TY - JOUR
KW - Africa South of the Sahara
KW - Asia
KW - Government Programs
KW - Humans
KW - Mental Health Services
KW - Primary Health Care
KW - Africa
KW - South Asia
KW - Governance
KW - Health system
KW - integrated primary mental healthcare
KW - integration
KW - Mental Health
KW - qualitative systematic review
AU - Abd Rahim
AU - Abdul Manaf
AU - M. H. Juni
AU - N. Ibrahim
A1 - 
AB - Governance has been highlighted as an important building block underpinning the process of mental health integration into primary healthcare. This qualitative systematic review aims to identify the governance issues faced by countries in the Sub-Saharan Africa and South Asia Region in the implementation of integrated primary mental healthcare. PRISMA guideline was used to conduct a systematic search of relevant studies from 4 online databases that were filtered according to inclusion and exclusion criteria. Using the Critical Appraisal Skills Program (CASP) Qualitative Checklist, a quality appraisal of the selected articles was performed. By drawing upon institutional theory, data was extracted based on a pre-constructed matrix. The CERQual approach synthesized evidence and rank confidence level as low, moderate or high for 5 key findings. From 567 references identified, a total of 8 studies were included. Respondents were policymakers or implementers involved in integrated primary mental healthcare from the national, state, and district level. Overall, the main governance issues identified were a lack of leadership and mental health prioritization; inadequate financing and human resource capacity; and negative mental health perceptions/attitudes. The implication of the findings is that such issues must be addressed for long-term health system performance. This can also improve policymaking for better integration of primary mental health services into the health systems of countries in the Sub-Saharan and South Asia region.
AD - Universiti Putra Malaysia, Selangor, Malaysia.; Universiti Putra Malaysia, Selangor, Malaysia.; Universiti Putra Malaysia, Selangor, Malaysia.; Universiti Putra Malaysia, Selangor, Malaysia.
BT - Inquiry : A journal of medical care organization, provision and financing
C5 - Healthcare Policy; Measures
DO - 10.1177/00469580211028579
JF - Inquiry : A journal of medical care organization, provision and financing
LA - eng
M1 - Journal Article
N2 - Governance has been highlighted as an important building block underpinning the process of mental health integration into primary healthcare. This qualitative systematic review aims to identify the governance issues faced by countries in the Sub-Saharan Africa and South Asia Region in the implementation of integrated primary mental healthcare. PRISMA guideline was used to conduct a systematic search of relevant studies from 4 online databases that were filtered according to inclusion and exclusion criteria. Using the Critical Appraisal Skills Program (CASP) Qualitative Checklist, a quality appraisal of the selected articles was performed. By drawing upon institutional theory, data was extracted based on a pre-constructed matrix. The CERQual approach synthesized evidence and rank confidence level as low, moderate or high for 5 key findings. From 567 references identified, a total of 8 studies were included. Respondents were policymakers or implementers involved in integrated primary mental healthcare from the national, state, and district level. Overall, the main governance issues identified were a lack of leadership and mental health prioritization; inadequate financing and human resource capacity; and negative mental health perceptions/attitudes. The implication of the findings is that such issues must be addressed for long-term health system performance. This can also improve policymaking for better integration of primary mental health services into the health systems of countries in the Sub-Saharan and South Asia region.
PY - 2021
SN - 1945-7243; 0046-9580; 0046-9580
SP - 469580211028579
T1 - Health System Governance for the Integration of Mental Health Services into Primary Health Care in the Sub-Saharan Africa and South Asia Region: A Systematic Review
T2 - Inquiry : A journal of medical care organization, provision and financing
TI - Health System Governance for the Integration of Mental Health Services into Primary Health Care in the Sub-Saharan Africa and South Asia Region: A Systematic Review
U1 - Healthcare Policy; Measures
U2 - 34275346
U3 - 10.1177/00469580211028579
VL - 58
VO - 1945-7243; 0046-9580; 0046-9580
Y1 - 2021
Y2 - Jan-Dec
ER -