Scaling up integrated primary mental health in six low- and middle-income countries: obstacles, synergies and implications for systems reform.

ABSTRACT:

Background

There is a global drive to improve access to mental healthcare by scaling up integrated mental health into primary healthcare (PHC) systems in low- and middle-income countries (LMICs).

Aims

To investigate systems-level implications of efforts to scale-up integrated mental healthcare into PHC in districts in six LMICs.

Method

Semi-structured interviews were conducted with 121 managers and service providers. Transcribed interviews were analysed using framework analysis guided by the Consolidated Framework for Implementation Research and World Health Organization basic building blocks.

Results

Ensuring that interventions are synergistic with existing health system features and strengthening of the healthcare system building blocks to support integrated

SUBMITTER: Petersen I 

PROVIDER: S-EPMC6688466 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature