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Development of a district mental healthcare plan in Uganda

Published online by Cambridge University Press:  02 January 2018

Fred N. Kigozi ,
Dorothy Kizza ,
Juliet Nakku ,
Joshua Ssebunnya ,
Sheila Ndyanabangi ,
Blandina Nakiganda ,
Crick Lund  and
Vikram Patel
Fred N. Kigozi*
Affiliation:
Butabika National Referral and Teaching Mental Hospital, Makerere University, Kampala, Uganda
Dorothy Kizza
Affiliation:
Butabika National Referral and Teaching Mental Hospital, Makerere University, Kampala, Uganda
Juliet Nakku
Affiliation:
Butabika National Referral and Teaching Mental Hospital, Makerere University, Kampala, Uganda
Joshua Ssebunnya
Affiliation:
Butabika National Referral and Teaching Mental Hospital, Makerere University, Kampala, Uganda
Sheila Ndyanabangi
Affiliation:
Mental Health Division, Ministry of Health, Kampala, Uganda
Blandina Nakiganda
Affiliation:
Health Department, Kamuli District Local Government, Uganda
Crick Lund
Affiliation:
Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, South Africa, and Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK
Vikram Patel
Affiliation:
Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, UK, Public Health Foundation of India, New Delhi and Sangath, India
*
Fred Kigozi, Butabika National Referral and Teaching Mental Hospital, Makerere University, Kampala, Uganda. Email: [email protected]
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Abstract

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Background

Evidence is needed for the integration of mental health into primary care advocated by the national health sector strategic investment plan in Uganda.

Aims

To describe the processes of developing a district mental healthcare plan (MHCP) in rural Uganda that facilitates integration of mental health into primary care.

Method

Mixed methods using a situational analysis, qualitative studies, theory of change workshops and partial piloting of the plan at two levels informed the MHCP.

Results

A MHCP was developed with packages of care to facilitate integration at the organisational, facility and community levels of the district health system, including a specified human resource mix. The partial embedding period supports its practical application. Key barriers to scaling up the plan were identified.

Conclusions

A real-world plan for the district was developed with involvement of stakeholders. Pilot testing demonstrated its feasibility and implications for future scaling up.

Type
Papers
Information
The British Journal of Psychiatry , Volume 208 , Issue s56: Mental health plans in five low- and middle-income countries: PRogramme for Improving Mental health carE (PRIME) , January 2016 , pp. s40 - s46
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
Copyright
Copyright © Royal College of Psychiatrists, 2016

Footnotes

This article is an output from a project funded by the UK Department for International Development (DFID) for the benefit of low- and middle-income countries.

Declaration of interest

None.

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