Development of a scalable mental healthcare plan for a rural district in Ethiopia.
Development of a scalable mental healthcare plan for a rural district in Ethiopia.
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DOI：
10.1192/bjp.bp.114.153676
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发表时间：
2016-01
期刊：
影响因子：
--
通讯作者：
Lund C
中科院分区：
文献类型：
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作者：
Fekadu A;Hanlon C;Medhin G;Alem A;Selamu M;Giorgis TW;Shibre T;Teferra S;Tegegn T;Breuer E;Patel V;Tomlinson M;Thornicroft G;Prince M;Lund C
在埃塞俄比亚等低收入和中等收入国家（LMIC）开展和扩大精神卫生保健的证据是一项紧迫的优先事项。目的概述了精神卫生保健计划（MHCP），作为一个可扩展的模板，在埃塞俄比亚农村实施精神卫生保健。方法采用混合方法的方法来开发MHCP的三个层次的地区卫生系统（社区，卫生设施和医疗机构）。结果社区包包括社区病例发现、社区重返和社区融入。成套设施包括能力建设、决策支助和工作人员福利。组织一揽子措施包括方案管理、监督和可持续性。结论MHCP侧重于改善社区层面的需求和获取，设施层面的包容性护理和组织层面的可持续性。MHCP代表了提供综合护理的基本框架，可能是类似LMIC的有用模板。
Background Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority. Aims To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia. Method A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation). Results The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability. Conclusions The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC.