Health systems context (s) for integrating mental health into primary health care in six Emerald countries: a situation analysis
Open accessAbstract
BACKGROUND: Mental, neurological and substance use disorders contribute to a significant proportion of the world's disease burden, including in low and middle income countries (LMICs). In this study, we focused on the health systems required to support integration of mental health into primary health care (PHC) in Ethiopia, India, Nepal, Nigeria, South Africa and Uganda. METHODS: A checklist guided by the World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS) was developed and was used for data collection in each of the six countries participating in the Emerging mental health systems in low and middle-income countries (Emerald) research consortium. The documents reviewed were from the following domains: mental health legislation, health policies/plans and relevant country health programs. Data were analyzed using thematic content analysis. RESULTS: Three of the study countries (Ethiopia, Nepal, Nigeria, and Uganda) were working towards developing mental health legislation. South Africa and India were ahead of other countries, having enacted recent Mental Health Care Act in 2004 and 2016, respectively. Among all the 6 study countries, only Nepal, Nigeria and South Africa had a standalone mental health policy. However, other countries had related health policies where mental health was mentioned. The lack of fully fledged policies is likely to limit opportunities for resource mobilization for the mental health sector and efforts to integrate mental health into PHC. Most countries were found to be allocating inadequate budgets from the health budget for mental health, with South Africa (5%) and Nepal (0.17%) were the countries with the highest and lowest proportions of health budgets spent on mental health, respectively. Other vital resources that support integration such as human resources and health facilities for mental health services were found to be in adequate in all the study countries. Monitoring and evaluation systems to support the integration of mental health into PHC in all the study countries were also inadequate. CONCLUSION: Integration of mental health into PHC will require addressing the resource limitations that have been identified in this study. There is a need for up to date mental health legislation and policies to engender commitment in allocating resources to mental health services.
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The treatment gap in India is partly caused by a severe shortage of mental health providers.
“This treatment gap stems in part from a severe shortage of mental health providers (Mugisha et al., 2017).”
From Acceptability and feasibility of digital technology for training community health workers to deliver brief psychological treatment for depression in rural India (2019) · cites this paper as Mugisha et al., 2017
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No health without mental health
Prince, M. J., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61238-0 · Cited by 3,835 · see citing works
Whiteford, H. A., Ferrari, A. J., Degenhardt, L., Feigin, V., & Vos, T. (2015) · PLOS ONE · doi:10.1371/journal.pone.0116820 · Cited by 1,175 · see citing works
Integrating Mental Health Into Primary Care. A Global Perspective
(2009) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000362204.63479.6b · Cited by 807 · see citing works
Grand challenges: integrating mental health services into priority health care platforms
Patel, V., Belkin, G. S., Chockalingam, A., Cooper, J., Saxena, S., & Unützer, J. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001448 · Cited by 356 · see citing works
Thornicroft, G., Alem, A., dos Santos, R. A., Barley, E. A., Drake, R. E., Gregório, G., Hanlon, C., Ito, H., Latimer, E. A., LAW, A., et al. (2010) · World Psychiatry · doi:10.1002/j.2051-5545.2010.tb00276.x · Cited by 289 · see citing works
Self-citationStrengthening mental health systems in low-and middle-income countries: the Emerald programme
Semrau, M., Evans-Lacko, S., Alem, A., Ayuso-Mateos, J. L., Chisholm, D., Gureje, O., Hanlon, C., Jordans, M., Kigozi, F., Lempp, H., et al. (2015) · BMC Medicine · doi:10.1186/s12916-015-0309-4 · Cited by 288 · see citing works
Self-citationGureje, O., Abdulmalik, J., Kola, L., Musa, E., Yasamy, M. T., & Adebayo, K. (2015) · BMC Health Services Research · doi:10.1186/s12913-015-0911-3 · Cited by 188 · cited 3× · see citing works
“Related to this challenge is the ambiguity about the skills set that are required to deliver the integrated packages, though the mhGAPhas apparently tried to solve this dilemma [23].”
BackgroundInfluentialSelf-citationMarais, D. L., & Petersen, I. (2015) · International Journal of Mental Health Systems · doi:10.1186/s13033-015-0004-z · Cited by 132 · see citing works
Self-citationIntegrating mental health into primary healthcare.
(2008) · PubMed Central · Cited by 77 · see citing works
Integrating mental health into primary care
Üstün, T. B., & Gater, R. A. (1994) · Current Opinion in Psychiatry · doi:10.1097/00001504-199403000-00013 · Cited by 75 · see citing works
National mental health programme: Manpower development scheme of eleventh five-year plan
Sinha, S., & Kaur, J. (2011) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.86821 · Cited by 64 · see citing works
Mental health resources in the world: results from Project Atlas of the WHO.
