Stakeholder analysis of the Programme for Improving Mental health carE (PRIME): baseline findings

International Journal of Mental Health Systems

Crick Lund⁶  Joshua Ssebunya²  Tasneem Kathree³  Nagendra Luitel¹  Vaibhav Murhar⁵  Abebaw Fekadu⁴  Amit Makan⁶ 

[1] Transcultural Psychosocial Organization Nepal, Baluwatar, Kathmandu GPO, Nepal;Butabika National Mental Hospital, Kampala, Uganda;School of Psychology, University of KwaZulu-Natal, Howard College Campus, Durban 4000, South Africa;Department of Psychological Medicine, King’s College London, Institute of Psychiatry, Centre for Affective Disorders and Affective Disorders Research Group, London, UK;Public Health Foundation of India, Sangath House, House Number 6, Rishi Nagar, Char Imli, Bhopal 462016, Madhya Pradesh, India;Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town, 46 Sawkins Road, Rondebosch 7700, Cape Town, South Africa

关键词: Mental health;    Research uptake;    Knowledge translation;    Health policy and systems research;    Stakeholder analysis;   

Others  :  1218355
DOI  :  10.1186/s13033-015-0020-z

 received in 2015-01-30, accepted in 2015-06-26,  发布年份 2015

【 摘 要 】

Background

The knowledge generated from evidence-based interventions in mental health systems research is seldom translated into policy and practice in low and middle-income countries (LMIC). Stakeholder analysis is a potentially useful tool in health policy and systems research to improve understanding of policy stakeholders and increase the likelihood of knowledge translation into policy and practice. The aim of this study was to conduct stakeholder analyses in the five countries participating in the Programme for Improving Mental health carE (PRIME); evaluate a template used for cross-country comparison of stakeholder analyses; and assess the utility of stakeholder analysis for future use in mental health policy and systems research in LMIC.

Methods

Using an adapted stakeholder analysis instrument, PRIME country teams in Ethiopia, India, Nepal, South Africa and Uganda identified and characterised stakeholders in relation to the proposed action: scaling-up mental health services. Qualitative content analysis was conducted for stakeholder groups across countries, and a force field analysis was applied to the data.

Results

Stakeholder analysis of PRIME has identified policy makers (WHO, Ministries of Health, non-health sector Ministries and Parliament), donors (DFID UK, DFID country offices and other donor agencies), mental health specialists, the media (national and district) and universities as the most powerful, and most supportive actors for scaling up mental health care in the respective PRIME countries. Force field analysis provided a means of evaluating cross-country stakeholder power and positions, particularly for prioritising potential stakeholder engagement in the programme.

Conclusion

Stakeholder analysis has been helpful as a research uptake management tool to identify targeted and acceptable strategies for stimulating the demand for research amongst knowledge users, including policymakers and practitioners. Implementing these strategies amongst stakeholders at a country level will hopefully reduce the knowledge gap between research and policy, and improve health system outcomes for the programme.

【 授权许可】

   
2015 Makan et al.

【 图 表 】

Figure1.

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