Health system facilitators and barriers to the integration of mental health services into primary care in the Democratic Republic of the Congo: a multimethod study DOI Creative Commons
Erick Mukala Mayoyo, Faustin Chenge,

Abdoulaye Sow

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 28, 2024

Abstract Background The integration of mental health into primary care—i.e., the process by which a range essential care and services are made available in existing multipurpose settings that did not previously provide them—can be facilitated or hindered several system factors still poorly understood. This study aimed to identify facilitators barriers Democratic Republic Congo (DRC) improve success rate programs. Methods We conducted multimethod, cross-sectional exploratory study. Stakeholders from sixteen twenty-six provinces DRC participated. collected qualitative data through 31 individual, semistructured, face-to-face key informant interviews. then quantitative population-based survey 413 respondents. analyzed interviews via thematic analysis, assigning verbatims predefined themes subthemes. For responses, we performed descriptive analysis followed binomial logistic regression explore associations between variables interest. Results Strong leadership commitment, positive attitudes toward care, availability protocols, dedicated spaces, task sharing ( p < 0.001), sufficient numbers providers (PCPs) 0.001) were identified as successful integration. However, mainly related poor understanding what is it not, well functionality performance facilities. In addition, stigma, low prioritization health, lack referents, professionals’ instability, reporting tools, standardized national guidelines for funding shortage specialists coach PCPs psychotropic medications Conclusion Improving before integrating would beneficial greater success. addressing barriers, such health-related requires multistakeholder action across all building blocks system.

Language: Английский

Health system facilitators and barriers to the integration of mental health services into primary care in the Democratic Republic of the Congo: a multimethod study DOI Creative Commons
Erick Mukala Mayoyo, Faustin Chenge,

Abdoulaye Sow

et al.

BMC Primary Care, Journal Year: 2024, Volume and Issue: 25(1)

Published: June 13, 2024

Abstract Background The integration of mental health into primary care—i.e., the process by which a range essential care and services are made available in existing multipurpose settings that did not previously provide them—can be facilitated or hindered several system factors still poorly understood. This study aimed to identify facilitators barriers Democratic Republic Congo (DRC) improve success rate programs. Methods We conducted multimethod, cross-sectional exploratory study. Stakeholders (managers, service providers, users, etc.) from sixteen twenty-six provinces DRC participated. collected qualitative data through 31 individual, semistructured, face-to-face key informant interviews. then quantitative population-based survey 413 respondents. analyzed interviews via thematic analysis, assigning verbatims predefined themes subthemes. For responses, we performed descriptive analysis followed binomial logistic regression explore associations between variables interest. Results Strong leadership commitment, positive attitudes toward care, availability protocols, task sharing ( p < 0.001), sufficient numbers providers (PCPs) 0.001) were identified as successful integration. However, mainly related poor understanding what is it not, well functionality performance facilities. In addition, stigma, low prioritization health, lack referents, retention trained professionals, reporting tools, standardized national guidelines for funding shortage specialists coach PCPs psychotropic medications Conclusion Improving before integrating would beneficial greater success. addressing barriers, such health-related requires multistakeholder action across all building blocks system.

Language: Английский

Citations

1
Health system facilitators and barriers to the integration of mental health services into primary care in the Democratic Republic of the Congo: a multimethod study DOI Creative Commons
Erick Mukala Mayoyo, Faustin Chenge,

Abdoulaye Sow

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 28, 2024

Abstract Background The integration of mental health into primary care—i.e., the process by which a range essential care and services are made available in existing multipurpose settings that did not previously provide them—can be facilitated or hindered several system factors still poorly understood. This study aimed to identify facilitators barriers Democratic Republic Congo (DRC) improve success rate programs. Methods We conducted multimethod, cross-sectional exploratory study. Stakeholders from sixteen twenty-six provinces DRC participated. collected qualitative data through 31 individual, semistructured, face-to-face key informant interviews. then quantitative population-based survey 413 respondents. analyzed interviews via thematic analysis, assigning verbatims predefined themes subthemes. For responses, we performed descriptive analysis followed binomial logistic regression explore associations between variables interest. Results Strong leadership commitment, positive attitudes toward care, availability protocols, dedicated spaces, task sharing ( p < 0.001), sufficient numbers providers (PCPs) 0.001) were identified as successful integration. However, mainly related poor understanding what is it not, well functionality performance facilities. In addition, stigma, low prioritization health, lack referents, professionals’ instability, reporting tools, standardized national guidelines for funding shortage specialists coach PCPs psychotropic medications Conclusion Improving before integrating would beneficial greater success. addressing barriers, such health-related requires multistakeholder action across all building blocks system.

Language: Английский

Citations

0