Saraceno, B., & Saxena, S. (2002) · PubMed · Cited by 51 · see citing works
Global Mental Health Resources and Services: A WHO Survey of 184 Countries
Morris, J. E., Lora, A., McBain, R. K., & Saxena, S. (2012) · Public health reviews · doi:10.1007/bf03391671 · Cited by 49 · see citing works
A Proposed Projective Attitude Test†
Loeblowitz-Lennard, H., & Riessman, F. (1946) · Psychiatry · doi:10.1080/00332747.1946.11022583 · Cited by 8 · see citing works
Flagged first, then by citations
Research works printed but not linked: 10
- National Institute for Health Care Management (NIHMC). Strategies to support the integration of mental health into pediatric primary care Issue paper. Washington DC: NIHMC; 2009.
- World Health Organization. Assessment instrument for mental health systems. Geneva: WHO-AIMS; 2015.
- South Africa mental health care Act. No. 17 of 2002. vol. 449 Cape town.
- Ministry of Health and Population Nepal. Mental Health Treatment and Protection Act (Draft version). Kathmandu: Ministry of Health and Population; 2006.
- World Health Organization. Promoting mental health, concepts, emerging evidence and practice. Geneva: WHO; 2004.
- National Department of Health. National mental health policy framework and strategic plan, 2013–2020. Pretoria: National Department of Health; 2013.
- Ministry of Health and Population Nepal. Mental Health Treatment and Protection Act. Draft version. Kathmandu: National Ministryof Health and Population; 2006.
- Ministry of Health. Uganda draft national policy on mental, neurological and substance use services. Kampala: Ministry of Health; 2009.
- Ministry of Health. Uganda ministry of health policy. Kampala: Ministry of Health; 2010.
- World Health Organization. mhGAP intervention guide for mental neurological and substance use disorders in non-specialized health settings mental health gap action Programme (mhGAP). Geneva: WHO; 2010.
Cited by
Sorted by citations
Sagar, R., Dandona, R., Gururaj, G., Dhaliwal, R. S., Singh, A., Ferrari, A., Dua, T., Ganguli, A., Varghese, M., Chakma, J. K., et al. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(19)30475-4 · Cited by 886 · see citing works
van Ginneken, N., Chin, W. Y., Lim, Y. C., Ussif, A., Singh, R. K., Shahmalak, U., Purgato, M., Rojas‐García, A., Uphoff, E., McMullen, S., et al. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009149.pub3 · Cited by 195 · see citing works
Lempp, H., Abayneh, S., Gurung, D., Kola, L., Abdulmalik, J., Evans-Lacko, S., Semrau, M., Alem, A., Thornicroft, G., & Hanlon, C. (2018) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796017000634 · Cited by 135 · see citing works
Self-citationFaregh, N., Lencucha, R., Ventevogel, P., Dubale, B. W., & Kirmayer, L. J. (2019) · International Journal of Mental Health Systems · doi:10.1186/s13033-019-0312-9 · Cited by 120 · see citing works
Muke, S. S., Shrivastava, R. D., Mitchell, L., Khan, A., Murhar, V., Tugnawat, D., Shidhaye, R., Patel, V., & Naslund, J. A. (2019) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2019.09.006 · Cited by 98 · see citing works
“This treatment gap stems in part from a severe shortage of mental health providers (Mugisha et al., 2017).”
BackgroundSelf-citationPetersen, I., van Rensburg, A., Kigozi, F., Semrau, M., Hanlon, C., Abdulmalik, J., Kola, L., Fekadu, A., Gureje, O., Gurung, D., et al. (2019) · BJPsych Open · doi:10.1192/bjo.2019.7 · Cited by 111 · see citing works
“None of the countries had a dedicated mental health budget, with South Africa, being an upper middle income country, having the most mental health resources per 100 000 population (6).”
BackgroundSelf-citationThe national suicide prevention strategy in India: context and considerations for urgent action
Vijayakumar, L., Chandra, P. S., Kumar, M. S., Pathare, S., Banerjee, D., Goswami, T., & Dandona, R. (2021) · The Lancet Psychiatry · doi:10.1016/s2215-0366(21)00152-8 · Cited by 101 · see citing works
The state of strategic plans for the health workforce in Africa
Afriyie, D. O., Nyoni, J., & Ahmat, A. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2018-001115 · Cited by 76 · see citing works
“tion mechanism, deployment and retention in rural areas.(12)”
BackgroundSimkhada, R., Wasti, S. P., Gc, V. S., & Lee, A. C. (2017) · Aging & Mental Health · doi:10.1080/13607863.2017.1310803 · Cited by 58 · see citing works
“Furthermore, better mental health facilities with primary health care integration could account for lower prevalence rates seen in the West and in other developed Asian countries (Mugisha et al., 2017; World Health Organization, 2008).”
