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ORIGINAL RESEARCH

Enhancing the Capacity of Providers in Mental Health Integration (ECaP-MHI) in Rural Uganda: The Adaptation Process

ORCID Icon, ORCID Icon, ORCID Icon &
Pages 387-396 | Received 15 Dec 2022, Accepted 02 Feb 2023, Published online: 11 Feb 2023

References

  • Collins PY, Musisi S, Frehywot S, Patel V. The core competencies for mental, neurological, and substance use disorder care in sub-Saharan Africa. Glob Health Action. 2015;8:26682. doi:10.3402/gha.v8.26682
  • Nakirigya S. Ministry decries shortage of psychiatrists. Daily Monitor; 2021.
  • World Health Organization. Comprehensive Mental Health Action Plan 2013–2030. World Health Organization; 2021.
  • Burvill P. Looking beyond the 1: 10,000 ratio of psychiatrists to population. Austr N Z J Psychiatry. 1992;26(2):265–269. doi:10.1177/000486749202600212
  • Naslund JA, Aschbrenner KA, Araya R, et al. Digital technology for treating and preventing mental disorders in low-income and middle-income countries: a narrative review of the literature. Lancet Psychiatry. 2017;4(6):486–500. doi:10.1016/S2215-0366(17)30096-2
  • Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity, and inefficiency. Lancet. 2007;370(9590):878–889. doi:10.1016/S0140-6736(07)61239-2
  • Scheffler RM; World Health Organization. Human Resources for Mental Health: Workforce Shortages in Low-and Middle-Income Countries. World Health Organization; 2011.
  • Van Ginneken N, Jain S, Patel V, Berridge V. The development of mental health services within primary care in India: learning from oral history. Int J Ment Health Syst. 2014;8(1):1–14. doi:10.1186/1752-4458-8-30
  • Kigozi F. Integrating mental health into primary health care–Uganda’s experience. Afr J Psychiatry. 2007;10(1):17–19. doi:10.4314/ajpsy.v10i1.30228
  • World Health Organization. The World Health Report 2008: Primary Health Care Now More Than Ever. Geneva 27, Switzerland: WHO Press; 2008.
  • Bulthuis SE, Kok MC, Amon S, et al. How district health decision-making is shaped within decentralised contexts: a qualitative research in Malawi, Uganda and Ghana. Glob Public Health. 2021;16(1):120–135. doi:10.1080/17441692.2020.1791213
  • Waiswa P, O’Connell T, Bagenda D, et al. Community and District Empowerment for Scale-up (CODES): a complex district-level management intervention to improve child survival in Uganda: study protocol for a randomized controlled trial. Trials. 2016;17(1):1–8. doi:10.1186/s13063-016-1241-4
  • Ministry of Health. Health Sector Strategic and Investment Plan: Promoting People’s Health to Enhance Socio-Economic Development 2010/11-2014/15. Ministry of Health Kampala, Uganda; 2010.
  • Vaughan JP, Morrow RH; World Health Organization. Manual of Epidemiology for District Health Management. World Health Organization; 1989.
  • Nanyonjo A, Kertho E, Tibenderana J, Källander K. District health teams’ readiness to institutionalize integrated community case management in the Uganda local health systems: a repeated qualitative study. Glob Health Sci Pract. 2020;8(2):190–204. doi:10.9745/GHSP-D-19-00318
  • Couttolenc BF. Decentralization and Governance in the Ghana Health Sector. World Bank Publications; 2012.
  • Ministry of Health. Uganda Clinical Guidelines for Management of Common Conditions. Kampala, Rebublic of Uganda: Ministry of Health; 2012.
  • Ministry of Health. Uganda Clinical Guidelines- National Guidelines for Management of Common Conditions. Ministry of Health; 2016.
  • Semrau M, Evans-Lacko S, Alem A, et al. Strengthening mental health systems in low-and middle-income countries: the Emerald programme. BMC Med. 2015;13(1):79. doi:10.1186/s12916-015-0309-4
  • Ssebunnya J, Kigozi F, Kizza D, Ndyanabangi S. Integration of mental health into primary health care in a rural district in Uganda. Afr J Psychiatry. 2010;13(2):128–131. doi:10.4314/ajpsy.v13i2.54359
  • Mugisha J, Ssebunnya J, Kigozi FN. Towards understanding governance issues in integration of mental health into primary health care in Uganda. Int J Ment Health Syst. 2016;10(1):25. doi:10.1186/s13033-016-0057-7
  • Wakida EK, Obua C, Rukundo GZ, Maling S, Talib ZM, Okello ES. Barriers and facilitators to the integration of mental health services into primary healthcare: a qualitative study among Ugandan primary care providers using the COM-B framework. BMC Health Serv Res. 2018;18(1):890. doi:10.1186/s12913-018-3684-7
  • Wakida EK, Okello ES, Rukundo GZ, et al. Health system constraints in integrating mental health services into primary healthcare in rural Uganda: perspectives of primary care providers. Int J Ment Health Syst. 2019;13(1):16. doi:10.1186/s13033-019-0272-0
