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Effective methods for knowledge transfer to strengthen mental health systems in low- and middle-income countries

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posted on 2023-06-07, 06:37 authored by Jose L Ayuso-Mateos, Maria Miret, Pilar Lopez-Garcia, Atalay Alem, Dan Chisholm, Oye Gureje, Charlotte Hanlon, Mark Jordans, Fred Kigozi, Inge Petersen, Maya SemrauMaya Semrau, Rahul Shidhaye, Graham Thornicroft
To address the important issue of improving outcomes of people with mental health disor-ders in low and middle-income countries (LMICs), the EMERALD program (“Emerging mental health systems in LMICs)” has focused on how to strengthen mental health sys-tems in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, and Uganda). This was done by generating evidence and capacity to enhance health system performance in deliv-ering mental health care. This important goal was pursued through a collaborative ap-proach to implementing changes in mental health services and policies following four key elements: 1) involving relevant stake-holders like policy planners, services users and car-ers; 2) generating evidence for local implementation of policies; 3) capacity-building initi-atives; and 4) a targeted communication and dissemination strategy for the project’s re-search activities and results. Over five years of collaboration, the experience collected by Emerald may serve to facili-tate knowledge transfer from other research projects in other contexts and countries. The early involvement of policy planners, service users, and carers was a key element in the local dissemination of the project´s goals and findings. It was also key in the early adop-tion of the care models proposed by the project at the local level. This approach may be valid beyond the mental health context, and may be effective for any initiative that aims at implementing evidence-based health policies for health system strengthening.


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British Journal of Psychiatry




Cambridge University Press





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  • Global Health and Infection Publications

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  • Wellcome Trust Brighton and Sussex Centre for Global Health Research Publications

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