SAIA-Mental Health: Systematically improving the mental health treatment cascade
HAI helped adapt and test the evidence-based Systems Analysis and Improvement Approach (SAIA) to improve screening and treatment for common mental health disorders in Central Mozambique.
SAIA HAS TRANSFERRED TO CSM
As of October 2021, HAI fully transferred all global operations and active Mozambique programs to CSM, an independent local NGO with a board, leadership, and staff that reflects the communities they serve.
Stay up to date on all SAIA projects and follow CSM’s full portfolio by clicking any CSM logo on this website.
Mental disorders are the leading cause of disability in Mozambique, yet only 7.2% of health facilities offer mental health services. In Beira, Central Mozambique’s largest provincial capital (population: 530,000+), only 1% of depressive symptoms are detected in outpatient settings, and primary care facilities have few procedures in place to screen for mental health symptoms.
In the SAIA-Mental Health project, HAI worked with the Sofala Provincial Health System to adapt the SAIA toolkit to improve screening and treatment for Mozambicans suffering from depression, epilepsy, and schizophrenia among other common mental health conditions. The Systems Analysis and Improvement Approach (SAIA) is an evidence-based multi-step implementation strategy that systematically identifies barriers and facility-level solutions to health care delivery and patient flow using a systems engineering approach. Health providers use an adapted mental health cascade analysis tool (MHCAT) to identify patient retention stress points and then develop workflow modifications (micro-interventions) in response.
As part of the SAIA-Mental Health project, HAI worked in partnership with Mozambique’s Ministry of Health to enhance patient data collection tools and provide support to providers in the use of data to support mental health diagnosis and treatment.
Want to dig a little deeper?
[2017-2021] Systems Analysis and Improvement to Optimize task-shifted mental health diagnosis and treatment cascades (SAIA-MH) [project transferred to CSM for continuation]
This project received funding support from the National Institutes of Health under award number R21MH113691, via a subagreement from the University of Washington.
[2012-2015] Systems Analysis and Improvement to Optimize pMTCT: A Cluster Randomized Trial.
This project received funding support from the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under award number R01HD075057, via a subagreement from the University of Washington.
For additional SAIA project funding information, visit the SAIA main page.
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WHAT IS SAIA?
PMTCT – HIV/AIDS
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Stand with HAI
Our mission is to promote policies and support programs that strengthen government primary health care and foster social, economic, and health equity for all. Our vision is a just world that promotes health and well-being, including universal access to quality health care.
Health Alliance International began in 1987 as a US-based international solidarity organization committed to supporting the public sector provision of health care for all. Over 35 years, HAI conducted programs in 17 countries, with flagship programs in Mozambique, Côte d'Ivoire, and Timor-Leste.
In line with HAI’s commitment to support and strengthen local public health leadership, as of October 2021, HAI fully transitioned global operations and active programs to locally-based, locally-led NGOs. Learn more about this shift toward local autonomy and equity in global health.