated Framework for Implementation Research. CFIR constructs were selected to reflect the objectives of this study and were adapted where contextually necessary. A mixed-methods design utilised a series of instruments designed to collect data from healthworkers who had undertaken mhGAP training, senior management staff, health facilities and administrative data.
resultsA total of 66 participants were included in this study. Positive findings include that mhGAP was considered valuable and easy to use, and that health workers who deliver mental health services had a reasonable level of knowledge and willingness to change. Identified weaknesses and opportunities for implementation and system strengthening included the need for improved planning and leadership.
conclusionThis evaluation has unpacked the various implementation processes associated with mhGAP and has simultaneously identified targets for change within the broader mental health system. Notably, the creation of an enabling context is crucial. If Fiji acts upon the findings of this evaluation, it has the opportunity to not only develop effective mental health services in Fiji but to be a role model for other countries in how to successfully implement mhGAP.
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