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Stakeholders Analysis on Mental Health

The knowledge generated from evidence-based interventions in mental health systems research is seldom translated into policy and practice in low and middle-income countries (LMIC). Stakeholder analysis is a potentially useful tool in health policy and systems research to improve understanding of policy stakeholders and increase the likelihood of knowledge translation into policy and practice. These studies aimed to conduct stakeholder analyses in the five countries participating in the Program for Improving Mental health care (PRIME); evaluate a template used for cross-country comparison of stakeholder analyses, and assess stakeholder analysis's utility future use in mental health policy and systems research in LMIC.

Using an adapted stakeholder analysis instrument, PRIME country teams in Ethiopia, India, Nepal, South Africa, and Uganda identified and characterized stakeholders with the proposed action: scaling-up mental health services. Qualitative content analysis was conducted for stakeholder groups across countries, and a force field analysis was applied to the data.

Stakeholder analysis of PRIME has identified policy makers (WHO, Ministries of Health, non-health sector Ministries and Parliament), donors (DFID UK, DFID country offices and other donor agencies), mental health specialists, the media (national and district) and universities as the most powerful, and most supportive actors for scaling up mental health care in the respective PRIME countries. Force field analysis provided a means of evaluating cross-country stakeholder power and positions, particularly for prioritizing potential stakeholder engagement in the program.

Stakeholder analysis has been helpful as a research uptake management tool to identify targeted and acceptable strategies for stimulating the demand for research amongst knowledge users, including policymakers and practitioners. Implementing these strategies amongst stakeholders at a country level will hopefully reduce the knowledge gap between research and policy, and improve health system outcomes for the program.

Reference

Breuer, E., Hanlon, C., Bhana, A., Chisholm, D., Silva, M., Fekadu, A., Honikman, S., Jordans, M., Kathree, T., Kigozi, F., Luitel, N. P., Marx, M., Medhin, G., Murhar, V., Ndyanabangi, S., Patel, V., Petersen, I., Prince, M., Raja, S., Rathod, S. D., … Lund, C. (2019). Partnerships in a Global Mental Health Research Program-the Example of PRIME. Global social welfare: research, policy & practice, 6(3), 159–175. https://doi.org/10.1007/s40609-018-0128-6

Makan, A., Fekadu, A., Murhar, V., Luitel, N., Kathree, T., Ssebunya, J., & Lund, C. (2015). Stakeholder analysis of the Program for Improving Mental health carE (PRIME): baseline findings. International journal of mental health systems, 9, 27. https://doi.org/10.1186/s13033-015-0020-z

World Health Organization (2020, January 23). Mental Health. https://www.who.int/mental_health/en/