ArticleBJPsych open2019
Mental health financing challenges, opportunities and strategies in low- and middle-income countries: findings from the Emerald project.
Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 41 papers, 1 of them a synthesis that pooled it.
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Who cites it
41 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.
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- Addressing "what matters most" to reduce mental health stigma in primary healthcare settings: a qualitative study in Lebanon.BMC primary care · 2024Article
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- Digital psychiatry in low-and-middle-income countries: New developments and the way forward.World journal of psychiatry · 2024Review
- Strategies to Alleviate the Burden Experienced by Informal Caregivers of Persons With Severe Mental Disorders in Low- and Middle-Income Countries: Scoping Review.Interactive journal of medical research · 2024Article
- Mental health-related structural stigma and discrimination in health and social policies in Nepal: A scoping review and synthesis.Epidemiology and psychiatric sciences · 2023Article
- A bird's eye view of the mental health systems in India.Indian journal of psychiatry · 2023Article
- Mental health needs and accessing specialised healthcare in Mexican children with mental disorders: gender- and diagnosis-dependent differences.BJPsych open · 2023Article
- Global Mental Health: Where We Are and Where We Are Going.Current psychiatry reports · 2023Review
- Tracking development assistance for mental health: time for better data.Health policy and planning · 2023Article
- Perspectives of university health care students on mental health stigma in Nigeria: Qualitative analysis.Transcultural psychiatry · 2023Article
- The Electronic Mental Wellness Tool as a Self-Administered Brief Screening Instrument for Mental Disorders in the General Spanish Population during the Post-COVID-19 Era.International journal of environmental research and public health · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
16 authors at 9 institutions in 8 countries.
Funding
Abstract
backgroundCurrent coverage of mental healthcare in low- and middle-income countries is very limited, not only in terms of access to services but also in terms of financial protection of individuals in need of care and treatment.
aimsTo identify the challenges, opportunities and strategies for more equitable and sustainable mental health financing in six sub-Saharan African and South Asian countries, namely Ethiopia, India, Nepal, Nigeria, South Africa and Uganda.
methodIn the context of a mental health systems research project (Emerald), a multi-methods approach was implemented consisting of three steps: a quantitative and narrative assessment of each country's disease burden profile, health system and macro-fiscal situation; in-depth interviews with expert stakeholders; and a policy analysis of sustainable financing options.
resultsKey challenges identified for sustainable mental health financing include the low level of funding accorded to mental health services, widespread inequalities in access and poverty, although opportunities exist in the form of new political interest in mental health and ongoing reforms to national insurance schemes. Inclusion of mental health within planned or nascent national health insurance schemes was identified as a key strategy for moving towards more equitable and sustainable mental health financing in all six countries.
conclusionsIncluding mental health in ongoing national health insurance reforms represent the most important strategic opportunity in the six participating countries to secure enhanced service provision and financial protection for individuals and households affected by mental disorders and psychosocial disabilities. DECLARATION OF INTEREST: D.C. is a staff member of the World Health Organization.
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