Evidence map›Paper›PMID 33776497›Full record

ArticleRisk management and healthcare policy2021

Barriers and Facilitators for Implementing Mental Health Services into the Ethiopian Health Extension Program: A Qualitative Study.

Kiddus Yitbarek, Zewdie Birhanu, Gudina Terefe Tucho, Susan Anand, Liyew Agenagnew, Gutema Ahmed, Masrie Getnet, Yonas Tesfaye

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Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Kiddus YitbarekDepartemnt of Health Policy and Management, Faculty of Public Health, Jimma University, Jimma, Ethiopia.ORCID 0000-0001-8662-7434
Zewdie BirhanuDepartment of Health Behaviors and Society, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
Gudina Terefe TuchoDepartment of Environmental Health and Technology, Faculty of Public Health, Jimma University, Jimma, Ethiopia.ORCID 0000-0001-7848-5456
Susan AnandDepartment of Nursing, Faculty Health Sciences, Jimma University, Jimma, Ethiopia.
Liyew AgenagnewDepartment of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia.ORCID 0000-0002-4181-1489
Gutema AhmedDepartment of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia.ORCID 0000-0002-4859-3226
Masrie GetnetDepartment of Epidemiology, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
Yonas TesfayeDepartment of Psychiatry, Faculty of Medical Sciences, Jimma University, Jimma, Ethiopia.ORCID 0000-0002-6707-9900

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Ethiopian Ministry of Health has integrated mental health services into the community health service, but it has not yet been implemented. Therefore, this study aimed to explore the barriers and facilitators of mental health service implementation in the Ethiopian community health program.

methodsA qualitative case study was conducted in the Ethiopian primary health care system in 2019. We have conducted about eight key informant interviews with policymakers, service managers, and service providers. The interviews were tape-recorded, transcribed, translated, and analyzed manually using the World Health Organization building blocks framework.

resultsThe Health Ministry of Ethiopia has recently included mental health services into the health extension package but not yet implemented as part of integrated services. The identified barriers were low political commitment, shortage of resources, non-functional referral system, lack of interest from private health service organizations, attitudinal problems from both the society and service providers, and lack of consistent reporting system of the mental health problems. However, the well-designed primary health care system, trained health extension workers, changing political commitment and attitude of the community could facilitate the mental health service implementation.

conclusionA series of activities are expected, especially from the healthcare system managers to implement, follow, and evaluate mental health services implementation at the health extension programs.

Indexed as

Ethiopiahealth extension workersmental health servicesprimary health care

Identifiers

PMID33776497
PMCPMC7989539

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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.