BackgroundUpadhaya, N., Regmi, U., Gurung, D., Luitel, N. P., Petersen, I., Jordans, M. J. D., & Komproe, I. H. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-2476-x · Cited by 61 · see citing works
Self-citationThornicroft, G., & Semrau, M. (2019) · BJPsych Open · doi:10.1192/bjo.2019.9 · Cited by 53 · see citing works
Stubbs, B., Siddiqi, K., Elsey, H., Siddiqi, N., Ma, R., Romano, E., Siddiqi, S., & Koyanagi, A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18052439 · Cited by 52 · see citing works
“This is concerning given that in LMICs, there is a lack of an integrated health care system, high costs in accessing healthcare [85], and a need to plan all levels of care with the consideration of economic burden [17].”
BackgroundLovero, K. L., Lammie, S. L., van Zyl, A., Paul, S. N., Ngwepe, P., Mootz, J. J., Carlson, C., Sweetland, A. C., Shelton, R. C., Wainberg, M. L., et al. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-3912-9 · Cited by 49 · see citing works
Perianayagam, A., Prina, M. A., Selvamani, Y., Gudekar, D., Salvi, S., Varghese, M., & Dandona, R. (2022) · The Lancet Psychiatry · doi:10.1016/s2215-0366(22)00186-9 · Cited by 48 · see citing works
Vancampfort, D., Damme, T. V., Probst, M., Firth, J., Stubbs, B., Basangwa, D., & Mugisha, J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.08.041 · Cited by 45 · see citing works
“…in LMICs could guide the design and delivery of targeted interventions in LMICs, especially now as most of these countries have started putting more effort in increasing access to mental health services at community level by integrating mental health into primary health care (Mugisha et al., 2017).”
BackgroundSelf-citationHealth care providers’ perceptions of barriers to perinatal mental healthcare in South Africa
Brown, S. M., & Sprague, C. (2021) · BMC Public Health · doi:10.1186/s12889-021-11954-8 · Cited by 49 · see citing works
“South Africa has demonstrated a strong government commitment to supporting the mental health of their population, in part through the National Mental Health Policy Framework and Strategic Plan (2013–2020) [32, 33].”
BackgroundPetagna, M., Marley, C., Guerra, C., Calia, C., & Reid, C. L. (2022) · Community Mental Health Journal · doi:10.1007/s10597-022-00981-3 · Cited by 42 · see citing works
“Similarly, structural aspects of the existing health systems – including workforce size, workloads, and motivational factors, as well as client-provider hierarchies and dynamics – appear to play a fundamental role in facilitating or hindering the achievement of mhGAP goals (Gajaria et al., 2019; Kohrt et al., 2019; Mu…”
BackgroundMethodological approaches to situational analysis in global mental health: a scoping review
Murphy, J., Michalak, E. E., Colquhoun, H. L., Woo, C., Ng, C. H., Parikh, S. V., Culpepper, L., Dewa, C. S., Greenshaw, A. J., He, Y., et al. (2019) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2019.9 · Cited by 31 · see citing works
“Three studies explicitly included equity considerations in their study designs (Abdulmalik et al., 2016; Hailemariam et al., 2016; Mugisha et al., 2017).”
BackgroundResultInfluentialMayston, R., Ebhohimen, K., & Jacob, K. (2020) · Epidemiology and Psychiatric Sciences · doi:10.1017/s204579602000030x · Cited by 28 · see citing works
“Policies, plans and services are being rapidly developed to integrate mental healthcare and management of NCDs into some of the world’s most poorly resourced health systems, which were originally designed to address acute illness episodes due to infectious disease (Mugisha et al., 2017).”
