Implementing an mhGAP-based training and supervision package to improve healthcare workers' competencies and access to mental health care in Malawi

International Journal of Mental Health Systems
Jen AhrensSheila Gilfillan

Abstract

It is now well established that the integration of mental health care into primary care is one of the most effective ways of reducing the substantial treatment gap for mental disorders which exists in most low- and middle-income countries. This study set out to determine whether a Mental Health Gap Action Programme (mhGAP) training and supervision package could be contextualised and implemented within the existing health care system in five districts in Southern Malawi. In addition, the study assessed the feasibility of holding community awareness events and establishing peer support groups in each district to further improve the access of the population to evidence-based mental health care. A lead training team of experienced Malawian mental health professionals was appointed and mhGAP training materials were contextualised for use in Malawi. The lead team delivered a 4-day training package to district mental health teams in five districts covering three core conditions: psychosis, moderate-severe depression, and alcohol and substance use disorders. District mental health teams then delivered a 2-day training package and provided monthly supervision for 3 months to 500 non-specialist healthcare workers. Paired sample t-tests w...Continue Reading

References

Jan 1, 1981·Schizophrenia Bulletin·S M Taylor, M J Dear
Sep 7, 2007·Lancet·K S JacobShekhar Saxena
Sep 7, 2007·Lancet·D ChisholmM Tomlinson
May 21, 2010·JAMA : the Journal of the American Medical Association·Vikram Patel, Martin Prince
Sep 28, 2010·Social Psychiatry and Psychiatric Epidemiology·Antonia BarkeDorothee Klecha
Oct 27, 2010·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Vikram PatelUNKNOWN WPA Zonal and Member Society Representatives
Jul 8, 2011·Nature·Pamela Y CollinsDan J Stein
Jul 25, 2012·BMC Public Health·Jim CrabbRajeev Krishnadas
May 6, 2015·Epidemiology and Psychiatric Sciences·M SemrauG Thornicroft
Feb 7, 2016·The Lancet. Psychiatry·Gareth NortjeSoraya Seedat
Feb 7, 2016·The Lancet. Psychiatry·Daniel VigoRifat Atun
Mar 1, 2016·International Journal of Mental Health Systems·Chesmal SiriwardhanaAthula Sumathipala
Jun 13, 2017·The International Journal of Social Psychiatry·Harris K ChilaleCharles Masulani-Mwale
Jun 30, 2019·International Journal of Mental Health Systems·Fiona CharlsonRahul Shidhaye
Aug 30, 2019·International Journal of Mental Health Systems·Neda FareghLaurence J Kirmayer

❮ Previous
Next ❯

Software Mentioned

Stata
IG
mhGAP

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.