Strengthening System and Implementation Research Capacity for Child Mental Health and Family Well-being in Sub-Saharan Africa

2021 ◽  
Author(s):  
Anne Mbwayo ◽  
Manasi Kumar ◽  
Muthoni Mathai ◽  
Teresia Mutavi ◽  
Jane Nungari ◽  
...  
Keyword(s):  
Mental Health ◽  
Implementation Research ◽  
Child Mental Health ◽  
Well Being ◽  
Research Capacity ◽  
Sub Saharan Africa ◽  
Sub Saharan

Educational Psychology in Sub-Saharan Africa

2020 ◽  
Author(s):  
Irma Eloff
Keyword(s):  
Mental Health ◽  
Educational Psychology ◽  
Policy Development ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Theoretical Development ◽  
Strength Based ◽  
Global Goal ◽  
Sub Saharan ◽  
Educational Psychological

Educational psychology in Africa has a rich and colorful history. In sub-Saharan Africa educational psychology, as both a profession and a scientific field, is particularly vibrant. The emergence of educational psychology in sub-Saharan Africa shows how the science and the profession has pirouetted in ways that could support mental health and learning in African contexts in innovative ways. While emanating within Western cultures, educational psychology has been adapted and, perhaps, been deeply enriched in the African context. After the initial establishment of educational psychology in sub-Saharan Africa, three broad eras of theoretical development are evident: (a) the era of ecosystems and community, (b) the era of inclusion, and (c) the era of strength-based and positive approaches. During the era of ecosystems and community, emergent theories challenged the dominance of the individualist paradigms in educational psychology and provided broadened conceptualizations of the factors that impact mental health and effective learning. The role of communities was also given prominence. During the era of inclusion, the medical model was challenged as the primary foundation for legitimizing educational psychological assessments and interventions. Educational psychologists moved toward rights-based approaches that championed the rights of vulnerable populations and the creation of inclusive learning environments. The inclusion of children with disabilities influenced policy development in multiple sub-Saharan countries and expanded the dialogues on how best to support learning for all children. During the era of strength-based and positive approaches, theoretical and pragmatic approaches that forefront strengths, capacities, and possibilities started to develop. This era signified yet another departure from previous hegemonic paradigms in that educational psychology moved beyond the individual level, toward more systemic approaches, but then also used approaches that focused more on strengths and the mobilization of resources within these systems to address challenges and to optimize educational psychological support. These eras in the development of educational psychology in sub-Saharan Africa created optimal opportunities to respond to the United Nation’s Sustainable Development Goals (SDGs). In terms of SDGs, educational psychology responds primarily to Global Goal 3 (health and well-being) and Global Goal 4 (quality education). At the same time it supports the Global Goals of no poverty (1), gender equality (5), decent work and economic growth (8), reduced inequalities (10), sustainable cities and communities (11), and building partnerships for the goals (17).

scholarly journals Mental health research capacity building in sub-Saharan Africa: the African Mental Health Research Initiative

2020 ◽  
Vol 7 ◽  
Author(s):  
Dixon Chibanda ◽  
Melanie Abas ◽  
Rosemary Musesengwa ◽  
Chris Merritt ◽  
Katherine Sorsdahl ◽  
...  
Keyword(s):  
Mental Health ◽  
Low Income ◽  
Health Research ◽  
Research Capacity ◽  
Mental Health Research ◽  
Sub Saharan Africa ◽  
Theory Of Change ◽  
Evidence Based ◽  
Research Initiative ◽  
Sub Saharan

Abstract Mental, neurological and substance use (MNS) disorders are a leading, but neglected, cause of morbidity and mortality in sub-Saharan Africa. The treatment gap for MNS is vast with only 10% of people with MNS disorders in low-income countries accessing evidence-based treatments. Reasons for this include low awareness of the burden of MNS disorders and limited evidence to support development, adaptation and implementation of effective and feasible treatments. The overall goal of the African Mental Health Research Initiative (AMARI) is to build an African-led network of MNS researchers in Ethiopia, Malawi, South Africa and Zimbabwe, who are equipped to lead high quality mental health research programs that meet the needs of their countries, and to establish a sustainable career pipeline for these researchers with an emphasis on integrating MNS research into existing programs such as HIV/AIDS. This paper describes the process leading to the development of AMARI's objectives through a theory of change workshop, successes and challenges that have been faced by the consortium in the last 4 years, and the future role that AMARI could play in further building MNS research capacity by brining on board more institutions from low- and middle-income countries with an emphasis on developing an evidence-based training curriculum and a research-driven care service.