BackgroundCommunity-Based Mental Health Services in India: Current Status and Roadmap for the Future
Hans, G., & Sharan, P. (2021) · Consortium Psychiatricum · doi:10.17816/cp92 · Cited by 28 · see citing works
Mugisha, J., Binder, M. D., Knizek, B. L., Kwiringira, J. N., Kinyanda, E., Byansi, W., van Winkel, R., Myin‐Germeys, I., Stubbs, B., & Vancampfort, D. (2019) · Mental health and physical activity · doi:10.1016/j.mhpa.2019.02.001 · Cited by 28 · see citing works
Self-citationAkol, A., Makumbi, F. E., Babirye, J. N., Nalugya, J., Nshemereirwe, S., & Engebretsen, I. M. S. (2018) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2018.18 · Cited by 26 · see citing works
Mental health services in Nigerian prisons: Lessons from a four-year review and the literature
Olagunju, A. T., Oluwaniyi, S. O., Fadipe, B., Ogunnubi, O. P., Oni, O. D., Aina, O. F., & Chaimowitz, G. A. (2018) · International Journal of Law and Psychiatry · doi:10.1016/j.ijlp.2018.03.004 · Cited by 24 · see citing works
Ezeanolue, E. E., Iheanacho, T., Adedeji, I. A., Itanyi, I. U., Olakunde, B. O., Patel, D. V., Dakum, P., Okonkwo, P., Akinmurele, T., Obiefune, M. C., et al. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05750-0 · Cited by 30 · see citing works
“Unfortunately, due to inadequate funding, limited mental health specialists and lack of legislative framework, this stated policy has not translated into state or federal laws or clinical practice [47].”
BackgroundAyuso‐Mateos, J. L., Miret, M., López-García, P., Alem, A., Chisholm, D., Gureje, O., Hanlon, C., Jordans, M. J. D., Kigozi, F. N., Lund, C., et al. (2019) · BJPsych Open · doi:10.1192/bjo.2019.50 · Cited by 21 · see citing works
Self-citationEssien, E. A., Mahmood, M. Y., Adiukwu, F., Kareem, Y. A., Hayatudeen, N., Ojeahere, M. I., Salihu, M. O., Sanni, K. A., Omotoso, A. B., & Pinto da Costa, M. (2024) · Cambridge Prisms: Global Mental Health · doi:10.1017/gmh.2024.25 · Cited by 20 · see citing works
“The overall situation in Sub-Saharan Africa is worse compared to developed nations, despite variations among individual countries.”
BackgroundAshcroft, R., Menear, M., Silveira, J., Dahrouge, S., Emode, M., Booton, J., & McKenzie, K. J. (2021) · International Journal for Equity in Health · doi:10.1186/s12939-021-01492-5 · Cited by 19 · see citing works
Breast cancer in Thailand: policy and health system challenges to universal healthcare
Lakha, F., Suriyawongpaisul, P., Sangrajrang, S., Leerapan, B., & Coker, R. (2020) · Health Policy and Planning · doi:10.1093/heapol/czaa063 · Cited by 18 · see citing works
Health Status and Quality of Life of Women Seeking Infertility Treatments in Baluchistan, Pakistan
Hassan, S.-U.-N., Siddiqui, S., & Friedman, B. D. (2019) · The British Journal of Social Work · doi:10.1093/bjsw/bcz130 · Cited by 18 · see citing works
Vancampfort, D., Probst, M., Basangwa, D., Binder, M. D., Myin‐Germeys, I., van Winkel, R., Ward, P. B., Rosenbaum, S., & Mugisha, J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.11.067 · Cited by 17 · see citing works
Self-citationMayston, R., Kebede, D., Fekadu, A., Medhin, G., Hanlon, C., Alem, A., & Shibre, T. (2020) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-020-01865-1 · Cited by 16 · see citing works
Self-citationRukundo, G., Wakida, E. K., Maling, S., Kaggwa, M. M., Sserumaga, B. M., Atim, L., Atuhaire, C., & Obua, C. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04244-z · Cited by 15 · see citing works
Vancampfort, D., Stanton, R., Probst, M., Binder, M. D., van Winkel, R., Myin‐Germeys, I., Kinyanda, E., & Mugisha, J. (2019) · African Health Sciences · doi:10.4314/ahs.v19i2.42 · Cited by 16 · see citing works
Self-citationArifah, A. R., Manaf, R. A., Juni, M. H., & Ibrahim, N. (2021) · INQUIRY The Journal of Health Care Organization Provision and Financing · doi:10.1177/00469580211028579 · Cited by 13 · see citing works
Asher, L., Rapiya, B., Repper, J., Reddy, T., MYERS, B. J., Faris, G. M., Petersen, I., Hanlon, C., & Brooke‐Sumner, C. (2024) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796024000556 · Cited by 12 · see citing works
“Capacity to consent was assessed using a modified capacity assessment form shown to be feasible in other LMIC settings (Hanlon et al. , 2016; Mugisha et al. , 2017).”
