Evidence map›Paper›PMID 31530320›Full record

ArticleBJPsych open2019

Evaluation of performance and perceived utility of mental healthcare indicators in routine health information systems in five low- and middle-income countries.

Mark Jordans, Dan Chisholm, Maya Semrau, Dristy Gurung, Jibril Abdulmalik, Shalini Ahuja, James Mugisha, Ntokozo Mntambo, Fred Kigozi, Inge Petersen and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.2field-weighted citation impact, top 9% of its field
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

11 citing papers in PubMed, 20 citations in OpenAlex.

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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

15 authors at 9 institutions in 7 countries.

Mark JordansReader, Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.ORCID https://orcid.org/0000-0001-5925-8039
Dan ChisholmProgramme Manager for Mental Health, Regional Office for Europe, World Health Organization, Switzerland.
Maya SemrauResearch Fellow, Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London; and Global Health and Infection Department, Brighton & Sussex Medical School, Brighton, UK.
Dristy GurungResearch Coordinator, Transcultural Psychosocial Organization, Nepal.ORCID https://orcid.org/0000-0003-1839-9382
Jibril AbdulmalikSenior Lecturer, Department of Psychiatry, University of Ibadan, Nigeria.
Shalini AhujaResearcher, Public Health Foundation of India & Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
James MugishaSenior Lecturer, Kyambogo University, Kampala, Uganda & Butabika National Referral and Teaching Mental Hospital, Uganda.
Ntokozo MntamboResearcher, University of Kwazulu-Natal, South Africa.
Fred KigoziSenior Consultant Psychiatrist and Researcher, Butabika National Referral and Teaching Mental Hospital, Uganda.
Inge PetersenResearch Professor and Director, Centre for Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal, South Africa.
Rahul ShidhayeClinical Psychiatrist, Public Health Foundation of India, India; and CAPHRI School for Public Health and Primary Care, Maastricht University, the Netherlands.
Nawaraj UpadhayaResearcher, Transcultural Psychosocial Organization, Nepal.
Crick LundProfessor of Public Mental Health and Professor of Global Mental Health and Development, Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, South Africa, and Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.ORCID https://orcid.org/0000-0002-5159-8220
Graham ThornicroftProfessor of Community Psychiatry, Centre for Global Mental Health and Centre for Implementation Science, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Oye GurejeProfessor of Psychiatry and Director, WHO Collaborating Centre for Research and Training in Mental Health, Neurosciences and Substance Abuse, Department of Psychiatry, University of Ibadan, Nigeria; and Professor Extraordinary, Department of Psychiatry, Stellenbosch University, South Africa.
King's College London · GBUniversity of Ibadan · NGUniversity of KwaZulu-Natal · ZABrighton and Sussex Medical School · GBButabika Hospital · UGKyambogo University · UGMaastricht University · NLUniversity of Cape Town · ZAWorld Health Organization · CH

Funding

Medical Research Council MR/R023697/1Medical Research Council MR/S001255/1
6 · The paper itself

Abstract

backgroundIn most low- and middle-income countries (LMIC), routine mental health information is unavailable or unreliable, making monitoring of mental healthcare coverage difficult. This study aims to evaluate a new set of mental health indicators introduced in primary healthcare settings in five LMIC.

methodA survey was conducted among primary healthcare workers (n = 272) to assess the acceptability and feasibility of eight new indicators monitoring mental healthcare needs, utilisation, quality and payments. Also, primary health facility case records (n = 583) were reviewed by trained research assistants to assess the level of completion (yes/no) for each of the indicators and subsequently the level of correctness of completion (correct/incorrect - with incorrect defined as illogical, missing or illegible information) of the indicators used by health workers. Assessments were conducted within 1 month of the introduction of the indicators, as well as 6-9 months afterwards.

resultsAcross both time points and across all indicators, 78% of the measurements of indicators were complete. Among the best performing indicators (diagnosis, severity and treatment), this was significantly higher. With regards to correctness, 87% of all completed indicators were correctly completed. There was a trend towards improvement over time. Health workers' perceptions on feasibility and utility, across sites and over time, indicated a positive attitude in 81% of all measurements.

conclusionThis study demonstrates high levels of performance and perceived utility for a set of indicators that could ultimately be used to monitor coverage of mental healthcare in primary healthcare settings in LMIC. We recommend that these indicators are incorporated into existing health information systems and adopted within the World Health Organization Mental Health Gap Action Programme implementation strategy. DECLARATION OF INTEREST: None.

Indexed as

health information systemindicatorslow- and middle-income settingsMental healthcareprimary healthcare

Identifiers

PMID31530320
PMCPMC6688458
OpenAlexW2936317443

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.