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dc.contributor.authorAkol, Angelaen_US
dc.contributor.authorMakumbi, Fredrick Edwarden_US
dc.contributor.authorBabirye, Juliet N.en_US
dc.contributor.authorNalugya, Joyceen_US
dc.contributor.authorNshemereirwe, Sylviaen_US
dc.contributor.authorEngebretsen, Ingunn Marie S.en_US
dc.description.abstractBackground. Integrating child and adolescent mental health (CAMH) into primary health care (PHC) using the WHO mental health gap action program (mhGAP) is recommended for closing a mental health treatment gap in low- and middle- income countries, but PHC providers have limited ability to detect CAMH disorders.We aimed to evaluate the effect of PHC provider mhGAP training on CAMH disorder identification in Eastern Uganda. Methods. Thirty-six PHC clinics participated in a randomized controlled trial which compared the proportion of intervention (n = 18) to control (n = 18) clinics with a non-epilepsy CAMH diagnosis over 3 consecutive months following mhGAP-oriented CAMH training. Fisher’s exact test and logistic regression based on intention to treat principles were applied. ( registration NCT02552056). Results. Nearly two thirds (63.8%, 23/36) of all clinics identified and recorded at least one non-epilepsy CAMH diagnosis from 40 692 clinic visits of patients aged 1–18 recorded over 4 months. The proportion of clinics with a non-epilepsy CAMH diagnosis prior to training was 27.7% (10/36, similar between study arms). Training did not significantly improve intervention clinics’ non-epilepsy CAMH diagnosis (13/18, 72.2%) relative to the control (7/18, 38.9%) arm, p = 0.092. The odds of identifying and recording a non-epilepsy CAMH diagnosis were 2.5 times higher in the intervention than control arms at the end of 3 months of follow-up [adj.OR 2.48; 95% CI (1.31–4.68); p = 0.005]. Conclusion. In this setting, mhGAP CAMH training of PHC providers increases PHC clinics’ identification and reporting of non-epilepsy CAMH cases but this increase did not reach statistical significance.en_US
dc.publisherCambridge University Presseng
dc.relation.ispartof<a href="" target="blank"> Access to Child and Adolescent Mental Health services in Uganda: Investigating the role of Primary Health Care and Traditional Healers</a>
dc.rightsAttribution CC BYeng
dc.subjectChild and adolescenteng
dc.subjectMental healtheng
dc.subjectPrimary careeng
dc.titleDoes mhGAP training of primary health care providers improve the identification of child- and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Ugandaen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2018 The Authors
dc.source.journalGlobal Mental Health

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