Partnerships in a Global Mental Health Research Programme-the Example of PRIME

Erica Breuer¹, Charlotte Hanlon^{2

3}, Arvin Bhana^{4

5}, Dan Chisholm⁶, Mary De Silva⁷, Abebaw Fekadu^{8

9}, Simone Honikman¹⁰, Mark Jordans², Tasneem Kathree⁵, Fred Kigozi¹¹, Nagendra P Luitel¹², Maggie Marx¹, Girmay Medhin¹³, Vaibhav Murhar¹⁴, Sheila Ndyanabangi¹⁵, Vikram Patel¹⁶, Inge Petersen⁵, Martin Prince², Shoba Raja¹⁷, Sujit D Rathod¹⁸, Rahul Shidhaye¹⁹, Joshua Ssebunnya²⁰, Graham Thornicroft², Mark Tomlinson²¹, Tedla Wolde-Giorgis²², Crick Lund^{1

2}

Affiliations

¹ Alan J. Flisher Centre for Public Mental Health, University of Cape Town, Cape Town, South Africa.
² Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.
³ Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
⁴ South African Medical Research Council, Durban, South Africa.
⁵ Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa.
⁶ Regional Office for Europe, World Health Organisation, Copenhagen, Denmark.
⁷ Wellcome Trust, London, UK.
⁸ CDT-Africa, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
⁹ Brighton and Sussex Medical School, Brighton, UK.
¹⁰ Perinatal Mental Health Project, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Cape Town, South Africa.
¹¹ School of Medicine, Makerere University, Kampala, Uganda.
¹² Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal.
¹³ Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia.
¹⁴ Sangath, Porvorim, India.
¹⁵ Ministry of Health, Kampala, Uganda.
¹⁶ Harvard Medical School, Boston, USA.
¹⁷ BasicNeeds, Bengaluru, India.
¹⁸ Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
¹⁹ Public Health Foundation of India, Bhopal, India.
²⁰ Butabika National Mental Hospital, Kampala, Uganda.
²¹ Alan J. Flisher Centre for Public Mental Health, Stellenbosch University, Stellenbosch, South Africa.
²² Federal Ministry of Health, Addis Ababa, Ethiopia.

PMID: 31984205
PMCID: PMC6980236
DOI: 10.1007/s40609-018-0128-6

Partnerships in a Global Mental Health Research Programme-the Example of PRIME

Erica Breuer et al. Glob Soc Welf. 2019 Sep.

. 2019 Sep;6(3):159-175.

doi: 10.1007/s40609-018-0128-6. Epub 2018 Oct 12.

Authors

Affiliations

¹ Alan J. Flisher Centre for Public Mental Health, University of Cape Town, Cape Town, South Africa.
² Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.
³ Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
⁴ South African Medical Research Council, Durban, South Africa.
⁵ Centre for Rural Health, University of KwaZulu-Natal, Durban, South Africa.
⁶ Regional Office for Europe, World Health Organisation, Copenhagen, Denmark.
⁷ Wellcome Trust, London, UK.
⁸ CDT-Africa, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
⁹ Brighton and Sussex Medical School, Brighton, UK.
¹⁰ Perinatal Mental Health Project, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Cape Town, South Africa.
¹¹ School of Medicine, Makerere University, Kampala, Uganda.
¹² Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal.
¹³ Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia.
¹⁴ Sangath, Porvorim, India.
¹⁵ Ministry of Health, Kampala, Uganda.
¹⁶ Harvard Medical School, Boston, USA.
¹⁷ BasicNeeds, Bengaluru, India.
¹⁸ Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.
¹⁹ Public Health Foundation of India, Bhopal, India.
²⁰ Butabika National Mental Hospital, Kampala, Uganda.
²¹ Alan J. Flisher Centre for Public Mental Health, Stellenbosch University, Stellenbosch, South Africa.
²² Federal Ministry of Health, Addis Ababa, Ethiopia.

PMID: 31984205
PMCID: PMC6980236
DOI: 10.1007/s40609-018-0128-6

Abstract

Collaborative research partnerships are necessary to answer key questions in global mental health, to share expertise, access funding and influence policy. However, partnerships between low- and middle-income countries (LMIC) and high-income countries have often been inequitable with the provision of technical knowledge flowing unilaterally from high to lower income countries. We present the experience of the Programme for Improving Mental Health Care (PRIME), a LMIC-led partnership which provides research evidence for the development, implementation and scaling up of integrated district mental healthcare plans in Ethiopia, India, Nepal, South Africa and Uganda. We use Tuckman's first four stages of forming, storming, norming and performing to reflect on the history, formation and challenges of the PRIME Consortium. We show how this resulted in successful partnerships in relation to management, research, research uptake and capacity building and reflect on the key lessons for future partnerships.

Keywords: Global health; Global mental health; Low- and middle-income countries; Partnerships.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest The authors declare that they have no conflict of interest.

Figures

**Fig. 1**
PRIME consortium theory of change

**Fig. 2**
Cumulative PRIME partner collaborations on peer-reviewed publications before the partnership (up to 2010) and at the end of six years (up to 2017). Each line represents a collaboration between two partner organisations on a single peer-reviewed publication. If a paper had multiple co-authors at different partner organisations, there will be lines between each of the partner organisations

**Fig. 3**
First authorship of PRIME Publications during the first six years of the grant (1 May 2011–30 April 2017). The asterisk indicates junior authors defined as those who have no PhD or graduated less than five years ago and are not a principal investigator on PRIME

**Fig. 4**
Average percentage of authors per publication by HIC and LMIC during the first six years of the grant (1 May 2011–30 April 2017)

See this image and copyright information in PMC

References

1. Abayneh S, Lempp H, Alem A, Alemayehu D, Eshetu T, Lund C, Semrau M, Thornicroft G, & Hanlon C (2017). Service user involvement in mental health system strengthening in a rural African setting: qualitative study. BMC Psychiatry, 17(1), 187. - PMC - PubMed
1. Afsana K, Habte D, Hatfield J, Murphy J, & Neufeld V (2009). Partnership Assessment Toolkit.1–25
1. AMARI: African Mental Health Research Initiative (2018). AMARI: African Mental Health Research Initiative. https://amari-africa.org/. Accessed 2018 26th June.
1. Breuer E, De Silva MJ, Fekadu A, Luitel NP, Murhar V, Nakku J, et al. (2014). Using workshops to develop theories of change in five low and middle income countries: lessons from the Programme for Improving Mental Health Care (PRIME). International Journal of Mental Health Systems, 8(1), 15. - PMC - PubMed
1. Breuer E, De Silva MJ, Shidaye R, Petersen I, Nakku J, Jordans MJ, et al. (2016). Planning and evaluating mental health services in low-and middle-income countries using theory of change. The British Journal of Psychiatry. 10.1192/bjp.bp.114.153841. - DOI - PMC - PubMed

Grants and funding

LinkOut - more resources

Full Text Sources
- Europe PubMed Central
- PubMed Central

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Partnerships in a Global Mental Health Research Programme-the Example of PRIME

Affiliations

Partnerships in a Global Mental Health Research Programme-the Example of PRIME

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

Grants and funding

LinkOut - more resources

Full Text Sources