02919nas a2200409 4500000000100000008004100001260004400042653001800086653002600104653001000130653001400140100001300154700001400167700001000181700001400191700001300205700001400218700001400232700001400246700001300260700001300273700001200286700001000298700001300308700001200321700001200333700001300345700001100358700002200369700001200391700001700403245015600420856007300576490000700649520183900656022001402495 2020 d bSpringer Science and Business Media LLC 10 aMental Health 10 aMental health systems 10 aIndia 10 aFramework 1 aArvind B 1 aGururaj G 1 aRao G 1 aPradeep B 1 aMathew V 1 aBenegal V 1 aGautham M 1 aSenthil A 1 aKokane A 1 aChavan B 1 aDalal P 1 aRam D 1 aPathak K 1 aLenin S 1 aSingh L 1 aSharma P 1 aSaha P 1 aRamasubramaniam C 1 aMehta R 1 aShibukumar T 00 aFramework and approach for measuring performance and progress of mental health systems and services in India: National Mental Health Survey 2015–2016 uhttps://ijmhs.biomedcentral.com/track/pdf/10.1186/s13033-020-00349-8 0 v14 3 aBackground
Previous attempts of Mental Health Systems Assessment in India were restricted in scope and scale. Information on all aspects of mental health systems (leadership/governance, legislation, financing, service delivery, workforce, access to essential medicines, information systems, intersectoral activities, and monitoring and evaluation) was scarcely available. The National Mental Health Survey-Mental Health Systems Assessment (NMHS-MHSA), a unique endeavor, assessed the performance of mental health systems and services through health systems assessment framework. The present paper discusses the design and methodology adopted under NMHS-MHSA along with emphasizing its implication for India and other LMICs.
Methods
NMHS-MHSA was undertaken in 12 Indian states by contextually adapting WHO-AIMS instrument. Data was collated from several secondary sources including interviews of key stakeholders. Utilizing the data a set of 15-quantitative, 5-morbidity and 10-qualitative indicators were developed to summarize the functional status of mental health systems in the surveyed states. This information was authenticated through state level stakeholder’s consultation and consensus building workshops following which a state mental health systems report card with indicators was developed.
Conclusion
The process and robust method of data compilation enabled NMHS-MHSA to be a reliable and comprehensive method for assessing mental health systems at the state level. It’s envisaged that the assessment provides requisite impetus for strengthening mental health program and mental health systems in India. Being less resource intensive, low -and middle- income countries can adopt NMHS-MHSA tool and methodology to assess their mental health systems with contextual modifications. a1752-4458