Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016
Posted on 2020-03-14 - 04:35
Abstract Background Previous attempts of Mental Health Systems Assessment in India were restricted in scope and scale. Information on all aspects of mental health systems (leadership/governance, legislation, financing, service delivery, workforce, access to essential medicines, information systems, intersectoral activities, and monitoring and evaluation) was scarcely available. The National Mental Health Survey-Mental Health Systems Assessment (NMHS-MHSA), a unique endeavor, assessed the performance of mental health systems and services through health systems assessment framework. The present paper discusses the design and methodology adopted under NMHS-MHSA along with emphasizing its implication for India and other LMICs. Methods NMHS-MHSA was undertaken in 12 Indian states by contextually adapting WHO-AIMS instrument. Data was collated from several secondary sources including interviews of key stakeholders. Utilizing the data a set of 15-quantitative, 5-morbidity and 10-qualitative indicators were developed to summarize the functional status of mental health systems in the surveyed states. This information was authenticated through state level stakeholder’s consultation and consensus building workshops following which a state mental health systems report card with indicators was developed. Conclusion The process and robust method of data compilation enabled NMHS-MHSA to be a reliable and comprehensive method for assessing mental health systems at the state level. It’s envisaged that the assessment provides requisite impetus for strengthening mental health program and mental health systems in India. Being less resource intensive, low -and middle- income countries can adopt NMHS-MHSA tool and methodology to assess their mental health systems with contextual modifications.
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Arvind, Banavaram Anniappan; Gururaj, Gopalkrishna; Rao, Girish N.; Pradeep, Banandur S.; Mathew, Varghese; Benegal, Vivek; et al. (2020). Framework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016. figshare. Collection. https://doi.org/10.6084/m9.figshare.c.4894443.v1
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AUTHORS (20)
BA
Banavaram Anniappan Arvind
GG
Gopalkrishna Gururaj
GR
Girish N. Rao
BP
Banandur S. Pradeep
VM
Varghese Mathew
VB
Vivek Benegal
MG
Melur Sukumar Gautham
AS
Amudhan Senthil
AK
Arun Kokane
BC
Bir Singh Chavan
PD
P. K. Dalal
DR
Daya Ram
KP
Kangkan Pathak
SL
Singh R. K. Lenin
LS
Lokesh Kumar Singh
PS
Pradeep Sharma
PS
Pradeep Kumar Saha
CR
C. Ramasubramaniam
RM
Ritambhara Y. Mehta
TS
T. M. Shibukumar