ORCID Profile
0000-0003-2219-0952
Current Organisations
Cardiff University
,
Postgraduate Medical Education and Training Board
,
Addis Ababa University
,
Royal College of Psychiatrists
,
Umea University
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Publications
Development of a scalable mental healthcare plan for a rural district in Ethiopia
Publisher: Royal College of Psychiatrists
Date: 2016
DOI: 10.1192/BJP.BP.114.153676
Abstract: Developing evidence for the implementation and scaling up of mental healthcare in low- and middle-income countries (LMIC) like Ethiopia is an urgent priority. To outline a mental healthcare plan (MHCP), as a scalable template for the implementation of mental healthcare in rural Ethiopia. A mixed methods approach was used to develop the MHCP for the three levels of the district health system (community, health facility and healthcare organisation). The community packages were community case detection, community reintegration and community inclusion. The facility packages included capacity building, decision support and staff well-being. Organisational packages were programme management, supervision and sustainability. The MHCP focused on improving demand and access at the community level, inclusive care at the facility level and sustainability at the organisation level. The MHCP represented an essential framework for the provision of integrated care and may be a useful template for similar LMIC.
Planning and evaluating mental health services in low- and middle-income countries using theory of change
Publisher: Royal College of Psychiatrists
Date: 2016
DOI: 10.1192/BJP.BP.114.153841
Abstract: There is little practical guidance on how contextually relevant mental healthcare plans (MHCPs) can be developed in low-resource settings. To describe how theory of change (ToC) was used to plan the development and evaluation of MHCPs as part of the PRogramme for Improving Mental health carE (PRIME). ToC development occurred in three stages: (a) development of a cross-country ToC by 15 PRIME consortium members (b) development of country-specific ToCs in 13 workshops with a median of 15 (interquartile range 13–22) stakeholders per workshop and (c) review and refinement of the cross-country ToC by 18 PRIME consortium members. One cross-country and five district ToCs were developed that outlined the steps required to improve outcomes for people with mental disorders in PRIME districts. ToC is a valuable participatory method that can be used to develop MHCPs and plan their evaluation.
Population level mental distress in rural Ethiopia
Publisher: Springer Science and Business Media LLC
Date: 07-07-2014
Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys
Publisher: Public Library of Science (PLoS)
Date: 15-09-2016
Validity of brief screening questionnaires to detect depression in primary care in Ethiopia
Publisher: Elsevier BV
Date: 11-2015
DOI: 10.1016/J.JAD.2015.07.015
Abstract: Brief depression screening questionnaires may increase detection of depression in primary care settings but there have been few validation studies carried out in typical populations in low-income countries. Cultural validation of the Patient Health Questionnaire (PHQ-9/PHQ-2), the 20-item Self-Reporting Questionnaire (SRQ-20) and the Kessler scales (K6/K10) was carried out in 306 adults consecutively attending primary care facilities in small towns in Ethiopia. To assess criterion validity, the gold standard assessment for presence of Major Depressive Disorder (MDD) was made by Ethiopian psychiatric nurses using the Mini International Neuropsychiatric Interview. The prevalence of gold standard MDD was 5.9%, with irritability more common than depressed mood or anhedonia. The area under the receiver operating characteristic curve indicated good performance of the PHQ-9, SRQ-20, K6 and K10 (0.83-0.85) but only fair for the PHQ-2 (0.78). No cut-off score had acceptable sensitivity combined with adequate positive predictive value. All screening questionnaires were associated with disability and the PHQ-9 and SRQ-20 were associated with higher health service contacts, indicating convergent validity. Construct validity of all scales was indicated by unidimensionality on exploratory factor analysis. Test-retest reliability was not assessed. Brief depression screening questionnaires were found to be valid in primary care in this low-income country. However, these questionnaires do not have immediate applicability in routine clinical settings. Further studies should evaluate utility of indicated screening embedded within health system changes that support MDD detection. Investigation of irritability as a core depression symptom is warranted.
Prevalence and Associated Factors of Antenatal Depression among Women Attending Antenatal Care Service at Gondar University Hospital, Northwest Ethiopia
Publisher: Public Library of Science (PLoS)
Date: 06-05-2016
Non-fatal suicidal behaviour in rural Ethiopia: a cross-sectional facility- and population-based study
Publisher: Springer Science and Business Media LLC
Date: 22-03-2016
Evaluation of district mental healthcare plans: The PRIME consortium methodology
Publisher: Royal College of Psychiatrists
Date: 2016
DOI: 10.1192/BJP.BP.114.153858
Abstract: Few studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings. To describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda. Multidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change. The following designs are employed to evaluate the MHCPs: (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage (b) repeat facility-based surveys to assess change in detection of disorders (c) disorder-specific cohorts to assess the effect on patient outcomes and (d) multilevel case studies to evaluate the process of implementation. To evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across erse settings.
Developing a mental health care plan in a low resource setting: the theory of change approach
Publisher: Springer Science and Business Media LLC
Date: 06-2015
Challenges and Opportunities for Implementing Integrated Mental Health Care: A District Level Situation Analysis from Five Low- and Middle-Income Countries
Publisher: Public Library of Science (PLoS)
Date: 18-02-2014
PRIME: A Programme to Reduce the Treatment Gap for Mental Disorders in Five Low- and Middle-Income Countries
Publisher: Public Library of Science (PLoS)
Date: 27-12-2012
Partnerships in a Global Mental Health Research Programme—the Example of PRIME
Publisher: Springer Science and Business Media LLC
Date: 12-10-2018
Using workshops to develop theories of change in five low and middle income countries: lessons from the programme for improving mental health care (PRIME)
Publisher: Springer Science and Business Media LLC
Date: 30-04-2014
Related Organisations
Cardiff University
Location: United Kingdom of Great Britain and Northern Ireland
Postgraduate Medical Education And Training Board
Location: United Kingdom of Great Britain and Northern Ireland
Royal College Of Psychiatrists
Location: United Kingdom of Great Britain and Northern Ireland
University Of London
Location: United Kingdom of Great Britain and Northern Ireland
Related Funding Activities
No related grants have been discovered for Abebaw Fekadu Wassie.