{"id":"https://openalex.org/W7223231981","doi":"https://doi.org/10.5281/zenodo.23550136","title":"Community Mental Health Service Task-Shifting Ratios and Psychotropic Prescribing Accuracy in Ethiopian Health Centres: A Multilevel Estimation of Prescriber Cadre Exposure","display_name":"Community Mental Health Service Task-Shifting Ratios and Psychotropic Prescribing Accuracy in Ethiopian Health Centres: A Multilevel Estimation of Prescriber Cadre Exposure","publication_year":2026,"publication_date":"2026-10-22","ids":{"openalex":"https://openalex.org/W7223231981","doi":"https://doi.org/10.5281/zenodo.23550136"},"language":"en","primary_location":{"id":"doi:10.5281/zenodo.23550136","doi":"https://doi.org/10.5281/zenodo.23550136","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23550136","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.5281/zenodo.23550136","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159268054","display_name":"Tewodros Alemu Gebremeskel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Gebremeskel, Tewodros Alemu","raw_affiliation_strings":["Addis Ababa University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addis Ababa University","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159266222","display_name":"Hirut Bekele Woldeyes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Woldeyes, Hirut Bekele","raw_affiliation_strings":["Addis Ababa University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addis Ababa University","institution_ids":["https://openalex.org/I4537092"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159293769","display_name":"Abdi Deka Ibrahim","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4537092","display_name":"Addis Ababa University","ror":"https://ror.org/038b8e254","country_code":"ET","type":"education","lineage":["https://openalex.org/I4537092"]}],"countries":["ET"],"is_corresponding":false,"raw_author_name":"Ibrahim, Abdi Deka","raw_affiliation_strings":["Addis Ababa University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Addis Ababa University","institution_ids":["https://openalex.org/I4537092"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4537092"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.88865474,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9291999936103821,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.9291999936103821,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.03830000013113022,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.008100000210106373,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/task-shifting","display_name":"task shifting","score":0.9259999990463257},{"id":"https://openalex.org/keywords/community-mental-health-services","display_name":"community mental health services","score":0.8159999847412109},{"id":"https://openalex.org/keywords/integrated-primary-care","display_name":"integrated primary care","score":0.6940000057220459},{"id":"https://openalex.org/keywords/mental-health-professionals","display_name":"mental health professionals","score":0.6320000290870667},{"id":"https://openalex.org/keywords/supervisory-oversight","display_name":"supervisory oversight","score":0.8090000152587891},{"id":"https://openalex.org/keywords/clinical-volume","display_name":"clinical volume","score":0.9470000267028809},{"id":"https://openalex.org/keywords/decision-support","display_name":"decision support","score":0.7910000085830688},{"id":"https://openalex.org/keywords/ethiopia","display_name":"Ethiopia","score":0.5870000123977661},{"id":"https://openalex.org/keywords/family-planning-messages","display_name":"family planning messages","score":0.5619999766349792}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7246999740600586},{"id":"https://openalex.org/C2780148112","wikidata":"https://www.wikidata.org/wiki/Q1432581","display_name":"Proxy (statistics)","level":2,"score":0.6169999837875366},{"id":"https://openalex.org/C96250715","wikidata":"https://www.wikidata.org/wiki/Q965330","display_name":"Estimation","level":2,"score":0.6132000088691711},{"id":"https://openalex.org/C3019351904","wikidata":"https://www.wikidata.org/wiki/Q6817476","display_name":"Mental health service","level":3,"score":0.5414999723434448},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4489000141620636},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.4343999922275543},{"id":"https://openalex.org/C2775951005","wikidata":"https://www.wikidata.org/wiki/Q3473024","display_name":"Community health","level":3,"score":0.41530001163482666},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.40959998965263367},{"id":"https://openalex.org/C2992545881","wikidata":"https://www.wikidata.org/wiki/Q6817473","display_name":"Mental