"Not shifting, but sharing": stakeholders' perspectives on mental health task-shifting in Indonesia

Ferry Efendi; Gading Ekapuja Aurizki; Ah Yusuf; Lisa McKenna

doi:10.1186/s12912-022-00945-8

"Not shifting, but sharing": stakeholders' perspectives on mental health task-shifting in Indonesia

Ferry Efendi, Gading Ekapuja Aurizki, Ah Yusuf, Lisa McKenna

Nursing & Midwifery

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: Task-shifting, the distribution of tasks among health workers to address health workforce shortage, has been widely used to tackle mental health treatment gaps. However, its implementation in Indonesia has still been rarely explored. This study aimed to explore stakeholders' perspectives on the implementation of mental health task-shifting to nurses in Indonesia's primary health care.

METHODS: An exploratory descriptive approach using in-depth interviews and focused group discussions (FGDs) was used. The study involved 19 stakeholders from the government's ministry directorates, professional organisations, and mental health practitioners. Thematic analysis was used to analyse the data.

RESULTS: Three themes emerged namely, task-shifting feasibility and acceptability, shared task implementation, and nurse role enhancement issues, with 14 sub-themes.

CONCLUSIONS: Task-shifting on mental health issues in the eye of Indonesian stakeholders is viewed as a matter of sharing and collaboration. Implementation of task-shifting in Indonesia may require policies in place and political will across stakeholders. Further scrutiny on task-shifting implementation is needed by considering the local context and national environment.

Original language	English
Article number	165
Journal	BMC Nursing
Volume	21
Issue number	1
Early online date	24 Jun 2022
DOIs	https://doi.org/10.1186/s12912-022-00945-8
Publication status	Published - 1 Dec 2022

Keywords

Health worker
Mental health
Nurses
Primary care
Psychiatrists

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10.1186/s12912-022-00945-8

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title = "{"}Not shifting, but sharing{"}: stakeholders' perspectives on mental health task-shifting in Indonesia",

abstract = "BACKGROUND: Task-shifting, the distribution of tasks among health workers to address health workforce shortage, has been widely used to tackle mental health treatment gaps. However, its implementation in Indonesia has still been rarely explored. This study aimed to explore stakeholders' perspectives on the implementation of mental health task-shifting to nurses in Indonesia's primary health care.METHODS: An exploratory descriptive approach using in-depth interviews and focused group discussions (FGDs) was used. The study involved 19 stakeholders from the government's ministry directorates, professional organisations, and mental health practitioners. Thematic analysis was used to analyse the data.RESULTS: Three themes emerged namely, task-shifting feasibility and acceptability, shared task implementation, and nurse role enhancement issues, with 14 sub-themes.CONCLUSIONS: Task-shifting on mental health issues in the eye of Indonesian stakeholders is viewed as a matter of sharing and collaboration. Implementation of task-shifting in Indonesia may require policies in place and political will across stakeholders. Further scrutiny on task-shifting implementation is needed by considering the local context and national environment.",

keywords = "Health worker, Mental health, Nurses, Primary care, Psychiatrists",

author = "Ferry Efendi and Aurizki, {Gading Ekapuja} and Ah Yusuf and Lisa McKenna",

note = "Funding Information: This study was funded by Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional Republik Indonesia, through Penelitian Dasar grant number 8/E1/KPT/ 2021; 4/E1/KP.PTNBH/2021; 547/UN3.15/PT/2021. The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Publisher Copyright: {\textcopyright} 2022, The Author(s).",

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language = "English",

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AU - McKenna, Lisa

N1 - Funding Information: This study was funded by Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional Republik Indonesia, through Penelitian Dasar grant number 8/E1/KPT/ 2021; 4/E1/KP.PTNBH/2021; 547/UN3.15/PT/2021. The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Publisher Copyright: © 2022, The Author(s).

PY - 2022/12/1

Y1 - 2022/12/1

N2 - BACKGROUND: Task-shifting, the distribution of tasks among health workers to address health workforce shortage, has been widely used to tackle mental health treatment gaps. However, its implementation in Indonesia has still been rarely explored. This study aimed to explore stakeholders' perspectives on the implementation of mental health task-shifting to nurses in Indonesia's primary health care.METHODS: An exploratory descriptive approach using in-depth interviews and focused group discussions (FGDs) was used. The study involved 19 stakeholders from the government's ministry directorates, professional organisations, and mental health practitioners. Thematic analysis was used to analyse the data.RESULTS: Three themes emerged namely, task-shifting feasibility and acceptability, shared task implementation, and nurse role enhancement issues, with 14 sub-themes.CONCLUSIONS: Task-shifting on mental health issues in the eye of Indonesian stakeholders is viewed as a matter of sharing and collaboration. Implementation of task-shifting in Indonesia may require policies in place and political will across stakeholders. Further scrutiny on task-shifting implementation is needed by considering the local context and national environment.

AB - BACKGROUND: Task-shifting, the distribution of tasks among health workers to address health workforce shortage, has been widely used to tackle mental health treatment gaps. However, its implementation in Indonesia has still been rarely explored. This study aimed to explore stakeholders' perspectives on the implementation of mental health task-shifting to nurses in Indonesia's primary health care.METHODS: An exploratory descriptive approach using in-depth interviews and focused group discussions (FGDs) was used. The study involved 19 stakeholders from the government's ministry directorates, professional organisations, and mental health practitioners. Thematic analysis was used to analyse the data.RESULTS: Three themes emerged namely, task-shifting feasibility and acceptability, shared task implementation, and nurse role enhancement issues, with 14 sub-themes.CONCLUSIONS: Task-shifting on mental health issues in the eye of Indonesian stakeholders is viewed as a matter of sharing and collaboration. Implementation of task-shifting in Indonesia may require policies in place and political will across stakeholders. Further scrutiny on task-shifting implementation is needed by considering the local context and national environment.

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KW - Mental health

KW - Nurses

KW - Primary care

KW - Psychiatrists

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JO - BMC Nursing

JF - BMC Nursing

IS - 1

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ER -

"Not shifting, but sharing": stakeholders' perspectives on mental health task-shifting in Indonesia

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