Information systems for mental health in six low and middle income countries: cross country situation analysis.
Information systems for mental health in six low and middle income countries: cross country situation analysis.
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DOI：
10.1186/s13033-016-0094-2
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发表时间：
2016
影响因子：
3.6
通讯作者：
Gureje O
中科院分区：
文献类型：
--
作者：
Upadhaya N;Jordans MJD;Abdulmalik J;Ahuja S;Alem A;Hanlon C;Kigozi F;Kizza D;Lund C;Semrau M;Shidhaye R;Thornicroft G;Komproe IH;Gureje O
低收入和中等收入国家（LMICs）的心理健康信息系统研究很少。因此，缺乏关于心理健康服务需求、治疗覆盖面和所提供服务质量的可靠信息。为了为精神卫生信息子系统的开发和实施提供信息，该子系统包括卫生管理信息系统（HMIS）内的可靠和可衡量的精神卫生指标，在六个低收入和中等收入国家（埃塞俄比亚、印度、尼泊尔、尼日利亚、南非和乌干达）进行了HMIS的跨国情况分析，参与了“低收入和中等收入国家新兴精神卫生系统”（Emerald）研究规划。开发了一种情况分析工具，以便从公共领域的文件中获取和绘制信息。在信息不足的情况下，会联系主要政府官员核实收集到的数据。在本文中，我们比较了基线政策背景、人力资源状况以及收集、核实、报告和传播心理健康相关HMIS数据的过程和机制。研究结果表明，各国在精神卫生人力资源管理信息系统方面面临着重大的政策、人力资源和卫生治理挑战，其中许多挑战在各个地点都是共同的。特别是缺乏治理和执行精神卫生数据收集、报告和传播的具体政策和计划。各医疗点基础设施不足，卫生管理信息系统专家很少，对初级工作人员的技术支持和监督不足，特别是在精神卫生领域。尽管如此，现有的HMIS也有优势，收集和报告了一些精神卫生发病率、死亡率和系统级指标。我们的研究表明，需要更多的技术和资源投入，以加强常规HMIS和制定标准化的精神卫生HMIS指标，特别关注覆盖率和质量指标，以促进实施世卫组织2013-2020年精神卫生行动计划。
Research on information systems for mental health in low and middle income countries (LMICs) is scarce. As a result, there is a lack of reliable information on mental health service needs, treatment coverage and the quality of services provided. With the aim of informing the development and implementation of a mental health information sub-system that includes reliable and measurable indicators on mental health within the Health Management Information Systems (HMIS), a cross-country situation analysis of HMIS was conducted in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), participating in the ‘Emerging mental health systems in low and middle income countries’ (Emerald) research programme. A situation analysis tool was developed to obtain and chart information from documents in the public domain. In circumstances when information was inadequate, key government officials were contacted to verify the data collected. In this paper we compare the baseline policy context, human resources situation as well as the processes and mechanisms of collecting, verifying, reporting and disseminating mental health related HMIS data. The findings suggest that countries face substantial policy, human resource and health governance challenges for mental health HMIS, many of which are common across sites. In particular, the specific policies and plans for the governance and implementation of mental health data collection, reporting and dissemination are absent. Across sites there is inadequate infrastructure, few HMIS experts, and inadequate technical support and supervision to junior staff, particularly in the area of mental health. Nonetheless there are also strengths in existing HMIS where a few mental health morbidity, mortality, and system level indicators are collected and reported. Our study indicates the need for greater technical and resources input to strengthen routine HMIS and develop standardized HMIS indicators for mental health, focusing in particular on indicators of coverage and quality to facilitate the implementation of the WHO mental health action plan 2013–2020.