1. Access to Healthcare by People Diagnosed with Mental Disorders in Uganda
John Nelson Opio; Edoardo Aromataris; Catalin Tufanaru
1-3 The Joanna Briggs Institute, Faculty of Health Science, The University of Adelaide, SA 5005.
Methods
This is a four phase study involving systematic reviews, that will inform the 3 field phases (experiential exploration, piloting community/hospital approach and monitoring/evaluating).
Phase 1: Systematic review to using JBI software:
Criteria for considering paper to review
P: The studies conducted in on pop: diagnosed with mental disorders in Sub-Sahara Africa,
Ph: Access to mental health care
O: Report on one or more of this: mental health services access, experience of mental disorders patient or their family, mental health services providers and decision makers
 Search methods for identification of studies
Key words (Mental disorders, access to mental health services, general hospital, mental health patients experience of healthcare, caregiver perspectives of mental health services, Sub-Sahara Africa)
to search for titles and abstract of published studies and unpublished (grey literature) sources: PubMed, Embase, other Journal and government services program evaluation document 
Data collection and analysis
Two reviewers will screen the title and abstract to identify studies that meet the inclusion criteria, check the reliability, validity/trustworthiness of the study or identify addition inclusion criteria
Data Extract and Management
Selected studies will be summaries using JBI SUMARI. Use standard data extraction forms that summaries author, background description; the interventions, participants, settings and outcomes; the key findings.
Data synthesis
Will use JBI SUMARI format, summaries the studies search strategies, summary of included studies, summary of key findings
Background and Significance
Globally, 184 million disability adjusted life years (DALYs) was due mental disorders (Whiteford et al., 2013).
There is evidence that cost-effective treatment for mental disorders exist (Patel et al. 2007; Bass et al. 2003).
WHO recommends availability psychotropic medicines and treatment in primary care health facilities and care in the community (WHO 2013; WHO 2001).
About 80% of persons with serious mental disorders in LMIC lack access to the treatment and care they need from health facilities and community social support WHO 2015c; Balogh et al. 2008; Krahn et al. 2015).
Objective
To explore broad view on models of mental health services and factors influencing access to mental healthcare by persons diagnosed with mental disorders, and identify and test context-fit models of interventions that could be embedded into general hospital and community strategies to improve access to mental healthcare services in Uganda.
Specifically, the project will attempt to identify emerging issues, synthesise with existing knowledge, experience of person diagnosed with mental disorders, health providers, community groups, intervention design and testing, and implementation of evidence in pilot area hospital and community in Uganda
References
Balogh, R. et al., Organising health care services for persons with an intellectual disability. The Cochrane database of systematic reviews, (4), p.CD Available at: [Accessed December 20, 2015].
Bass, J. et al., AUTHOR ’ S PROOF Group interpersonal psychotherapy for depression in rural Uganda : 6-month outcomes Randomised controlled trial. Depression.
Krahn, G.L., Walker, D.K. & Correa-De-Araujo, R., Persons with disabilities as an unrecognized health disparity population. American journal of public health, 105 Suppl , pp.S198–206. Available at: [Accessed November 19, 2015].
MoH. (2000). Inventory of Health Institutions in Uganda. Kampala: Ministry of Health .
Patel, V. et al., Treatment and prevention of mental disorders in low-income and middle-income countries. Lancet (London, England), 370(9591), pp.991–1005. Available at: [Accessed December 5, 2015].
Peters, D.H., Tran, N.T. & Adam, T., Implementation Research in Health: A Practical Guide, Alliance for Health Policy and Systems Research, World Health Organization. Available at:
UBoS;2016: Uganda statistical abstract Available at:
Whiteford, H.A. et al., Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study Lancet, 382(9904), pp.1575–86. Available at: [Accessed July 13, 2014].
WHO, 2015a. Disability and health: Fact Sheet N°352. World Health Organisation. Available at: [Accessed December 21, 2015].
WHO, 2015b. Mental disorders: Fact sheet N°396. Available at: [Accessed January 26, 2016].
WHO, Mental Health Action Plan , Geneva. Available at:
WHO, 2015c. Mental health Atlas 2014, Geneva.
WHO, The World Health Report 2001:Mental Health: New Understanding, New Hope, Geneva.
Acknowledgments
Individuals: the principal supervisor Dr Edoardo Aromataris, co-supervisor Catalin Tufanaru, Dr. Craig Lockwood, J. Campbell, Maureen Bell and Alex Mignone.
Organisation: the Australian Government Research Training program for financial support r and the University of Adelaide, Joanna Briggs Institute for accepting to provide the facilities and supervision .