Sangwan Ramesh Kumar, Kansara Darshana, Ali Haider, Khetan Mukti, Huda Ramesh Kumar, Dhikav Vikas, Babu Bontha V
National Institute for Implementation Research on Non-Communicable Diseases, Jodhpur, India.
Department of Health Research, New Delhi, India.
Front Public Health. 2025 Aug 5;13:1612961. doi: 10.3389/fpubh.2025.1612961. eCollection 2025.
Mental disorders impose significant social and financial burdens on individuals, families, and societies, affecting one in seven Indians. Deficient manpower and inadequate training at the graduate level are recognized as poor mental healthcare in India.
The study aims to build the capacity of primary healthcare providers, including doctors, nurses and other peripheral health workers in Rajasthan, India. The feasibility, acceptability, and effectiveness of capacity-building training and other activities will be assessed.
The study will be conducted in four phases: (i) situational analysis, (ii) adaptations of the module and material development and training, (iii) training implementation in the Nagaur district of Rajasthan, and (iv) post-assessment. Initially piloted in the Nagaur district, it will scale up to other districts. Formative research will be conducted with a quasi-experimental pre-post-test design. Existing training modules for Medical Officers, Community Health Officers, General Nurse Midwives, and Auxiliary Nurse Midwives, developed under the Ayushman Bharat Training Manual on Mental, Neurological, and Substance Use Disorders Care, will be adapted. Pre- and post-assessment using structured, validated questionnaires will measure the training's impact. Quantitative and qualitative data collected at various stages will evaluate capacity-building activities' feasibility, acceptability, and effectiveness.
Doctors are expected to screen and manage common mental health disorders post-training competently. Healthcare providers will be equipped to utilize standardized tools for screening common mental health conditions within primary care settings. This training will enhance the confidence and proficiency of all primary healthcare providers in screening and managing prevalent mental health disorders at the primary care level.
精神障碍给个人、家庭和社会带来了巨大的社会和经济负担，每七个印度人中就有一人受其影响。人力短缺以及研究生阶段培训不足被认为是印度精神卫生保健水平低下的原因。
本研究旨在提高印度拉贾斯坦邦基层医疗服务提供者的能力，包括医生、护士和其他基层卫生工作者。将评估能力建设培训及其他活动的可行性、可接受性和有效性。
该研究将分四个阶段进行：（i）情况分析；（ii）模块改编、材料开发与培训；（iii）在拉贾斯坦邦纳加尔区实施培训；（iv）后期评估。该研究最初在纳加尔区进行试点，之后将推广到其他地区。将采用准实验前后测试设计进行形成性研究。将对根据阿育吠陀印度健康保险精神、神经和物质使用障碍护理培训手册开发的现有针对医务人员、社区卫生官员、普通护士助产士和辅助护士助产士的培训模块进行改编。使用结构化、经过验证的问卷进行前后评估，以衡量培训的影响。在各个阶段收集的定量和定性数据将评估能力建设活动的可行性、可接受性和有效性。
预计医生在培训后能够胜任常见精神健康障碍的筛查和管理工作。医疗服务提供者将有能力在基层医疗环境中使用标准化工具筛查常见精神健康状况。此次培训将提高所有基层医疗服务提供者在基层医疗层面筛查和管理常见精神健康障碍的信心和能力。
