Evidence map›Paper›PMID 32055254›Full record

ArticleInternational journal of mental health systems2020

Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study.

Shalini Ahuja, Azaz Khan, Lucy Goulding, Rachel Kaur Bansal, Rahul Shidhaye, Graham Thornicroft, Mark Jordans

Abstract read
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In one paragraph

Article in International journal of mental health systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. District mental health program: Then and now.Indian journal of psychiatry · 2024
    Review
  3. Mental Health Programme in India: Has the tide really turned?The Indian journal of medical research · 2023
    Review
  4. Article
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

7 authors.

Shalini Ahuja1Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0002-5433-3340
Azaz Khan2Programme for Improving Mental Health Care, Sangath, Bhopal India.
Lucy Goulding3Centre for Implementation Science, Institute of Psychiatry, Psychology & Neuroscience, King's College London, De Crespigny Park, London, SE5 8AF UK.
Rachel Kaur Bansal4City, University of London, London, UK.
Rahul Shidhaye5Public Health Foundation of India, New Delhi, India.
Graham Thornicroft1Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Mark Jordans1Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.

Funding

COBALT: Comorbid Affective Disorders, AIDS/HIV, and Long Term HealthR01MH100470 · NIMH · KING'S COLLEGE LONDON · PI FAIRALL, LARA ROSEMARY, PETERSEN, INGE · 2013 to 2018
$2.0M
Medical Research Council MR/R023697/1Medical Research Council MR/S001255/1NIMH NIH HHS R01 MH100470
6 · The paper itself

Abstract

backgroundMental health information systems are, in general, inadequate and unreliable in India. We have developed key mental health indicators for measuring mental health service coverage in primary care. This study aims to evaluate the use of these new indicators in seven health care facilities in Sehore District of Madhya Pradesh in India.

methodsThe study employed a mixed methods approach. We conducted: a qualitative study (n = 26) with health workers, Health Management Information Systems (HMIS) staff, project coordinators and supervisors; a review of case records (n = 61 at time 1 and n = 74 at time 2); and a structured questionnaire (n = 26) with health workers. The performance, user-friendliness, appropriateness, perceived utility and sustainability of the use of new mental health indicators was assessed.

resultsHigh levels of completion, and correctness of completion, of the new mental health indicators were found for the case records. The simplicity of the forms, as well as technical support from the project team, contributed to acceptability and feasibility of implementation. Perceived sustainability of the new forms was, however, affected by the overstretched primary care staff. Further work is needed to support the integration of mental health with routine HMIS.

conclusionThis study demonstrated that the implementation of key mental health service delivery indicators in Sehore District primary care facilities was feasible. Technical assistance was imperative in maintaining the performance of the indicators over the two studied time points. The integration of mental health indicators in routine health information systems, and political buy-in, are needed to monitor and sustain community mental health programmes in India.

Indexed as

EvaluationGlobal mental healthIndiaMental health indicatorsMental health information systemsMixed methods research

Identifiers

PMID32055254
PMCPMC7011241

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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.