Journal article

Barriers and facilitators of mental health programmes in primary care in low-income and middle-income countries

Georgina Miguel Esponda, Sarah Hartman, Onaiza Qureshi, Euan Sadler, Alex Cohen, Ritsuko Kakuma

The Lancet Psychiatry | ELSEVIER SCI LTD | Published : 2020


Integration of services into primary health care for people with common mental disorders is considered a key strategy to improve access to mental health care in low-income and middle-income countries, yet services at the primary care level are largely unavailable. We did a systematic review to understand the barriers and facilitators in the implementation of mental health programmes. We searched five databases and included studies published between Jan 1, 1990, and Sept 1, 2017, that used qualitative methods to assess the implementation of programmes for adults with common mental disorders at primary health-care settings in low-income and middle-income countries. The Critical Appraisal Skill..

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Funding Acknowledgements

There was no funding source for this study, but the Review was carried out as part of the doctoral studies of GME, which are funded by the Mexican Council of Science and Technology. ES is supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London (CLAHRC South London) at King's College Hospital NHS Foundation Trust. The views expressed in this paper are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. ES is funded by King's Improvement Science, which is a part of the NIHR CLAHRC South London and comprises a specialist team of improvement scientists and senior researchers based at King's College London. We would like to thank Grace K Ryan for her comments and feedback on earlier drafts of this paper.