Development and Implementation of Mental Healthcare Plans in Three Districts in Ghana: A Mixed-Method Process Evaluation Using Theory of Change

被引:0
|
作者
Ae-Ngibise, Kenneth A. [1 ,2 ]
Sakyi, L. [1 ]
Adwan-Kamara, L. [1 ]
Cooper, T. D. [3 ]
Weobong, B. [4 ,5 ]
Lund, C. [6 ,7 ]
机构
[1] Ghana Somubi Dwumadie, Ghana Participat Programme, PMB 6 Asoyi Crescent, Accra, Ghana
[2] Ghana Hlth Serv, Res & Dev Div, Kintampo Hlth Res Ctr, Kintampo North Municipali, Bono East Regio, Ghana
[3] TDC Res Ltd, Woking, England
[4] York Univ, Fac Hlth, Sch Global Hlth, Toronto, ON, Canada
[5] Univ Ghana, Coll Hlth Sci, Dept Social & Behav Sci, Accra, Ghana
[6] Kings Coll London, Inst Psychiat Psychol & Neurosci, Ctr Global Mental Hlth, Hlth Serv & Populat Res Dept, London, England
[7] Univ Cape Town, Alan J Flisher Ctr Publ Mental Hlth, Dept Psychiat & Mental Hlth, Cape Town, South Africa
关键词
Mental healthcare; Process evaluation; Theory of change; mhGAP; Ghana; MIDDLE-INCOME COUNTRIES; CHALLENGES; SERVICES; AFRICA; NEEDS;
D O I
10.1007/s10597-024-01357-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In Ghana, a severe mental healthcare gap of 95-98% exists due to limited services. Ghana Somubi Dwumadie set out to address this by developing district mental healthcare plans (DMHPs) in three demonstration districts. Following the Programme for Improving Mental Healthcare model, district mental health operations teams were formed and used Theory of Change (ToC) to develop DMHPs. Key elements included training non-specialist health workers and enrolling individuals in relevant healthcare programmes. Evaluation methods included routine data, health facility surveys, and qualitative analysis within the ToC framework. Results showed improved integration of mental health services, enhanced case management through training, and increased service utilisation, shown through 691 service user enrollments. However, there was limited commitment of new resources and no significant improvement in primary care workers' capacity to detect priority mental health conditions. The study concludes that DMHPs, implemented with an integrated approach, can improve mental health service utilisation, contingent on committed leadership, resource availability, and stakeholder engagement.
引用
收藏
页码:509 / 522
页数:14
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