Self-citationVancampfort, D., Watkins, A., Ward, P. B., Probst, M., Binder, M. D., Damme, T. V., & Mugisha, J. (2019) · African Health Sciences · doi:10.4314/ahs.v19i3.30 · Cited by 11 · see citing works
Self-citationVancampfort, D., Kimbowa, S., Ward, P. B., Onekalit, K., Lukwata, H., & Mugisha, J. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.2003448 · Cited by 12 · see citing works
Self-citationExercise self-efficacy correlates in people with psychosis
Vancampfort, D., Gorczynski, P. F., Binder, M. D., Probst, M., Naisiga, A., Basangwa, D., & Mugisha, J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.08.095 · Cited by 11 · see citing works
Self-citationVancampfort, D., Mugisha, J., Byansi, P. K., Namutebi, H., Rosenbaum, S., Lukwata, H., & Ward, P. B. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.114335 · Cited by 11 · see citing works
Self-citationRuben, J. P., Balhara, Y. P. S., Chauhan, A., Ghosh, A., Jamir, L., Majumdar, A., Parmar, A., Basu, D., Mohapatra, D., Mony, P. K., et al. (2025) · PLoS ONE · doi:10.1371/journal.pone.0332359 · Cited by 10 · see citing works
Primary mental health care for older persons in India: how age-inclusive are public policies?
Kafczyk, T., & Hämel, K. (2021) · Health Policy and Planning · doi:10.1093/heapol/czab067 · Cited by 10 · see citing works
Sarkar, N. D. P., Baingana, F. K., & Criel, B. (2020) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.113464 · Cited by 10 · see citing works
Asher, L., Rapiya, B., Repper, J., Reddy, T., MYERS, B. J., Hanlon, C., Petersen, I., & Brooke‐Sumner, C. (2023) · Pilot and Feasibility Studies · doi:10.1186/s40814-022-01232-8 · Cited by 9 · see citing works
Self-citationMwesiga, E., Akena, D., Koen, N., Senono, R., Obuku, E., Gumikiriza, J., Robbins, R., Nakasujja, N., & Stein, D. (2020) · Schizophrenia Research: Cognition · doi:10.1016/j.scog.2020.100187 · Cited by 7 · see citing works
“This raises concern about the clinical utility of these measures in LMICs, where there are few specialized staff (Evans-Lacko et al., 2019; Mugisha et al., 2017; Semrau et al., 2015). mHealth apps may be more cost-efficient and feasible for delivery by non-specialized staff (Istepanian et al.,…”
Mayoyo, E. M., Criel, B., Michielsen, J., Chuy, K. D., Coppieters, Y., & Chenge, F. M. (2023) · PLoS ONE · doi:10.1371/journal.pone.0280089 · Cited by 8 · see citing works
“It is important to reflect on the optimal mechanisms for financing mental health to avoid those initiatives taken by external partners suffering from sustainability [47].”
BackgroundSilaule, O., Nkosi, N. G., & Adams, F. (2024) · PLoS ONE · doi:10.1371/journal.pone.0309090 · Cited by 7 · see citing works
“…health services are non-specialised services provided by other sectors other than health and/or social development services, including care from families, friends, traditional healers, religious organisations, village workers, lay community workers, and non-governmental organisations [13, 14].”
BackgroundAbiodun, O. A., Ajiboye, P., Salihu, M. O., Sulyman, D., Akinsulore, A., Obayi, O., & Salihu, H. B. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07135-1 · Cited by 5 · see citing works
“Deploying AI to address critical human resources for health deficit would be more relevant in Nigeria, where there is a ratio of less than 0.1 psychiatrists to 100,000 population, with a huge treatment gap of close to 90% [11, 13].”
InfluentialPerspectiva do usuário de drogas sobre seu tratamento e a rede de atenção psicossocial
Tibiriçá, V. A., Luchini, E. P. M., & de Almeida, C. S. (2019) · SMAD Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português) · doi:10.11606/issn.1806-6976.smad.2019.150890 · Cited by 5 · see citing works
Mwesiga, E. K., Nakasujja, N., Nankaba, L., Nakku, J. E. M., & Musisi, S. (2021) · South African Journal of Psychiatry · doi:10.4102/sajpsychiatry.v27i0.1604 · Cited by 5 · see citing works
Brooke‐Sumner, C., Sorsdahl, K. R., Lombard, C. J., Williams, P. P., & MYERS, B. J. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020539 · Cited by 5 · see citing works
“11 This challenge is not limited to the mental health arena, since PHC facilities face many staff and other resource shortages that make implementation of any new service challenging.”
