Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal.

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Abstract

Mental illnesses are the largest contributors to the global burden of non-communicable diseases. However, there is extremely limited access to high quality, culturally-sensitive, and contextually-appropriate mental healthcare services. This situation persists despite the availability of interventions with proven efficacy to improve patient outcomes. A partnerships network is necessary for successful program adaptation and implementation.

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Most cited references 24

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The metrics of the physician brain drain.

Fitzhugh Mullan (2005)

There has been substantial immigration of physicians to developed countries, much of it coming from lower-income countries. Although the recipient nations and the immigrating physicians benefit from this migration, less developed countries lose important health capabilities as a result of the loss of physicians. Data on the countries of origin, based on countries of medical education, of international medical graduates practicing in the United States, the United Kingdom, Canada, and Australia were obtained from sources in the respective countries and analyzed separately and in aggregate. With the use of World Health Organization data, I computed an emigration factor for the countries of origin of the immigrant physicians to provide a relative measure of the number of physicians lost by emigration. International medical graduates constitute between 23 and 28 percent of physicians in the United States, the United Kingdom, Canada, and Australia, and lower-income countries supply between 40 and 75 percent of these international medical graduates. India, the Philippines, and Pakistan are the leading sources of international medical graduates. The United Kingdom, Canada, and Australia draw a substantial number of physicians from South Africa, and the United States draws very heavily from the Philippines. Nine of the 20 countries with the highest emigration factors are in sub-Saharan Africa or the Caribbean. Reliance on international medical graduates in the United States, the United Kingdom, Canada, and Australia is reducing the supply of physicians in many lower-income countries. Copyright 2005 Massachusetts Medical Society.

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Preventing suicide: a global imperative

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Mental health and the global agenda.

Anne E Becker, Arthur Kleinman (2013)

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Author and article information

Journal

Journal ID (iso-abbrev): Global Health

Title: Globalization and health

Publisher: Springer Nature

ISSN (Electronic): 1744-8603

ISSN (Print): 1744-8603

Publication date (Electronic): Jan 13 2017

Volume: 13

Issue: 1

Affiliations

[1 ] Bayalpata Hospital, Possible, Sanfebagar-10, Achham, Nepal. Bibhav.Acharya@ucsf.edu.

[2 ] Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, Langley Porter, San Francisco, CA, 94143, USA. Bibhav.Acharya@ucsf.edu.

[3 ] Shared Minds, Boston, MA, USA. Bibhav.Acharya@ucsf.edu.

[4 ] Bayalpata Hospital, Possible, Sanfebagar-10, Achham, Nepal.

[5 ] Department of Medicine, Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA, USA.

[6 ] Department of Medicine, Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.

[7 ] Department of Medicine, Harvard Medical School, Boston, MA, USA.

[8 ] Department of Medicine, Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.

[9 ] Department of Anthropology, University of Washington, Seattle, WA, USA.

[10 ] Department of Global Health, University of Washington, Seattle, WA, USA.

[11 ] Henry M. Jackson School of International Studies, University of Washington, Seattle, WA, USA.

[12 ] Shared Minds, Boston, MA, USA.

[13 ] Department of Psychiatry, University of Minnesota, Minneapolis, MN, USA.

[14 ] Faculty of Medicine, Department of Psychiatry, B.P. Koirala Institute of Health Sciences, Dharan, Sunsari, Nepal.

[15 ] Psychiatric Department, Kathmandu Medical College, Kathmandu, Nepal.

[16 ] Research Department, Transcultural Psychosocial Organization Nepal, Kathmandu, Nepal.

[17 ] Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.

[18 ] Global Health Institute, Duke University, Durham, NC, USA.

[19 ] Department of Cultural Anthropology, Duke University, Durham, NC, USA.

[20 ] Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, Langley Porter, San Francisco, CA, 94143, USA.

[21 ] Policy Planning & International Cooperation Division, Ministry of Health, Kathmandu, Nepal.

[22 ] Department of Medicine, University of California, San Francisco, San Francisco, CA, USA.

Article

Publisher Item ID: 10.1186/s12992-016-0226-0

DOI: 10.1186/s12992-016-0226-0

PMC ID: 5237195

PubMed ID: 28086925

SO-VID: c801b5a4-50e4-4279-9e2d-9d9488a0058b

History

Keywords: Global health,Low— and middle-income countries,Mental health,Nepal,Partnerships

Data availability:

Keywords: Global health, Low— and middle-income countries, Mental health, Nepal, Partnerships

Partnerships in mental healthcare service delivery in low-resource settings: developing an innovative network in rural Nepal.

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Abstract

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Stigmatisation of mental illnesses

Most cited references 24

The metrics of the physician brain drain.

Preventing suicide: a global imperative

Mental health and the global agenda.

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Journal

Affiliations

Article

History

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