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  • Development of a scalable mental healthcare plan for a rural district in Ethiopia
  • Abebaw Fekadu, Charlotte Hanlon, Girmay Medhin, Atalay Alem, Medhin Selamu, Tedla W. Giorgis, Teshome Shibre, Solomon Teferra, Teketel Tegegn, Erica Breuer, Vikram Patel, Mark Tomlinson, Graham Thornicroft, Martin Prince, Crick Lund
  • Journal: The British Journal of Psychiatry / Volume 208 / Issue s56 / January 2016
  • Published online by Cambridge University Press: 02 January 2018, pp. s4-s12
  • Print publication: January 2016
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  • View abstract
    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.