Over the years, we have developed a database of participants who have been through our programmes which helps us analyse the impact of our Model through the participant’s lives. Every quarter, BasicNeeds collects data from all operational sites in various countries to monitor reach, progress and assess impact and we are pleased to say that to date, over 609,000 people have been through our programmes globally.
We closely monitor our impact through the following ways:
a) Countries of operation
Currently BasicNeeds has programmes, partners and a franchisee in 12 countries in Africa (Ghana, Uganda, Tanzania, Kenya, South Sudan) and Asia (India, Sri Lanka, Nepal, Pakistan, China, Lao PDR and Vietnam).
b) Numbers of people reached
Since our foundation in 2000 to March 2014, we have transformed the lives of 609,382 participants globally which includes 118,788 people with mental illness and/or epilepsy, 95,030 carers and 395,564 family members.
During the first quarter of this year, we reached a total of 213,617 participants of which 41,821 were people with mental illness and/or epilepsy, 32,532 were carers and 139, 264 family members.
BasicNeeds programmes have mobilised and trained a significant number of partners who contribute to the overall delivery of the global programme. In 2013, we had 113 partners and these partners range from ministries of health to community based organisations.
d) Individuals trained
The training of beneficiaries and staff has always been integral in the global programme. In 2013, training was given to 201 BasicNeeds and partner staff, 1,212 health personnel and community workers, and 4,899 direct beneficiaries (affected people + carers)
i] BasicNeeds’ staff and partner staff are trained in understanding mental health and the BasicNeeds Model
ii] Community based workers are trained in understanding mental health and development, human rights, how to read signs and symptoms of mental illness, follow up treatments, home visits, etc.
iii] Direct beneficiaries are given vocational training and training in savings and micro-credit, leadership, advocacy and human rights
Beneficiaries: Health, Work and Social Inclusion
In 2013, of the 42,469 people with mental illness or epilepsy who participated in BasicNeeds programmes worldwide, a significant number showed improvements in health with reduced symptoms and increased participation in domestic, social and economic activities.
a) Treatment access and reduction of symptoms
Last year, overall there was significant improvement against baseline (before joining BasicNeeds programme) in the number of affected individuals who gained access to treatment (86% of beneficiaries from 49% at baseline) and 73% reported a reduction of their symptoms.
As people recover from their mental ill health they are keen to work or go back to a job they were previously undertaking. Indeed the relationship between poverty and mental ill health in developing countries is very important. They can start with productive work by carrying out simple tasks at home but this can rise to a significant contribution to the household chores. A key target is to go into earned income and the return to work represents a very special moment. Of the 117,452 mentally ill people in the programme in 2013, 80% were involved in livelihoods with 33% being in productive work and 47% were earning.
c) Self-help groups
A significant contribution to the recovery of mentally ill people in the programme is their membership to a self-help group. Data begins for this indicator in 2008 and now we have around 518 self-help groups with 25,266 members. Our evidence indicates that even when a satisfactory recovery is achieved by an affected person, he/she doesn’t automatically leave the self-help group and this speaks a lot regarding the long term effectiveness of these people led structures.
Practice: Disruption and Creation in Mental Health Delivery Systems
The impact of the BasicNeeds Model in current operational countries has penetrated into the delivery of government mental health services through integration into primary health care, which is key to sustaining these services. This in turn is critical to sustaining the outcomes gained by affected individuals and extending services to more people in future. Key areas of BasicNeeds’ impact on service delivery: increased treatment services, increased availability of medicines, leveraging of other resources and increased community involvement.
Influence: Towards Evidence Based Global Mental Health Policy
BasicNeeds continues to influence the field of mental health towards a community based mental health approach. The scope of BasicNeeds’ influence covers 3 areas: 1) Government policy in operational countries, 2) the Global Mental Health community (includes the following prominent players: WHO, Movement for Global Mental Health, global mental health research coalitions PRIME and EMERALD etc.) and 3) Knowledge (peer reviewed and other publications).
We have a well laid out system that covers the Monitoring-Quality Assurance-Impact Assessment system and detailed protocols and data collection templates have been designed. Field teams in all operational countries are trained in the use of these for data collection. Quality checks of data are conducted. All data is entered into a database and these are consolidated and analysed every quarter and reports are presented including an annual impact report.
To access our latest Quarterly Impact Overview, click here