health care","level":3,"score":0.4049000144004822},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.4027999937534332},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.39570000767707825},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.38510000705718994},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3707999885082245},{"id":"https://openalex.org/C13606891","wikidata":"https://www.wikidata.org/wiki/Q2623243","display_name":"Conceptual model","level":2,"score":0.32519999146461487},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3239000141620636},{"id":"https://openalex.org/C3018448503","wikidata":"https://www.wikidata.org/wiki/Q5154968","display_name":"Community health workers","level":4,"score":0.32089999318122864},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3190999925136566},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.31839999556541443},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.30869999527931213},{"id":"https://openalex.org/C3017736306","wikidata":"https://www.wikidata.org/wiki/Q3706669","display_name":"Psychotropic medication","level":3,"score":0.3021000027656555},{"id":"https://openalex.org/C2776688068","wikidata":"https://www.wikidata.org/wiki/Q940223","display_name":"Catchment area","level":3,"score":0.299699991941452},{"id":"https://openalex.org/C2993365623","wikidata":"https://www.wikidata.org/wiki/Q2043121","display_name":"Community service","level":2,"score":0.296999990940094},{"id":"https://openalex.org/C2992695702","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental healthcare","level":3,"score":0.2915000021457672},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.28200000524520874},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.25360000133514404},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.2535000145435333},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.2500999867916107}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.5281/zenodo.23550136","doi":"https://doi.org/10.5281/zenodo.23550136","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23550136","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.5281/zenodo.23550137","doi":"https://doi.org/10.5281/zenodo.23550137","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23550137","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.5281/zenodo.23550136","doi":"https://doi.org/10.5281/zenodo.23550136","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.23550136","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"score":0.9476000070571899,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7223198835","https://openalex.org/W7223246097","https://openalex.org/W7223241457","https://openalex.org/W7223254841","https://openalex.org/W2547254187","https://openalex.org/W6977004564","https://openalex.org/W2029706139","https://openalex.org/W3019495127","https://openalex.org/W7223235379","https://openalex.org/W1884785936"],"abstract_inverted_index":{"Ethiopia's":[0],"community":[1,40,59],"mental":[2],"health":[3,60],"programme":[4],"relies":[5],"on":[6,31],"task-shifting":[7,72],"from":[8,89],"specialist":[9],"psychiatrists":[10],"to":[11,93],"integrated":[12],"primary":[13],"care":[14],"providers,":[15],"yet":[16],"the":[17,32,50],"relationship":[18],"between":[19],"prescriber":[20,101],"cadre":[21,102],"exposure":[22],"and":[23,63,111],"psychotropic":[24],"prescribing":[25,115],"accuracy":[26],"remains":[27],"poorly":[28],"quantified.":[29],"Drawing":[30],"DHS":[33],"Program":[34],"indicator":[35,54],"'Family":[36],"planning":[37],"messages":[38],"at":[39],"meeting":[41],"or":[42],"event'":[43],"(FP_EFPM_M_COM)":[44],"across":[45],"15":[46,77],"African":[47],"countries":[48],"(2021\u20132025),":[49],"analysis":[51],"treats":[52],"this":[53],"as":[55],"a":[56,67,81],"proxy":[57],"for":[58],"engagement":[61],"intensity":[62],"situates":[64],"it":[65],"within":[66],"broader":[68],"conceptual":[69],"model":[70],"of":[71,83],"exposure.":[73],"The":[74,97],"sample":[75],"comprises":[76],"country-survey":[78],"observations":[79],"with":[80],"mean":[82],"29.733":[84],"(SD":[85],"=":[86],"17.495),":[87],"ranging":[88],"6.60":[90],"in":[91,95],"Mali":[92],"73.40":[94],"Malawi.":[96],"framework":[98],"proposes":[99],"that":[100],"ratios":[103],"operate":[104],"through":[105],"three":[106],"mechanisms\u2014supervisory":[107],"oversight,":[108],"clinical":[109],"volume,":[110],"decision-support":[112],"availability\u2014to":[113],"influence":[114],"accuracy.":[116]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2026-10-23T00:00:00"}