  • Wakida EK, Obua C, Musisi S, et al. Implementing clinical guidelines to promote integration of mental health services in primary health care: a qualitative study of a systems policy intervention in Uganda. Int J Ment Health Syst. 2019;13(1):49. doi:10.1186/s13033-019-0304-9
  • Wakida EK, Ocan M, Rukundo GZ, et al. Adherence to clinical guidelines in integration of mental health services into primary health care in Mbarara, Southwestern Uganda: a medical record review. Int J Ment Health Syst. 2021;15(1). doi:10.1186/s13033-021-00488-6
  • McCreight MS, Rabin BA, Glasgow RE, et al. Using the Practical, Robust Implementation and Sustainability Model (PRISM) to qualitatively assess multilevel contextual factors to help plan, implement, evaluate, and disseminate health services programs. Transl Behav Med. 2019;9(6):1002–1011. doi:10.1093/tbm/ibz085
  • Wiltsey Stirman S, Baumann AA, Miller CJ. The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implement Sci. 2019;14(1):1–10. doi:10.1186/s13012-019-0898-y
  • Austin Z, Sutton J. Qualitative research: getting started. Can J Hosp Pharm. 2014;67(6):436. doi:10.4212/cjhp.v67i6.1406
  • Sutton J, Austin Z. Qualitative research: data collection, analysis, and management. Can J Hosp Pharm. 2015;68(3):226. doi:10.4212/cjhp.v68i3.1456
  • Google. Distance between Kampala City Center, Kampala Uganda and Lira City, Lira, Uganda; 2022. Available from: https://www.google.com/maps/dir/Kampala/Lira/@1.3118672,31.5236516,7.96z/data=!4m14!4m13!1m5!1m1!1s0x177dbc0f9d74b39b:0x4538903dd96b6fec!2m2!1d32.5825197!2d0.3475964!1m5!1m1!1s0x1770b09fcc01830f:0xddfcd30f83eb2797!2m2!1d32.8874067!2d2.2580829!3e0. Accessed February 3, 2023.
  • Etikan I, Musa SA, Alkassim RS. Comparison of convenience sampling and purposive sampling. Am J Theor Appl. 2016;5(1):1–4. doi:10.11648/j.ajtas.20160501.11
  • Drever E. Using Semi-Structured Interviews in Small-Scale Research. A Teacher’s Guide. ERIC; 1995.
  • Jootun D, McGhee G, Marland GR. Reflexivity: promoting rigour in qualitative research. Nurs Stand. 2009;23(23):42–47.
  • Garbarski D, Schaeffer NC, Dykema J. Interviewing practices, conversational practices, and rapport: responsiveness and engagement in the standardized survey interview. Sociol Methodol. 2016;46(1):1–38. doi:10.1177/0081175016637890
  • Orb A, Eisenhauer L, Wynaden D. Ethics in qualitative research. J Nurs Scholarsh. 2001;33(1):93–96. doi:10.1111/j.1547-5069.2001.00093.x
  • Ruona WE. Analyzing qualitative data. Res Organ. 2005;223:263.
  • Groenland E. Employing the matrix method as a tool for the analysis of qualitative research data in the business domain. Int J Bus Glob. 2018;21(1):119–134. doi:10.1504/IJBG.2018.094106
  • Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–1288. doi:10.1177/1049732305276687
  • Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods. 2006;5(1):80–92. doi:10.1177/160940690600500107
  • Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107–115. doi:10.1111/j.1365-2648.2007.04569.x
  • Doherty T, Tran N, Sanders D, et al. Role of district health management teams in child health strategies. BMJ. 2018;362:k2823.
  • Mutale W, Vardoy-Mutale A-T, Kachemba A, Mukendi R, Clarke K, Mulenga D. Leadership and management training as a catalyst to health system strengthening in low-income settings: evidence from implementation of the Zambia Management and Leadership course for district health managers in Zambia. PLoS One. 2017;12(7):e0174536. doi:10.1371/journal.pone.0174536
  • Hill Z, Dumbaugh M, Benton L, et al. Supervising community health workers in low-income countries–a review of impact and implementation issues. Glob Health Action. 2014;7(1):24085. doi:10.3402/gha.v7.24085
  • Marquez L, Kean L. Making supervision supportive and sustainable: new approaches to old problems: Maximum Access and Quality (MAQ) initiative; 2002.
  • Loevinsohn BP, Guerrero ET, Gregorio SP. Improving primary health care through systematic supervision: a controlled field trial. Health Policy Plan. 1995;10(2):144–153. doi:10.1093/heapol/10.2.144
  • Wahl OF. Media Madness: Public Images of Mental Illness. Rutgers University Press; 1995.
  • Subramanian R, Santo JB. Reducing mental illness stigma: what types of images are most effective? J Vis Commun Med. 2021;44(2):52–61. doi:10.1080/17453054.2021.1901561
  • Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rüsch N. Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Serv. 2012;63(10):963–973. doi:10.1176/appi.ps.201100529