Background(2021) · ADIKTOLOGIE Journal · doi:10.35198/01-2021-004-0004 · Cited by 5 · see citing works
Information technology and electronic health record to improve behavioral health services
Hilty, D. M., Naslund, J. A., Ahuja, S., Torous, J. B., Kishimoto, T., & Crawford, A. S. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822201-0.00005-8 · Cited by 5 · see citing works
Self-citationMental health and violence against women in Afghanistan, India and Sri Lanka: a situation analysis
Quinlan-Davidson, M., Ahmad, A., Asher, L., Bhatia, U., Daruwalla, N., Devakumar, D., Nadkarni, A., Palfreyman, A., Saboor, L., Samanmalee, T. R., et al. (2025) · Global Health Research · doi:10.3310/gdom7555 · Cited by 4 · see citing works
Intra-household Variation in Pathways to Care for Epilepsy and Mental Disorders in Eastern Uganda
Sarkar, N. D. P., Bardají, A., Baingana, F. K., Ribera, J. M., Criel, B., Bunders, J., & Grietens, K. P. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.583667 · Cited by 4 · see citing works
Living with psychosis in West and Southeast Africa: SUCCEED Africa’s four-country situation analysis
Omobowale, O. C., Greenley, R., Ryan, G. K., Ogunmola, O. A., Dzapasi, L., Jimmy, A. I., Sefasi, A., Olusanmi, M., Esliker, R., Koroma, A., et al. (2024) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.122 · Cited by 4 · see citing works
“Even where human rights or equity are considered (Abdulmalik et al., 2016; Esan et al., 2014; Hailemariam et al., 2016 Mugisha et al., 2017), people with lived experience of mental health conditions have not been involved in the design or conduct of the analysis – as is often the case in global…”
Ishtiaq, H., Batool, T. E., Mamoon, B., Majeed, A. I., Atta, M., Atta, A., & Masood, S. (2025) · Cureus · doi:10.7759/cureus.83486 · Cited by 3 · see citing works
“The problem is made worse by the fact that mental health services are not properly integrated into basic healthcare, which causes treatments to be delayed or not done at all [8].”
Thakkar, S., & Oh, H. (2025) · The International Journal of Aging and Human Development · doi:10.1177/00914150251382813 · Cited by 3 · see citing works
“They also fail to incorporate universal screening and equitable access for the prevention and management of non-communicable diseases (NCDs), limiting their effectiveness in addressing the complex health needs of older adults (Arokiasamy et al., 2022; Mugisha et al., 2017).”
Mokwena, K. E., & Mokwena, V. A. (2022) · IntechOpen eBooks · doi:10.5772/intechopen.99781 · Cited by 3 · see citing works
Greene, M. C., Getz, M., Streicker, E., Thind, P., Tayama, E., Lafto, K. M., Ayele, N. W., Worku, T. A., Carson, R., d’Andon, C. F., et al. (2023) · Current Psychiatry Research and Reviews · doi:10.2174/2666082219666230619143922 · Cited by 3 · see citing works
Vancampfort, D., Mugisha, J., & Damme, T. V. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.07.090 · Cited by 3 · see citing works
Self-citationVancampfort, D., Probst, M., Rosenbaum, S., Ward, P. B., Damme, T. V., & Mugisha, J. (2018) · Community Mental Health Journal · doi:10.1007/s10597-018-0353-6 · Cited by 3 · see citing works
Self-citationChen, Y., Li, X., Zhong, Y., Li, Q., Su, X., & Sun, L. (2024) · International Journal of Mental Health and Addiction · doi:10.1007/s11469-024-01331-y · Cited by 3 · see citing works
“Many countries invest only a marginal portion of their health budget into mental health (Mugisha et al., 2017).”
