Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys
A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown. To describe the meth...
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| creator | Rathod, Sujit D De Silva, Mary J Ssebunnya, Joshua Breuer, Erica Murhar, Vaibhav Luitel, Nagendra P Medhin, Girmay Kigozi, Fred Shidhaye, Rahul Fekadu, Abebaw Jordans, Mark Patel, Vikram Tomlinson, Mark Lund, Crick |
| description | A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown.
To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage.
Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months.
Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda.
8036 adults residing in these districts between May 2013 and May 2014.
Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD.
The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%.
Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up surveys will be used to estimate the change in contact coverage coinciding with the implementation of district-level mental health care plans. |
| doi_str_mv | 10.1371/journal.pone.0162038 |
| format | Article |
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To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage.
Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months.
Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda.
8036 adults residing in these districts between May 2013 and May 2014.
Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD.
The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%.
Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up surveys will be used to estimate the change in contact coverage coinciding with the implementation of district-level mental health care plans.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0162038</identifier><identifier>PMID: 27632166</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Alcohol use ; Alcohol-Related Disorders - therapy ; Alcohols ; Care and treatment ; Cross-Sectional Studies ; Depression (Mood disorder) ; Depression - therapy ; Disorders ; Drinking (Alcoholic beverages) ; Editors ; Ethiopia ; Female ; Health care ; Humans ; Hygiene ; Income ; India ; Low income groups ; Male ; Medical research ; Medicine and Health Sciences ; Mental depression ; Mental disorders ; Mental health ; Mental health care ; Mental health services ; Middle Aged ; Nepal ; Neurosciences ; People and Places ; Physical Sciences ; Polls & surveys ; Population ; Primary care ; Psychiatry ; Psychological aspects ; Public health ; Quantitative psychology ; Researchers ; South Africa ; Studies ; Substance abuse treatment ; Surveys ; Surveys and Questionnaires ; Teaching hospitals ; Uganda</subject><ispartof>PloS one, 2016-09, Vol.11 (9), p.e0162038</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Rathod et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Rathod et al 2016 Rathod et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c725t-73b21ae4fac6af8a38b8f9827c66fe3fc38d1038a444f7aab0ae08252cfc5bab3</citedby><cites>FETCH-LOGICAL-c725t-73b21ae4fac6af8a38b8f9827c66fe3fc38d1038a444f7aab0ae08252cfc5bab3</cites><orcidid>0000-0001-8783-7724</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5025033/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5025033/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27632166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rathod, Sujit D</creatorcontrib><creatorcontrib>De Silva, Mary J</creatorcontrib><creatorcontrib>Ssebunnya, Joshua</creatorcontrib><creatorcontrib>Breuer, Erica</creatorcontrib><creatorcontrib>Murhar, Vaibhav</creatorcontrib><creatorcontrib>Luitel, Nagendra P</creatorcontrib><creatorcontrib>Medhin, Girmay</creatorcontrib><creatorcontrib>Kigozi, Fred</creatorcontrib><creatorcontrib>Shidhaye, Rahul</creatorcontrib><creatorcontrib>Fekadu, Abebaw</creatorcontrib><creatorcontrib>Jordans, Mark</creatorcontrib><creatorcontrib>Patel, Vikram</creatorcontrib><creatorcontrib>Tomlinson, Mark</creatorcontrib><creatorcontrib>Lund, Crick</creatorcontrib><title>Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown.
To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage.
Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months.
Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda.
8036 adults residing in these districts between May 2013 and May 2014.
Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD.
The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%.
Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up surveys will be used to estimate the change in contact coverage coinciding with the implementation of district-level mental health care plans.</description><subject>Adult</subject><subject>Adults</subject><subject>Alcohol use</subject><subject>Alcohol-Related Disorders - therapy</subject><subject>Alcohols</subject><subject>Care and treatment</subject><subject>Cross-Sectional Studies</subject><subject>Depression (Mood disorder)</subject><subject>Depression - therapy</subject><subject>Disorders</subject><subject>Drinking (Alcoholic beverages)</subject><subject>Editors</subject><subject>Ethiopia</subject><subject>Female</subject><subject>Health care</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Income</subject><subject>India</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Mental 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Crick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-09-15</date><risdate>2016</risdate><volume>11</volume><issue>9</issue><spage>e0162038</spage><pages>e0162038-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown.
To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage.
Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months.
Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda.
8036 adults residing in these districts between May 2013 and May 2014.
Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD.
The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%.
Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up surveys will be used to estimate the change in contact coverage coinciding with the implementation of district-level mental health care plans.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27632166</pmid><doi>10.1371/journal.pone.0162038</doi><tpages>e0162038</tpages><orcidid>https://orcid.org/0000-0001-8783-7724</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2016-09, Vol.11 (9), p.e0162038 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1819907398 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Adults Alcohol use Alcohol-Related Disorders - therapy Alcohols Care and treatment Cross-Sectional Studies Depression (Mood disorder) Depression - therapy Disorders Drinking (Alcoholic beverages) Editors Ethiopia Female Health care Humans Hygiene Income India Low income groups Male Medical research Medicine and Health Sciences Mental depression Mental disorders Mental health Mental health care Mental health services Middle Aged Nepal Neurosciences People and Places Physical Sciences Polls & surveys Population Primary care Psychiatry Psychological aspects Public health Quantitative psychology Researchers South Africa Studies Substance abuse treatment Surveys Surveys and Questionnaires Teaching hospitals Uganda |
| title | Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T20%3A47%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20Contact%20Coverage%20for%20Probable%20Depressive%20and%20Probable%20Alcohol%20Use%20Disorders%20in%20Four%20Low-%20and%20Middle-Income%20Country%20Districts:%20The%20PRIME%20Cross-Sectional%20Community%20Surveys&rft.jtitle=PloS%20one&rft.au=Rathod,%20Sujit%20D&rft.date=2016-09-15&rft.volume=11&rft.issue=9&rft.spage=e0162038&rft.pages=e0162038-&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0162038&rft_dat=%3Cgale_plos_%3EA470941228%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1819907398&rft_id=info:pmid/27632166&rft_galeid=A470941228&rft_doaj_id=oai_doaj_org_article_f4bc7019448b4999998835655f1d49ce&rfr_iscdi=true |