Background: An essential element of mental health service scale up relates to an
assessment of resource requirements and cost implications.
Aims: To assess the expected resource needs of scaling up services in five
districts in sub-Saharan Africa and south Asia.
Method: The resource quantities associated with each site's specified care
package were identified and subsequently costed, both at current and
target levels of coverage.
Results: The cost of the care package at target coverage ranged from US$0.21 to
0.56 per head of population in four of the districts (in the
higher-income context of South Africa, it was US$1.86). In all
districts, the additional amount needed each year to reach target
coverage goals after 10 years was below $0.10 per head of population.
Conclusions: Estimation of resource needs and costs for district-level mental health
services provides relevant information concerning the financial
feasibility of locally developed plans for successful scale up.
This research is supported by the Department for International Development’s Programme for Improving Mental Health Care (PRIME) which is led by University of Cape Town
Chisholm, D.; Burman-Roy, S.; Fekadu, A.; Kathree, T.; Kizza, D.; Luitel, N.P.; Petersen, I.; Shidhaye, R.; de Silva, M.; Lund, C. Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study. British Journal of Psychiatry (2015) 208 (s56) s71-s78. [DOI: 10.1192/bjp.bp.114.153866]
Estimating the cost of implementing district mental healthcare plans in five low- and middle-income countries: the PRIME study