scholarly journals Where Lies the Risk? An Ecological Approach to Understanding Child Mental Health Risk and Vulnerabilities in Sub-Saharan Africa

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Olayinka Atilola
Keyword(s):  
Mental Health ◽  
Health Risk ◽  
Child Protection ◽  
Child Mental Health ◽  
Social Protection ◽  
Point Of View ◽  
Sub Saharan Africa ◽  
Ecological Approach ◽  
Vulnerability Factors ◽  
Sub Saharan

Efforts at improving child-health and development initiatives in sub-Saharan Africa had focused on the physical health of children due to the neglect of child and adolescent mental health (CAMH) policy initiatives. A thorough and broad-based understanding of the prevalent child mental-health risk and vulnerability factors is needed to successfully articulate CAMH policies. In this discourse, we present a narrative on the child mental-health risk and vulnerability factors in sub-Saharan Africa. Through an ecological point of view, we identified widespread family poverty, poor availability and uptake of childcare resources, inadequate community and institutional childcare systems, and inadequate framework for social protection for vulnerable children as among the risk and vulnerability factors for CAMH in the region. Others are poor workplace policy/practice that does not support work-family life balance, poor legislative framework for child protection, and some harmful traditional practices. We conclude that an ecological approach shows that child mental-health risks are diverse and cut across different layers of the care environment. The approach also provides a broad and holistic template from which appropriate CAMH policy direction in sub-Saharan Africa can be understood.

scholarly journals Participants’ experiences of engagement in community-centred mental health and psychosocial support programmes in conflict-affected communities within sub-Saharan Africa: a qualitative systematic review

2021 ◽  
Vol 6 (12) ◽  
pp. e005388
Author(s):  
Cleothia Caroline Alford ◽  
Yuko Otake
Keyword(s):  
Mental Health ◽  
Sierra Leone ◽  
Low Income ◽  
Psychosocial Support ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Policy And Practice ◽  
Middle Income ◽  
Republic Of The Congo ◽  
Sub Saharan

BackgroundSub-Saharan Africa (SSA) experienced a burden of organised violence within 18 low-income and middle-income countries and hosted over 33 million displaced persons in 2019. Community-centred mental health and psychosocial support (cc-MHPSS) programmes may provide insights to address the psychosocial well-being of conflict-affected individuals, though literature is mixed on community impact. This review aimed to synthesise qualitative evidence to understand the kind of experiences conflict-affected participants have and how these experiences occur during cc-MHPSS programme engagement in SSA.MethodsWe searched Global Health, MEDLINE, Psychological Information Database, Embase Classic+Embase, Social Policy and Practice, Web of Science, Africa-Wide Information, PubMed and Global Index Medicus databases. Eligible publications qualitatively reported on conflict-affected participants’ experiences of engagement in cc-MHPSS programmes. Data were extracted to summarise publication characteristics. The results were synthesised using a thematic synthesis analysis.ResultsThe search yielded 953 records, of which 20 publications were included in the review. Included publications were located in Rwanda (n=8), the Democratic Republic of the Congo (n=3), Mozambique (n=3), Sierra Leone (n=1), Ghana (n=1), Uganda (n=1), Zimbabwe (n=1) and South Sudan (n=1); one publication included three countries (Sierra Leone, Liberia and Uganda). Findings include the themes of (1) the experience of change in time and space, and (2) the sharing and silence of participants’ experiences. Findings demonstrate that elements transferred by participants from a cc-MHPSS programme to a natural community, and vice versa, contribute to participants’ healing. Elements’ transfer, or non-transfer, was often related to participants’ disclosure, or non-disclosure, of experiences.DiscussionFindings suggest that there are elements from a cc-MHPSS programme and a wider community which aid participant engagement and work therapeutically. More rigorous research is needed concerning how participants experience change during cc-MHPSS programme engagement in proximity to their relationship with the wider community.PROSPERO registration numberCRD42020197300.

scholarly journals Mental Health and Psychosocial Support During COVID-19: A Review of Health Guidelines in Sub-Saharan Africa

2021 ◽  
Vol 12 ◽  
Author(s):  
Keneilwe Molebatsi ◽  
Otsetswe Musindo ◽  
Vuyokazi Ntlantsana ◽  
Grace Nduku Wambua
Keyword(s):  
Mental Health ◽  
Psychosocial Support ◽  
Well Being ◽  
Health Needs ◽  
Sub Saharan Africa ◽  
World Health ◽  
Mental Health Needs ◽  
Sub Saharan ◽  
The Impact ◽  
Ssa Countries

