ArticleInternational journal of mental health systems2019
Evaluation of the impacts of a district-level mental health care plan on contact coverage, detection and individual outcomes in rural Uganda: a mixed methods approach.
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 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Interventions to improve the detection of depression in primary healthcare: systematic review.Systematic reviews · 2023Pooled it
- Pooled it
- Efficacy and cost-effectiveness of task-shared care for people with severe mental disorders in Ethiopia (TaSCS): a single-blind, randomised, controlled, phase 3 non-inferiority trial.The lancet. Psychiatry · 2022Trial
- Integration of specialised mental health services in an HIV clinic in a low resource setting.BMJ open quality · 2026Article
- Beliefs, referrals, and mental healthcare pathways in the Eastern Democratic Republic of Congo.PLOS global public health · 2026Article
- 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
- A Narrative-Gamified Mental Health App (Kuamsha) for Adolescents in Uganda: Mixed Methods Feasibility and Acceptability Study.JMIR serious games · 2024Article
- Assessing the Quality of Maternal Mental Illness Care Across Maternity Care Settings in Southwestern Uganda.Cureus · 2024Article
- Diagnostic pattern of mental, neurological and substance use disorders at primary health care facilities in Uganda.International journal of mental health systems · 2024Article
- Experience of primary healthcare workers in using the mobile app-based WHO mhGAP intervention guide in detection and treatment of people with mental disorders: A qualitative study in Nepal.SSM. Mental health · 2023Article
- Psychosocial health in adolescent unmarried motherhood in rural Uganda: Implications for community-based collaborative mental health education, and empowerment strategies in the prevention of depression and suicide.Transcultural psychiatry · 2023Article
- Article
- Interventions to increase help-seeking for mental health care in low- and middle-income countries: A systematic review.PLOS global public health · 2023Article
- Knowledge, attitude and perceptions of medical students towards mental health in a university in Uganda.BMC medical education · 2022Article
- Ecologies of care for serious mental illness in Uganda: A scoping review.Global social welfare : research, policy & practice · 2021Article
- Group problem solving therapy for perinatal depression in primary health care settings in rural Uganda: an intervention cohort study.BMC pregnancy and childbirth · 2021Article
- Scaling up mental health care and psychosocial support in low-resource settings: a roadmap to impact.Epidemiology and psychiatric sciences · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe burden of mental disorders in low- and middle-income countries is large. Yet there is a major treatment gap for these disorders which can be reduced by integrating the care of mental disorders in primary care.
aimWe aimed to evaluate the impact of a district mental health care plan (MHCP) on contact coverage for and detection of mental disorders, as well as impact on mental health symptom severity and individual functioning in rural Uganda.
resultsFor adults who attended primary care facilities, there was an immediate positive effect of the MHCP on clinical detection at 3 months although this was not sustained at 12 months. Those who were treated in primary care experienced significant reductions in symptom severity and functional impairment over 12 months. There was negligible change in population-level contact coverage for depression and alcohol use disorder.
conclusionThe study found that it is possible to integrate mental health care into primary care in rural Uganda. Treatment by trained primary care workers improves clinical and functioning outcomes for depression, psychosis and epilepsy. Challenges remain in accessing the men for care, sustaining the improvement in detection over time, and creating demand for services among those with presumed need.
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