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Evaluating a community based mental health programme in West Bengal,India: Description of the methodology and lessons learned
Affiliation:1. George Institute for Global Health, New Delhi, India;2. Tata Trusts, Mumbai, India;3. Iswar Sankalpa, Kolkata, West Bengal, India;4. University of New South Wales, Sydney, Australia;1. School of Social Sciences, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;2. School of Business, Western Sydney University, Locked Bag 1797, Penrith NSW, 2751, Australia;3. School of Allied Health, Australian Catholic University, 25A Barker Rd., Strathfield, NSW, Australia;1. Pontifícia Universidade Católica do Paraná, School of Life Sciences, 1155 Imaculada Conceição, Curitiba, Paraná, 80215-901, Brazil;2. University of Massachusetts Medical School, Department of Quantitative Health Sciences, 368 Plantation Street, AS5-2070, Worcester, MA, 01605, USA;3. University of Alabama at Birmingham, Division of Preventive Medicine, 1717 11th Avenue South, MT 609, Birmingham, AL, 35205, USA;4. Universidade Estadual de Londrina, Londrina, Paraná, Brazil;1. RTI International, 307 Waverly Oaks Road, Waltham, MA, 0245, USA;2. Centers for Disease Control and Prevention, 1600 Clifton Rd., Atlanta, GA, USA;1. Faculty of Economics and Business in Universidad Complutense de Madrid, Spain;2. ESCP-Europe Business School, Spain;3. Jyväskylä School of Business and Economics, University of Jyväskylä, Finland;4. Faculty of Economics and Business in Talavera de la Reina, Universidad Castilla La Mancha, Spain
Abstract:Mental disorders impose an enormous burden on society. In developing countries like India, there is a lack of adequate number of trained mental health professionals to provide specialized care and 75–85 % of affected individuals do not have access to appropriate mental health services. The National Mental Health Programme (NMHP) is being implemented by the Government of India to support state governments in providing mental health services in the country. The Urban Mental Health Programme (UMHP) is a pilot initiative that has attempted the integration of mental health services in primary health care settings in two municipal wards in Kolkata, West Bengal, India. The overarching aim of this paper is to describe the methodology used for the evaluation of the community based mental health programme and to understand the processes of the programme in terms of barriers and facilitators. The current evaluation is based on a concurrent nested design, where qualitative and quantitative data are both collected at the same time but analysed separately and priority was given to qualitative data. This experience will contribute in helping other researchers to make some evaluations more effective, useful and manageable. Ethics approval was obtained from an institutional ethics committee of an organization (Ekjut) based in Ranchi, Jharkhand, India. The evaluation was undertaken by the George Institute for Global Health, New Delhi from February- June 2016.
Keywords:Programme evaluation  Nested concurrent design  Mixed method  Community programme  India  Mental health deployment
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