The COVID-19 pandemic brought in its wake an unforeseen mental health crisis. The World Health Organization published a guideline as a way of supporting mental health and psychosocial well-being of different groups during this pandemic. The impact of the pandemic has pushed governments to put measures in place to curb not only the physical health of individuals but their mental health and psychosocial well-being as well. The aim of our paper was to review mental health guidelines of some Sub Saharan African (SSA) countries: (i) to assess their appropriateness for the immediate mental health needs at this time, (ii) to form as a basis for ongoing reflection as the current pandemic evolves. Guidelines were retrieved openly from internet search and some were requested from mental health practitioners in various SSA countries. The authors designed a semi structured questionnaire, as a self-interview guide to gain insight on the experience of COVID-19 from experts in the mental health sector in the various countries. While we used a document analysis approach to analyze the data, we made use of the Mental Health Preparedness and Action Framework to discuss our findings. We received health or mental health guidelines from 10 SSA countries. Cameroon, Kenya, South Africa, Tanzania, and Uganda all had mental health guidelines or mental health component in their health guidelines. Our experts highlight that the mental health needs of the people are of concern during this pandemic but have not been given priority. They go further to suggest that the mental health needs are slightly different during this time and requiring a different approach especially considering the measures taken to curb the spread of disease. We conclude that despite the provision of Mental Health and Psychosocial Support guidelines, gaps still exist making them inadequate to meet the mental health needs of their communities.

scholarly journals Does social support modify the relationship between food insecurity and poor mental health? Evidence from thirty-nine sub-Saharan African countries

2018 ◽  
Vol 22 (5) ◽  
pp. 874-881 ◽  
Author(s):  
Muzi Na ◽  
Meghan Miller ◽  
Terri Ballard ◽  
Diane C Mitchell ◽  
Yuen Wai Hung ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Food Insecurity ◽  
Emotional Support ◽  
Well Being ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Sub Saharan ◽  
Mental Well Being ◽  
The Relationship

AbstractObjectiveThe present study aimed to determine the relationship among food insecurity, social support and mental well-being in sub-Saharan Africa, a region presenting the highest prevalence of severe food insecurity and a critical scarcity of mental health care.DesignFood insecurity was measured using the Food Insecurity Experience Scale (FIES). Social support was assessed using dichotomous indicators of perceived, foreign perceived, received, given, integrative and emotional support. The Negative and Positive Experience Indices (NEI and PEI) were used as indicators of mental well-being. Multilevel mixed-effect linear models were applied to examine the associations between mental well-being and food security status, social support and their interaction, respectively, accounting for random effects at country level and covariates.ParticipantsNationally representative adults surveyed through Gallup World Poll between 2014 and 2016 in thirty-nine sub-Saharan African countries (n 102 235).ResultsThe prevalence of severe food insecurity was 39 %. The prevalence of social support ranged from 30 to 72 % by type. In the pooled analysis using the adjusted model, food insecurity was dose-responsively associated with increased NEI and decreased PEI. Perceived, integrative and emotional support were associated with lower NEI and higher PEI. The differences in NEI and PEI between people with and without social support were the greatest among the most severely food insecure.ConclusionsBoth food insecurity and lack of social support constitute sources of vulnerability to poor mental well-being. Social support appears to modify the relationship between food security and mental well-being among those most affected by food insecurity in sub-Saharan Africa.

Mental Health and Well-Being during COVID-19 in the developing world: A Review of Sub-Saharan Africa and Asia

2021 ◽  
Vol 1 (4) ◽  
pp. 325-332
Author(s):  
Nabat Arfi ◽  
Farzana Alim ◽  
Shalini Agarwal
Keyword(s):  
Mental Health ◽  
Large Scale ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Post Traumatic Stress ◽  
Mental Health Systems ◽  
Health Crisis ◽  
Emotional Illness ◽  
Sub Saharan ◽  
Set Up

In view of the latest COVID-19 pandemic's unprecedented major global health crisis, it is extremely vital to consider the mental effect of this rising and formidable threat on the life of humanity, which has significant morbidity and mortality worldwide. Previous research indicates that people affected by COVID-19 can have a high burden of issues with mental health, including depression, anxiety disorders, stress, sleep disorders, emotional illness, signs of post-traumatic stress, and suicidal behavior. In the background of the COVID-19 pandemic, as the outbreak entails a large-scale change in behavior and further, creates major psychological burdens on individuals, there is a growing concern to resolve the mental health issues of the general population. This review article attempts to highlight different mental health challenges faced during COVID-19 by multiple individuals. In certain settings, virtual mental health systems should be set up, and social media should be used to provide education and networking tools for mental health. Psychopathological issues in various communities should be emphasized in future epidemiological research

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