Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers
Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers
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DOI：
10.1192/bjo.2019.14
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发表时间：
2019-08-06
期刊：
影响因子：
5.4
通讯作者：
Semrau, Maya
中科院分区：
文献类型：
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作者：
Evans-Lacko, Sara;Hanlon, Charlotte;Semrau, Maya
在低收入和中等收入国家（LMICs）加强精神卫生系统需要从一系列利益相关者群体的适当技能和承诺的个人的参与。在Emerald项目中，本研究的目标是评价针对以下三个目标群体的能力建设活动：（a）有心理健康问题的服务使用者及其照顾者;（B）决策者和规划者;（b）有心理健康问题的服务使用者及其照顾者。和（c）心理健康researchers.MethodWe开发和定制了三个短期课程（1至5天）。然后，我们在24个不同的场合实施和评估这些短期课程。我们评估了527名课程参与者的满意度以及六个LMIC（埃塞俄比亚，印度，尼泊尔，尼日利亚，南非，乌干达）的知识变化。合作伙伴的翡翠机构的研究能力的变化也进行了评估，通过监测参与的研究人员和学生的学术成果，并通过匿名surveillance.ResultsShort课程与高水平的满意度，并导致提高跨目标群体的知识。在机构能力建设方面，所有伙伴机构都报告说，在加强精神卫生系统和全球精神卫生的大多数方面，研究能力都有所提高，其中许多积极变化归功于Emerald方案。在产出方面，8名博士生共提交了10篇论文，涉及他们的博士工作（范围0-4），并参与了14个补助金申请，其中43%（n = 6）是successful.ConclusionsThe Emerald项目气体表明，在精神卫生系统加强关键利益相关者的能力建设是可能的。然而，这方面的出发点和适当战略可能因国家而异，取决于当地的情况、需要和资源。
BackgroundStrengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to enable and sustain comprehensive improvements.AimsWithin the Emerald Project, the goal of this study was to evaluate capacity-building activities for three target groups: (a) service users with mental health conditions and their caregivers; (b) policymakers and planners; and (c) mental health researchers.MethodWe developed and tailored three short courses (between 1 and 5 days long). We then implemented and evaluated these short courses on 24 different occasions. We assessed satisfaction among 527 course participants as well as pre-post changes in knowledge in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). Changes in research capacity of partner Emerald institutions was also assessed through monitoring of academic outputs of participating researchers and students and via anonymous surveys.ResultsShort courses were associated with high levels of satisfaction and led to improvements in knowledge across target groups. In relation to institutional capacity building, all partner institutions reported improvements in research capacity for most aspects of mental health system strengthening and global mental health, and many of these positive changes were attributed to the Emerald programme. In terms of outputs, eight PhD students submitted a total of 10 papers relating to their PhD work (range 0-4) and were involved in 14 grant applications, of which 43% (n = 6) were successful.ConclusionsThe Emerald project gas shown that building capacity of key stakeholders in mental health system strengthening is possible. However, the starting point and appropriate strategies for this may vary across different countries, depending on the local context, needs and resources.