Assessing System Readiness
By assessing context, implementers consider the local factors which may impact the quality, success, and direction of a mental health program. This component of the matrix provides tools and examples to help implementers assess factors such as mental health burden, relevant stakeholders and potential program partners, potential challenges, and program priorities.
Evaluate Mental Health Systems
When establishing or growing mental health systems, it is important to understand contextual factors that may affect people with mental health conditions and serve as facilitators or barriers to mental health integration into the general health system. Below are tools to help teams identify contextual factors around mental health delivery.Additional Resources
Model for Understanding Success in Quality (MUSIQ)
Several contextual factors can impact the viability of a program. This MUSIQ tool groups these factors into several broad categories: the team working, the microsystem in which they function, local support and capacity, the organization in which someone works, and the environment external to an organization to allow for analysis and action.Additional Resources
Assess Disease Burden
Report on the Burden of Disease at PIH
The Report on the Burden of Disease Attributable to Mental Illness at PIH offers an assessment of the burden of mental health conditions across PIH-supported sites. It also provides useful insight for assessing resource needs and making data-informed decisions to deliver mental health care within these contexts, using Institute for Health Metrics and Evaluation (IMHE) data.Burden of Disease Report
PIH’s Universal Health Coverage Monitoring and Planning Tool
PIH has developed and tested a Universal Health Coverage (UHC) Monitoring and Planning Tool to assist with the planning and implementation of health interventions by projecting disease burden and UHC needs at the facility and catchment area level and determining estimates of required health system inputs. This resource pulls information from the World Health Organization’s compendium of data.
Using qualitative assessment methods rather than purely quantitative data-based information is crucial to understanding many community issues and needs. Numbers work well to show comparisons, progress, and statistics of community efforts, but they cannot express motives, opinions, feelings, or relationships. Several qualitative methods can be used in assessing issues or community needs, such as individual interviews, group interviews, community or other large meetings, observations, and interpretation of records or transcripts. This section discusses how PIH has used these qualitative methods to help inform mental health programs.