InfluentialDwanyen, L., Luberenga, I., Asiimwe, R., Galukande, P., Blow, A. J., & Kasujja, R. (2024) · PLOS mental health. · doi:10.1371/journal.pmen.0000077 · Cited by 3 · see citing works
Hilty, D. M., Ahuja, S., Naslund, J. A., & Crawford, A. S. (2022) · Springer eBooks · doi:10.1007/978-3-031-11984-2_7 · Cited by 2 · see citing works
Self-citationBashir, A., Bilal Ahmed, K. H. A. N., Triptish Bhatia, A., Shoib, S., Ali, I., Bashir, U., KHURSHEED, S., MCDONALD, M., Hawk, M. E., & DESHPANDE, S. (2023) · Revista de Cercetare si Interventie Sociala · doi:10.33788/rcis.80.1 · Cited by 2 · see citing works
Sociocultural Aspects of Health Promotion in Palliative Care in Uganda
Mugisha, J. (2021) · Springer eBooks · doi:10.1007/978-3-030-63135-2_21 · Cited by 2 · see citing works
Self-citationMwesiga, E. K., Akena, D. H., Koen, N., Senono, R., Obuku, E. A., Gumikiriza, J. L., Robbins Reuben, N., Nakasujja, N., & Stein, D. J. (2020) · doi:10.31234/osf.io/9vrmf · Cited by 2 · see citing works
Tsehay, M., Kelkile, T. S., Fekadu, W., Cohen, A., Misganaw, E., & Hanlon, C. (2024) · medRxiv · doi:10.1101/2024.01.16.24301385 · Cited by 2 · see citing works
Self-citationHeunis, C., & Kigozi, G. (2024) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph21111528 · Cited by 1 · see citing works
Heunis, C., Kigozi, G., Maeko, M., & van Jaarsveldt, D. E. (2025) · BMC Nursing · doi:10.1186/s12912-025-03606-8 · Cited by 3 · see citing works
Mental Health Training for Community Health Workers in Cancer Care: A Narrative Review
Ramirez-Ruiz, M., Díaz-Rodríguez, J., Torres‐Blasco, N., et al. (2025) · Healthcare · doi:10.3390/healthcare13192500 · Cited by 1 · see citing works
“A critical factor contributing to the mental health treatment gap is the shortage of trained mental health providers [8].”
Dowrick, C. F., Ales, M. W., Al-Khathami, A. D., Andoko, D., Ariba, A. J., Kassai, R., Lam, C. L. K., Lionis, C. D., Mugambi, J., Randenikumara, S., et al. (2025) · Frontiers in Medicine · doi:10.3389/fmed.2025.1679133 · Cited by 1 · see citing works
Ganafa, S. (2024) · Social Work in Mental Health · doi:10.1080/15332985.2024.2320915 · Cited by 1 · see citing works
“Mental, Neurological and Substance use disorders (MNS) contribute to a significant proportion of the world’s disease burden, largely in low and middle-income countries (Boerema et al., 2016; Mugisha et al., 2017; Rathod et al., 2017).”
BackgroundAddressing the Gap: The Importance of Mental Health Legislation and Policy
Kotwal, S. (2022) · Interdisciplinary Studies in Society, Law, and Politics · doi:10.61838/kman.isslp.1.2.1 · Cited by 1 · see citing works
Psychiatry in General Practice
Hersevoort, S. B., & McCarron, R. M. (2019) · Mental health and illness worldwide · doi:10.1007/978-981-10-2350-7_27 · Cited by 1 · see citing works
Psychiatry in General Practice
Hersevoort, S. B., & McCarron, R. M. (2018) · Mental health and illness worldwide · doi:10.1007/978-981-10-0866-5_27-1
Strengthening mental health systems in fragile setting
Upadhaya, N. (2020) · doi:10.33540/26 · Cited by 1 · see citing works
Self-citationBaphumelele, C. W., & Mhlongo, E. M. (2021) · Journal of Healthcare · doi:10.36959/569/466
“Mental disorders pose a great global challenge that has led to an increase in interest by all the stakeholders involved around the globe to develop and evaluate policies that will enable countries to boost their capacity to tackle mental disorders [2,23-25].”
BackgroundCollaborative care for mental health in South Africa: a systematic review
Truter, Z. M. (2020)
Community-Based Mental Health Services in India: Current Status and Roadmap for the Future
Hans, G., & Sharan, P. (2021) · Consortium Psychiatricum · doi:10.17816/cp92-77
Anxiety Management in Developing Countries
Akel, M., Fahs, I., Safwan, J., Hajj, A., & Sacre, H. (2023) · Springer eBooks · doi:10.1007/978-3-030-74786-2_41-1
Sari, D. N., Safrudin, S., Mardeyanti, M., Karningsih, K., & Yulfitria, F. (2023) · Jurnal Aisyah Jurnal Ilmu Kesehatan · doi:10.30604/jika.v8i3.303
“Antenatal care in these countries has focused on the physical and mental health of pregnant women (ACOG, 2018), (Mugisha, et al., 2017).”
