ArticleBJPsych open2019
Strengthening mental health systems in low- and middle-income countries: recommendations from the Emerald programme.
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 30 papers, 4 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Cross-national research on adolescent mental health: a systematic review comparing research in low, middle and high-income countries.BMJ global health · 2025Pooled it
- Pooled it
- Satisfaction with maternal health services and associated factors among parents in Ethiopia: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries.The Cochrane database of systematic reviews · 2021Pooled it
- Observational
- Dementia service readiness in Pakistan: a provincial health systems assessment using a novel WHO-AIMS aligned framework.Frontiers in public health · 2026Review
- Multivariate Patterns in Mental Health Burden and Psychiatric Resource Allocation in Europe: A Principal Component Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Review
- Towards democratised psychiatry: building metacommunities for inclusive and equitable global mental health.BJPsych international · 2025Review
- Depression detection through dual-stream modeling with large language models: a fusion-based transfer learning framework integrating BERT and T5 representations.Frontiers in big data · 2025Article
- The Lancet Psychiatry Commission: transforming mental health implementation research.The lancet. Psychiatry · 2024Review
- Introducing community-based mental health support in Serbia: A qualitative study on experiences and needs of long-term psychiatric users.Global mental health (Cambridge, England) · 2024Article
- A bird's eye view of the mental health systems in India.Indian journal of psychiatry · 2023Article
- Alcohol Use as a Predictor of Risky Sexual Behaviour among Young Adults in the Western Cape Province of South Africa.International journal of environmental research and public health · 2023Article
- Gender (in)equity in global mental health research: A call to action.Transcultural psychiatry · 2023Article
- Article
- Article
- Antenatal depression and associated factors among pregnant women attending antenatal care at public health facilities in the Gida Ayana district, Oromia Region, West Ethiopia, in 2022.Frontiers in public health · 2023Article
- Using participatory action research to reimagine community mental health services in Colombia: a mixed-method study protocol.BMJ open · 2022Article
- Mental health systems in six Caribbean small island developing states: a comparative situational analysis.International journal of mental health systems · 2022Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundThere is a large treatment gap for mental, neurological or substance use (MNS) disorders. The 'Emerging mental health systems in low- and middle-income countries (LMICs)' (Emerald) research programme attempted to identify strategies to work towards reducing this gap through the strengthening of mental health systems.
aimsTo provide a set of proposed recommendations for mental health system strengthening in LMICs.
methodThe Emerald programme was implemented in six LMICs in Africa and Asia (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda) over a 5-year period (2012-2017), and aimed to improve mental health outcomes in the six countries by building capacity and generating evidence to enhance health system strengthening.
resultsThe proposed recommendations align closely with the World Health Organization's key health system strengthening 'building blocks' of governance, financing, human resource development, service provision and information systems; knowledge transfer is included as an additional cross-cutting component. Specific recommendations are made in the paper for each of these building blocks based on the body of data that were collected and analysed during Emerald.
conclusionsThese recommendations are relevant not only to the six countries in which their evidential basis was generated, but to other LMICs as well; they may also be generalisable to other non-communicable diseases beyond MNS disorders. DECLARATION OF INTEREST: None.
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