Economic evaluation of a task-shifting intervention for common mental disorders in India;Évaluation économique d'une intervention de transfert de tâches dans le cadre du traitement des troubles mentaux communs en Inde

Bulletin of the World Health Organization

Volumn 90, Issue 11, 2012, Pages 813-821

  Buttorff, Christine ^a   Hock, Rebecca S ^a   Weiss, Helena A ^b   Naik, Smita ^c   Araya, Ricardo ^d   Kirkwood, Betty R ^b   Chisholm, Daniel ^e   Patel, Vikram ^b  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^c Sangath Centre   (India)

^d UNIVERSITY OF BRISTOL   (United Kingdom)

^e WORLD HEALTH ORGANIZATION   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ANXIETY DISORDERS; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST BENEFIT ANALYSIS; COST CONTROL; DEPRESSIVE DISORDER; ECONOMICS; EDUCATION; GENERAL PRACTITIONER; HEALTH AUXILIARY; HUMAN; INDIA; MANPOWER; MEDICAL LEAVE; MENTAL HEALTH SERVICE; OUTCOME ASSESSMENT; PRIMARY HEALTH CARE; PROCEDURES; PROGRAM EVALUATION; QUALITY ADJUSTED LIFE YEAR; RANDOMIZED CONTROLLED TRIAL; STANDARDS; STATISTICAL MODEL; STATISTICS AND NUMERICAL DATA;

ANXIETY DISORDERS; COMMUNITY HEALTH WORKERS; COMMUNITY MENTAL HEALTH SERVICES; COST SAVINGS; COST-BENEFIT ANALYSIS; DEPRESSIVE DISORDER; HUMANS; INDIA; LINEAR MODELS; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICIANS, PRIMARY CARE; PRIMARY HEALTH CARE; PROGRAM EVALUATION; QUALITY-ADJUSTED LIFE YEARS; SICK LEAVE;

EID: 84868236912     PISSN: 00429686     EISSN: 15640604     Source Type: Journal    
DOI: 10.2471/BLT.12.104133     Document Type: Article

References (49)