BackgroundDwanyen, L., Luberenga, I., Asiimwe, R., Galukande, P., Blow, A. J., & Kasujja, R. (2024) · Research Square · doi:10.21203/rs.3.rs-4114227/v1
Essien, E. A., Mahmood, M. Y., Adiukwu, F. N., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.25.pr2
Essien, E. A., Mahmood, M. Y., Adiukwu, F. N., et al. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.25.pr3
Essien, E. A., Mahmood, M. Y., Adiukwu, F. N., et al. (2024) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.25.pr5
da Costa, M. P. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.25.pr1
da Costa, M. P. (2024) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.25.pr4
Essien, E. A., Mahmood, M. Y., Adiukwu, F. N., et al. (2024) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.25.pr6
Vagiri, R. V., Leboho, P. E., Desry, L. K., Khutso, M., & Pfunzo, M. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0002855
Vancampfort, D., Mugisha, J., Rosenbaum, S., & Damme, T. V. (2024) · Pan African Medical Journal · doi:10.11604/pamj.2024.48.160.39919
“Our study suggests that it could also be a valuable approach in a resource and time-limited primary health care context and can be delivered by lay health workers in poor communities as a vital add-on strategy to increase access to mental health care [40].”
Self-citationHilty, D. M., Ahuja, S., Naslund, J. A., Crawford, A. S., & Sartorius, N. (2024) · Springer eBooks · doi:10.1007/978-3-031-59936-1_3
Self-citationSupporting Informal Caregivers of Persons with Mental Disorders in Sub-Saharan Africa
Silaule, O., & Casteleijn, D. (2025) · Springer eBooks · doi:10.1007/978-3-031-65179-3_12
A Multifaceted Student Activity Recognition Framework from Video Surveillance Cameras
Anitha, S., Jasmine, R. A., Kavitha, J., Sharmila, L., Roselinkiruba, R., & Sowmyayani, S. (2024) · International BIT Conference (BITCON) · doi:10.1109/bitcon63716.2024.10984786
“A serious lack of mental health professionals is one cause of this treatment gap [3].”
Asher, L., Rapiya, B., Repper, J., Reddy, T., MYERS, B. J., Hanlon, C., Petersen, I., & Brooke‐Sumner, C. (2023) · Figshare · doi:10.6084/m9.figshare.22615595
Self-citationBrown, S. M., & Sprague, C. (2021) · Figshare · doi:10.6084/m9.figshare.16841153
Tsehay, M., Kelkile, T. S., Fekadu, W., Cohen, A., Misganaw, E., & Hanlon, C. (2026) · PLoS ONE · doi:10.1371/journal.pone.0297891 · Cited by 2 · see citing works
Self-citationPsychological Assessment in Humanitarian Conditions
Badri, A., & Kagee, A. (2026) · Springer eBooks · doi:10.1007/978-981-95-5871-1_17 · Cited by 1 · see citing works
Sangwan, R. K., Roy, C., Kansara, D., Jadhav, S., Khetan, M., Huda, R. K., Dahiya, N., Dhikav, V., Aggarwal, S., Yadav, B., et al. (2026) · Research Square · doi:10.21203/rs.3.rs-9522077/v1
Beukes, J., Theron, N., Patron, D., & Besharati, S. N. (2026) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2026.101094
- Authors
- Mugisha, J., Abdulmalik, J., Hanlon, C., Petersen, I., Lund, C., Upadhaya, N., Ahuja, S., Shidhaye, R., Mntambo, N., Alem, A., Gureje, O., & Kigozi, F.
- Affiliations
- Stellenbosch University (ZA)
- University of Ibadan (NG)
- King's College London (GB)
- University of KwaZulu-Natal (ZA)
- University of Cape Town (ZA)
- Public Health Foundation of India (IN)
- Addis Ababa University (ET)
- Butabika Hospital (UG)
- Corresponding author
- Mugisha, James
- ORCID
- Venue
- International Journal of Mental Health Systems
- Published
- 2017-01-05
- Volume
- 11
- Issue
- 1
- Pages
- 7-7
- ISSN
- 1752-4458 (ISSN-L)
- PMC
- PMC5217325
- OpenAlex
- W2569231151
- Semantic Scholar
- 56d192ae207979ff8f7c711d872b77a981c2517d
- Cited by
- 103
- References
- 14
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 17 · 2023: 11 · 2022: 6 · 2021: 17 · 2020: 11 · 2019: 15 · 2018: 5 · 2017: 5
- FWCI
- 14.09
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Mental Health Systems (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Edinburgh Research Explorer (University of Edinburgh) (publishedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Open University of Cape Town (University of Cape Town) (submittedVersion)
- SUNScholar (Stellenbosch University) (submittedVersion)
- Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
- Funders
- European Union´s Seventh Framework Programme (no305968)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Keywords
- mental health integration, primary care, mental health system, mental health law, health budget, monitoring and evaluation, low- and middle-income countries
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