PMH37 FACTORS INFLUENCING THE UPTAKE OF MENTAL HEALTH SERVICES IN SUB-SAHARAN AFRICA.

Malawi is a country in sub-Saharan Africa bordering Mozambique, Tanzania and Zambia. It has an area of approximately 118000 km2 and is divided into northern, central and southern regions. It has an estimated population of 13 million, 47% of whom are under 15 years of age and just 5% over 60 years. Its economy is largely based on agriculture, with tobacco being the main export. The projected growth in gross domestic product (GDP) for 2007 was 8.8%; GDP per capita was $284 per annum.

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Toward the integration of comprehensive mental health services in HIV care: An assessment of psychiatric morbidity among HIV-positive individuals in sub-Saharan Africa

AIDS Care ◽

10.1080/09540121.2013.763892 ◽

2013 ◽

Vol 25 (9) ◽

pp. 1193-1198 ◽

Cited By ~ 8

Author(s):

Andrew T. Olagunju ◽

Olasimbo A. Ogundipe ◽

Adebayo R. Erinfolami ◽

Abiola A. Akinbode ◽

Joseph D. Adeyemi

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Psychiatric Morbidity ◽

Sub Saharan Africa ◽

Hiv Care ◽

Hiv Positive ◽

Sub Saharan

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The mental health impact of the COVID-19 pandemic: Implications for sub-Saharan Africa.

10.31219/osf.io/yq9kn ◽

2020 ◽

Cited By ~ 2

Author(s):

Souci Frissa ◽

Bazghina-werq Semo Dessalegn

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Services ◽

Health Services ◽

Stress Disorders ◽

Sub Saharan Africa ◽

Post Traumatic Stress ◽

Care Workers ◽

Traumatic Stress Disorders ◽

Sub Saharan

The COVID-19 pandemic is leading to mental health problems due to disease experience, physical distancing, stigma and discrimination, and job losses in many of the settings hardest hit by the pandemic. Health care workers, patients with COVID-19 and other illnesses, children, women, youth, and the elderly are experiencing post-traumatic stress disorders, anxiety, depression, and insomnia. Virtual mental health services have been established in many settings and social media is being used to impart mental health education and communication resources. This rapid review highlights mental health services across countries hardest hit by the COVID-19 pandemic. More needs to be done to take these services to scale and ensure equity and efficiency.The impact of COVID-19 on mental health in sub-Saharan Africa could be immense, given the weak health care systems. Similar to the Ebola epidemic of 2014-2016, COVID-19 is expected to cause anxiety, depression and post-traumatic stress disorders. Uptake of mental health care services is generally low, and communities rely on social resources. Hence, efforts to control the disease transmission should be contextualized. Low digital literacy, low smartphone penetration and limited internet connection make online mental health services a limited option for service delivery. Safeguarding social and cultural resilience factors and coping mechanisms is critical in the sub-Saharan African context. Mass media is a feasible way of providing social resources. Community health workers can be trained quickly to provide mental health education, screening and counselling services. Toll-free mental health helplines can be used to provide services to health care workers and those needing customized care. Mental health and psychosocial support services need to be integrated into the pandemic response and coordinated nationally. It is critical for these services to continue during and after the epidemic.

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Depression, pregnancy, and HIV: the case to strengthen mental health services for pregnant and post-partum women in sub-Saharan Africa

The Lancet Psychiatry ◽

10.1016/s2215-0366(14)70273-1 ◽

2014 ◽

Vol 1 (2) ◽

pp. 159-162 ◽

Cited By ~ 13

Author(s):

Elizabeth M Stringer ◽

Samantha Meltzer-Brody ◽

Margaret Kasaro ◽

Alison M Stuebe ◽

Samantha Wiegand ◽

...

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Post Partum ◽

Sub Saharan Africa ◽

Sub Saharan

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Depression: International intervention for a global problem

The British Journal of Psychiatry ◽

10.1192/bjp.184.5.379 ◽

2004 ◽

Vol 184 (5) ◽

pp. 379-380 ◽

Cited By ~ 7

Author(s):

Mike. J. Crawford

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

World Health Organization ◽

Sub Saharan Africa ◽

World Health ◽

The World ◽

Health Related ◽

Sub Saharan ◽

Health Organization

Since 1948 the World Health Organization has had the challenging task of trying to achieve ‘the attainment by all peoples of the highest possible level of health’ (World Health Organization, 1946). A central part of this work has involved assessing the extent of health-related problems in different parts of the world and advocating for the implementation of effective strategies to address these problems. For many years the World Health Organization has expressed concerns about the relatively low level of funding assigned to mental health services in many countries. Estimates based on data collected in 2000 show that in most of sub-Saharan Africa and South-East Asia there are fewer than one mental health nurse and one psychiatrist per 100 000 people (World Health Organization, 2001). Two papers produced with the support of the World Health Organization and published in this issue of the Journal strengthen the argument for additional funding for mental health services. In the first paper, üstün and colleagues (2004, this issue) summarise data on the relative impact of common health-related problems in different regions of the world, and in an accompanying paper Chisholm and others (2004, this issue) estimate the cost-effectiveness of different interventions for depression in these different areas.