1. Beaglehole R, Epping-Jordan J, Patel V, Chopra M, Ebrahim S, Kidd M etal. Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care. Lancet 2008;372:940-949. doi:10.1016/S0140-6736(08)61404-X PMID:18790317
2. World Health Organization [Internet]. Task shifting to tackle health worker shortages. Geneva: World Health Organization; 2007. Available from: www.who.int/healthsystems/task_shifting_booklet.pdf [accessed 24 August 2012].
3. Mdege ND, Chindove S, Ali S. The effectiveness and cost implications of task-shifting in the delivery of antiretroviral therapy to HIV-infected patients: a systematic review. Health Policy Plan 2012. Epub 26 June 2012. PMID: 22738755 doi:10.1093/heapol/czs058
4. Labhardt ND, Balo J-R, Ndam M, Manga E, Stoll B. Improved retention rates with low-cost interventions in hypertension and diabetes management in a rural African environment of nurse-led care: a cluster-randomised trial. Trop Med Int Health 2011;16:1276-1284. PMID: 21733046 doi:10.1111/j.1365-3156.2011.02827.x
5. Rahman A, Malik A, Sikander S, Roberts C, Creed F. Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. Lancet 2008;372:902-909. doi:10.1016/S0140-6736(08)61400-2 PMID:18790313
6. Petersen I, Ssebunnya J, Bhana A, Baillie K. Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda. Int J Ment Health Syst 2011;5:8. doi:10.1186/1752-4458-5-8 PMID:21496242
7. World Health Organization [Internet]. WHO/Wonca joint report: integrating mental health into primary care - a global perspective. Geneva: World Health Organization; 2008. Available from: http://www.who.int/mental_health/policy/services/mentalhealthintoprimarycare/en/ [accessed 2 November 2011].
8. Bolton P, Bass J, Neugebauer R, Verdeli H, Clougherty KF, Wickramaratne P, et al. Group interpersonal psychotherapy for depression in rural Uganda: a randomized controlled trial. JAMA 2003;289:3117-3124. doi:10.1001/jama.289.23.3117 PMID:12813117
9. Bass J, Neugebauer R, Clougherty KF, Verdeli H, Wickramaratne P, Ndogoni L, et al. Group interpersonal psychotherapy for depression in rural Uganda: 6-month outcomes: randomised controlled trial. Br J Psychiatry 2006;188:567-573. doi:10.1192/bjp.188.6.567 PMID:16738348
10. Fulton BD, Scheffler RM, Sparkes SP, Auh EY, Vujicic M, Soucat A. Health workforce skill mix and task shifting in low income countries: a review of recent evidence. Hum Resour Health 2011;9:1. doi:10.1186/1478-4491-9-1 PMID:21223546
11. Goldberg D, Huxley P. Common mental disorders: a biosocial model. London: Routledge; 1992.
12. Mathers C, Boerma T, Fat DM. Global burden of disease: 2004 update. Geneva: World Health Organization; 2008.
13. The ICD-10 classification of mental and behavioural disorders. Geneva: World Health Organization; 1992.
14. Jacob KS, Everitt BS, Patel V, Weich S, Araya R, Lewis GH. The comparison of latent variable models of non-psychotic psychiatric morbidity in four culturally diverse populations. Psychol Med 1998;28:145-152. doi:10.1017/S0033291797005710 PMID:9483690
15. Lewis G. Dimensions of neurosis. Psychol Med 1992;22:1011-1018. doi:10.1017/S0033291700038575 PMID:1488473
16. Tyrer P. The case for cothymia: mixed anxiety and depression as a single diagnosis. Br J Psychiatry 2001;179:191-193. doi:10.1192/bjp.179.3.191 PMID:11532793
17. Araya R, Flynn T, Rojas G, Fritsch R, Simon G. Cost-effectiveness of a primary care treatment program for depression in low-income women in Santiago, Chile. Am J Psychiatry 2006;163:1379-1387. doi:10.1176/appi.ajp.163.8.1379 PMID:16877650
18. Patel V, Weiss HA, Chowdhary N, Naik S, Pednekar S, Chatterjee S, et al. Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet 2010;376:2086-2095. doi:10.1016/S0140-6736(10)61508-5 PMID:21159375
19. Patel V, Weiss HA, Chowdhary N, Naik S, Pednekar S, Chatterjee S, et al. Lay health worker led intervention for depressive and anxiety disorders in India: impact on clinical and disability outcomes over 12 months. Br J Psychiatry 2011;199:459-466. doi:10.1192/bjp.bp.111.092155 PMID:22130747
20. Pereira B, Andrew G, Pednekar S, Kirkwood BR, Patel V. The integration of the treatment for common mental disorders in primary care: experiences of health care providers in the MANAS trial in Goa, India. Int J Ment Health Syst. 2011;5:26. doi:10.1186/1752-4458-5-26 PMID:21968202
21. Patel VH, Kirkwood BR, Pednekar S, Araya R, King M, Chisholm D, et al. Improving the outcomes of primary care attenders with common mental disorders in developing countries: a cluster randomized controlled trial of a collaborative stepped care intervention in Goa, India. Trials 2008;9:4. doi:10.1186/1745-6215-9-4 PMID:18221516
22. World Health Organization [Internet]. Cost-effectiveness thresholds. Geneva: World Health Organization; 2011. Available from: http://www.who.int.ezproxy.welch.jhmi.edu/choice/costs/CER_thresholds/en/ [accessed 2 November 2011]. doi:http://www.who.int.ezproxy.welch.jhmi.edu/choice/costs/CER_thresholds/en/
23. Patel V, Araya R, Chowdhary N, King M, Kirkwood B, Nayak S, et al. Detecting common mental disorders in primary care in India: a comparison of five screening questionnaires. Psychol Med 2008;38:221-228. doi:10.1017/S0033291707002334 PMID:18047768
24. Lewis G, Pelosi AJ, Araya R, Dunn G. Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychol Med 1992;22:465-486. doi:10.1017/S0033291700030415 PMID:1615114
