Int J Ment Health Syst
 2017
DOI: 10.1186/s13033-017-0144-4
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Health system governance to support scale up of mental health care in Ethiopia: a qualitative study

Charlotte Hanlon
1
,
Tigist Eshetu
2
,
Daniel Alemayehu
3
et al.

Abstract: BackgroundEthiopia is embarking upon a ground-breaking plan to address the high levels of unmet need for mental health care by scaling up mental health care integrated within primary care. Health system governance is expected to impact critically upon the success or otherwise of this important initiative. The objective of the study was to explore the barriers, facilitators and potential strategies to promote good health system governance in relation to scale-up of mental health care in Ethiopia.MethodsA qualit… Show more

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Cited by 69 publications

(91 citation statements)
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“…Subsequently, the long travel distance and lack of transport to support these families create geographical barriers to mental health service utilisation for service users. This finding confirms the similar trend of transportation- and geographical proximity-related barriers in other LMICs [ 7 , 9 ]. Accordingly, these constraints to accessing mental health services constitute one of the major contributing factors to the high unmet needs of mental health services for service users in Ghana.…”
Section: Discussionsupporting
confidence: 89%
“…In fact, this challenge makes it difficult to practically integrate mental health services into the general health service. The evidence is comparable to similar characteristics of mental health systems in LMICs [ 7 , 9 ].…”
Section: Discussionsupporting
confidence: 78%
See 1 more Smart Citation
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
show abstract
“…Subsequently, the long travel distance and lack of transport to support these families create geographical barriers to mental health service utilisation for service users. This finding confirms the similar trend of transportation- and geographical proximity-related barriers in other LMICs [ 7 , 9 ]. Accordingly, these constraints to accessing mental health services constitute one of the major contributing factors to the high unmet needs of mental health services for service users in Ghana.…”
Section: Discussionsupporting
confidence: 89%
“…In fact, this challenge makes it difficult to practically integrate mental health services into the general health service. The evidence is comparable to similar characteristics of mental health systems in LMICs [ 7 , 9 ].…”
Section: Discussionsupporting
confidence: 78%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
show abstract
“…Importantly, the complexities and different facets of power dynamics that underwrite attempts towards integrated mental health care are showcased, adding to growing literature on the social mechanisms that influence collaboration. The study confirms and expands on previous studies of the crucial role of health system governance in South African settings, and, importantly, illuminates the role of power in integration and fragmentation of mental health services …”
Section: Resultssupporting
confidence: 84%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
show abstract
“…The mental health systems in Ghana have historically faced the challenge of the weak supply of equipment and logistics (20,29). This situation is consistent with the nding of previous studies that the health systems in most LMICs have limited priority for mental illness, which subsequently leads to limited policy, legislation, and regulation to back the supply of modern equipment and logistics that could enhance service delivery (31,32,33).…”
Section: Discussionsupporting
confidence: 77%
Exaggerated anticipatory anxiety is common in social anxiety disorder (SAD). Neuroimaging studies have revealed altered neural activity in response to social stimuli in SAD, but fewer studies have examined neural activity during anticipation of feared social stimuli in SAD. The current study examined the time course and magnitude of activity in threat processing brain regions during speech anticipation in socially anxious individuals and healthy controls (HC). Method Participants (SAD n = 58; HC n = 16) underwent functional magnetic resonance imaging (fMRI) during which they completed a 90s control anticipation task and 90s speech anticipation task.
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