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HIV Case Management Support Service Is Associated with Improved CD4 Counts of Patients Receiving Care at the Antiretroviral Clinic of Pantang Hospital, Ghana

AIDS Research and Treatment ◽

10.1155/2017/4697473 ◽

2017 ◽

Vol 2017 ◽

pp. 1-7

Author(s):

Bismark Sarfo ◽

Naa Ashiley Vanderpuye ◽

Abigail Addison ◽

Peter Nyasulu

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Case Management ◽

Support Services ◽

Support Service ◽

Sub Saharan Africa ◽

Management Support ◽

Cd4 Counts ◽

Sub Saharan

Background. Factors associated with individual patient-level management of HIV have received minimal attention in sub-Saharan Africa. This study determined the association between support services and cluster of differentiation 4 (CD4) counts among HIV patients attending ART clinic in Ghana. Methodology. This was a cross-sectional study involving adults with HIV recruited between 1 August 2014 and 31 January 2015. Data on support services were obtained through a closed-ended personal interview while the CD4 counts data were collected from their medical records. Data were entered into EpiData and analyzed using Stata software. Results. Of the 201 patients who participated in the study, 67% (129/191) received case management support service. Counseling about how to prevent the spread of HIV (crude odds ratio (cOR) (95% confidence interval (CI)) (2.79 (1.17–6.68)), mental health services (0.2 (0.04–1.00)), and case management support service (2.80 (1.34–5.82))) was associated with improved CD4 counts of 350 cells/mm3 or more. After adjusting for counseling about how to prevent the spread of HIV and mental health services, case management support service was significantly associated with CD4 counts of 350 cells/mm3 or more (aOR = 2.36 (CI = 1.01–5.49)). Conclusion. Case management support service for HIV patients receiving ART improves their CD4 counts above 350 cells/mm3. Incorporating HIV case management services in ART regimen should be a priority in sub-Saharan Africa.

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Mental health services in sub-Saharan Africa

International Psychiatry ◽

10.1192/s174936760000552x ◽

2008 ◽

Vol 5 (2) ◽

pp. 28-29

Author(s):

David Skuse

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Sub Saharan Africa ◽

Political Structure ◽

Educational Management ◽

Sub Saharan

Within the continent of Africa, mental health services are relatively undeveloped. In the sub-Saharan countries of Malawi, Kenya and Nigeria, similar problems are faced by dedicated psychiatrists who are struggling to create and sustain an educational, management and political structure for psychiatry.

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Health System Governance for the Integration of Mental Health Services into Primary Health Care in the Sub-Saharan Africa and South Asia Region: A Systematic Review

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.1177/00469580211028579 ◽

2021 ◽

Vol 58 ◽

pp. 004695802110285

Author(s):

Arifah Abd Rahim ◽

Rosliza Abdul Manaf ◽

Muhammad Hanafiah Juni ◽

Normala Ibrahim

Keyword(s):

Mental Health ◽

Systematic Review ◽

Mental Health Services ◽

Health Services ◽

Health System ◽

South Asia ◽

Mental Healthcare ◽

Sub Saharan Africa ◽

Human Resource Capacity ◽

Sub Saharan

Governance has been highlighted as an important building block underpinning the process of mental health integration into primary healthcare. This qualitative systematic review aims to identify the governance issues faced by countries in the Sub-Saharan Africa and South Asia Region in the implementation of integrated primary mental healthcare. PRISMA guideline was used to conduct a systematic search of relevant studies from 4 online databases that were filtered according to inclusion and exclusion criteria. Using the Critical Appraisal Skills Program (CASP) Qualitative Checklist, a quality appraisal of the selected articles was performed. By drawing upon institutional theory, data was extracted based on a pre-constructed matrix. The CERQual approach synthesized evidence and rank confidence level as low, moderate or high for 5 key findings. From 567 references identified, a total of 8 studies were included. Respondents were policymakers or implementers involved in integrated primary mental healthcare from the national, state, and district level. Overall, the main governance issues identified were a lack of leadership and mental health prioritization; inadequate financing and human resource capacity; and negative mental health perceptions/attitudes. The implication of the findings is that such issues must be addressed for long-term health system performance. This can also improve policymaking for better integration of primary mental health services into the health systems of countries in the Sub-Saharan and South Asia region.

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Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

Reproductive Health ◽

10.1186/s12978-021-01183-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Lesley Rose Ninsiima ◽

Isabel Kazanga Chiumia ◽

Rawlance Ndejjo

Keyword(s):

Reproductive Health ◽

Health Services ◽

Sexual And Reproductive Health ◽

Health Workers ◽

Sub Saharan Africa ◽

Inclusion Criteria ◽

Reproductive Health Services ◽

Factors Influencing ◽

Sub Saharan ◽

Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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