Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study
Abstract Background Mental health information systems are, in general, inadequate and unreliable in India. We have developed key mental health indicators for measuring mental health service coverage in primary care. This study aims to evaluate the use of these new indicators in seven health care fac...
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doaj-ecd6464479ef4c9aad2d8fc63bdbe57f2021-02-14T12:17:09ZengBMCInternational Journal of Mental Health Systems1752-44582020-02-0114111210.1186/s13033-020-0341-4Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods studyShalini Ahuja0Azaz Khan1Lucy Goulding2Rachel Kaur Bansal3Rahul Shidhaye4Graham Thornicroft5Mark Jordans6Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonProgramme for Improving Mental Health CareCentre for Implementation Science, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonCity, University of LondonPublic Health Foundation of IndiaCentre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonCentre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonAbstract Background Mental health information systems are, in general, inadequate and unreliable in India. We have developed key mental health indicators for measuring mental health service coverage in primary care. This study aims to evaluate the use of these new indicators in seven health care facilities in Sehore District of Madhya Pradesh in India. Methods The study employed a mixed methods approach. We conducted: a qualitative study (n = 26) with health workers, Health Management Information Systems (HMIS) staff, project coordinators and supervisors; a review of case records (n = 61 at time 1 and n = 74 at time 2); and a structured questionnaire (n = 26) with health workers. The performance, user-friendliness, appropriateness, perceived utility and sustainability of the use of new mental health indicators was assessed. Results High levels of completion, and correctness of completion, of the new mental health indicators were found for the case records. The simplicity of the forms, as well as technical support from the project team, contributed to acceptability and feasibility of implementation. Perceived sustainability of the new forms was, however, affected by the overstretched primary care staff. Further work is needed to support the integration of mental health with routine HMIS. Conclusion This study demonstrated that the implementation of key mental health service delivery indicators in Sehore District primary care facilities was feasible. Technical assistance was imperative in maintaining the performance of the indicators over the two studied time points. The integration of mental health indicators in routine health information systems, and political buy-in, are needed to monitor and sustain community mental health programmes in India.https://doi.org/10.1186/s13033-020-0341-4EvaluationMental health information systemsGlobal mental healthMixed methods researchMental health indicatorsIndia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Shalini Ahuja Azaz Khan Lucy Goulding Rachel Kaur Bansal Rahul Shidhaye Graham Thornicroft Mark Jordans |
spellingShingle |
Shalini Ahuja Azaz Khan Lucy Goulding Rachel Kaur Bansal Rahul Shidhaye Graham Thornicroft Mark Jordans Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study International Journal of Mental Health Systems Evaluation Mental health information systems Global mental health Mixed methods research Mental health indicators India |
author_facet |
Shalini Ahuja Azaz Khan Lucy Goulding Rachel Kaur Bansal Rahul Shidhaye Graham Thornicroft Mark Jordans |
author_sort |
Shalini Ahuja |
title |
Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study |
title_short |
Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study |
title_full |
Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study |
title_fullStr |
Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study |
title_full_unstemmed |
Evaluation of a new set of indicators for mental health care implemented in Madhya Pradesh, India: a mixed methods study |
title_sort |
evaluation of a new set of indicators for mental health care implemented in madhya pradesh, india: a mixed methods study |
publisher |
BMC |
series |
International Journal of Mental Health Systems |
issn |
1752-4458 |
publishDate |
2020-02-01 |
description |
Abstract Background Mental health information systems are, in general, inadequate and unreliable in India. We have developed key mental health indicators for measuring mental health service coverage in primary care. This study aims to evaluate the use of these new indicators in seven health care facilities in Sehore District of Madhya Pradesh in India. Methods The study employed a mixed methods approach. We conducted: a qualitative study (n = 26) with health workers, Health Management Information Systems (HMIS) staff, project coordinators and supervisors; a review of case records (n = 61 at time 1 and n = 74 at time 2); and a structured questionnaire (n = 26) with health workers. The performance, user-friendliness, appropriateness, perceived utility and sustainability of the use of new mental health indicators was assessed. Results High levels of completion, and correctness of completion, of the new mental health indicators were found for the case records. The simplicity of the forms, as well as technical support from the project team, contributed to acceptability and feasibility of implementation. Perceived sustainability of the new forms was, however, affected by the overstretched primary care staff. Further work is needed to support the integration of mental health with routine HMIS. Conclusion This study demonstrated that the implementation of key mental health service delivery indicators in Sehore District primary care facilities was feasible. Technical assistance was imperative in maintaining the performance of the indicators over the two studied time points. The integration of mental health indicators in routine health information systems, and political buy-in, are needed to monitor and sustain community mental health programmes in India. |
topic |
Evaluation Mental health information systems Global mental health Mixed methods research Mental health indicators India |
url |
https://doi.org/10.1186/s13033-020-0341-4 |
work_keys_str_mv |
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