25. Patel V, Chisholm D, Rabe-Hesketh S, Dias-Saxena F, Andrew G, Mann A. Efficacy and cost-effectiveness of drug and psychological treatments for common mental disorders in general health care in Goa, India: a randomised, controlled trial. Lancet 2003;361:33-39. doi:10.1016/S0140-6736(03)12119-8 PMID:12517464
26. Patel V, Pereira J, Coutinho L, Fernandes R, Fernandes J, Mann A. Poverty, psychological disorder and disability in primary care attenders in Goa, India. Br J Psychiatry 1998;172:533-536. doi:10.1192/bjp.172.6.533 PMID:9828996
27. Patel V, Kirkwood BR, Pednekar S, Pereira B, Barros P, Fernandes J, et al. Gender disadvantage and reproductive health risk factors for common mental disorders in women: a community survey in India. Arch Gen Psychiatry 2006;63:404-413. doi:10.1001/archpsyc.63.4.404 PMID:16585469
28. Lewis G, Pelosi AJ, Glover E, Wilkinson G, Stansfeld SA, Williams P, et al. The development of a computerized assessment for minor psychiatric disorder. Psychol Med 1988;18:737-745. doi:10.1017/S0033291700008448 PMID:3054992
29. Üstün TB, Chatterji S, Kostanjsek N, Rehm J, Kennedy C, Epping-Jordan J, et al. Developing the World Health Organization Disability Assessment Schedule 2.0. Bull World Health Organ 2010;88:815-823. doi:10.2471/BLT.09.067231 PMID:21076562
30. World Health Organization [Internet]. WHO multi-country survey study on health and responsiveness. Geneva: World Health Organization; 2001. Available from: www.who.int/healthinfo/survey/whspaper37.pdf [accessed 2 November 2011].
31. Chisholm D, Sekar K, Kumar KK, Saeed K, James S, Mubbashar M, et al. Integration of mental health care into primary care: demonstration cost-outcome study in India and Pakistan. Br J Psychiatry 2000;176:581-588. doi:10.1192/bjp.176.6.581 PMID:10974966
32. Patel V, Chisholm D, Kirkwood BR, Mabey D. Prioritizing health problems in women in developing countries: comparing the financial burden of reproductive tract infections, anaemia and depressive disorders in a community survey in India. Trop Med Int Health 2007;12:130-139. PMID:17207157
33. Drummond M, Sculpher M, Torrance GW, O'Brien B, Stoddart G. Methods for the economic evaluation of health care programmes. Oxford: Oxford University Press; 2005.
34. Mihaylova B, Briggs A, O'Hagan A, Thompson SG. Review of statistical methods for analysing healthcare resources and costs. Health Econ 2011;20:897-916. doi:10.1002/hec.1653 PMID:20799344
35. Manning WG, Basu A, Mullahy J. Generalized modeling approaches to risk adjustment of skewed outcomes data. J Health Econ 2005;24:465-488. doi:10.1016/j.jhealeco.2004.09.011 PMID:15811539
36. Glick H, Doshi J, Sonnad S, Polsky D. Economic evaluation in clinical trials. Oxford: Oxford University Press; 2007.
37. Hayes R, Moulton L. Cluster randomized trials: a practical approach. Boca Raton: CRC Press; 2009.
38. Gomes M, Grieve R, Nixon R, Edmunds WJ. Statistical methods for cost-effectiveness analyses that use data from cluster randomized trials: a systematic review and checklist for critical appraisal. Med Decis Making 2012;32:209-220. doi:10.1177/0272989X11407341 PMID:21610256
39. Little R, Rubin D. Statistical analysis with missing data. New York: John Wiley & Sons; 1987.
40. Baltussen RMPM, Hutubessy RCW, Evans DB, Murray CJM. Uncertainty in cost-effectiveness analysis: probabilistic uncertainty analysis and stochastic league tables. Int J Technol Assess Health Care 2002;18:112-119. PMID:11987434
41. Fenwick E, Marshall D, Levy A, Nichol G. Using and interpreting cost-effectiveness acceptability curves: an example using data from a trial of management strategies for atrial fibrillation. BMC Health Serv Res 2006;6:52. doi:10.1186/1472-6963-6-52 PMID:16623946
42. Briggs AH. A Bayesian approach to stochastic cost-effectiveness analysis. An illustration and application to blood pressure control in type 2 diabetes. Int J Technol Assess Health Care 2001;17:69-82. doi:10.1017/S0266462301104071 PMID:11329846
43. Walker D, Fox-Rushby J. Allowing for uncertainty in economic evaluations: qualitative sensitivity analysis. Health Policy Plan 2001;16:435-443. doi:10.1093/heapol/16.4.435 PMID:11739369
44. Shillcutt SD, Walker DG, Goodman CA, Mills AJ. Cost effectiveness in low- and middle-income countries: a review of the debates surrounding decision rules. Pharmacoeconomics 2009;27:903-917. doi:10.2165/10899580-000000000-00000 PMID:19888791
45. Government of India. Wage cell. New Delhi: Ministry of Labour and Employment. Available from: http://labour.nic.in/wagecell/welcome.html [accessed 2 November 2011].
46. Kakuma R, Minas H, van Ginneken N, Dal Poz MR, Desiraju K, Morris JE, et al. Human resources for mental health care: current situation and strategies for action. Lancet 2011;378:1654-1663. doi:10.1016/S0140-6736(11)61093-3 PMID:22008420
47. Babigumira JB, Castelnuovo B, Stergachis A, Kiragga A, Shaefer P, Lamorde M, et al. Cost effectiveness of a pharmacy-only refill program in a large urban HIV/AIDS clinic in Uganda. PLoS ONE 2011;6:e18193. doi:10.1371/journal.pone.0018193 PMID:21464895
48. Bhandari A, Wagner T. Self-reported utilization of health care services: improving measurement and accuracy. Med Care Res Rev 2006;63:217-235. doi:10.1177/1077558705285298 PMID:16595412
49. Chisholm D, Knapp MRJ, Knudsen HC, Amaddeo F, Gaite L, Wijngaarden BV. Client Socio-Demographic and Service Receipt Inventory - European Version: development of an instrument for international research EPSILON Study 5. Br J Psychiatry Suppl 2000;177:s28-s33. doi:10.1192/bjp.177.39.s28 PMID:10945075