scholarly journals Integrating mental health into primary care in Nigeria: report of a demonstration project using the mental health gap action programme intervention guide

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Oye Gureje ◽  
Jibril Abdulmalik ◽  
Lola Kola ◽  
Emmanuel Musa ◽  
Mohammad Taghi Yasamy ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Demonstration Project ◽  
Health Gap ◽  
Action Programme

scholarly journals Mental health e-supervision for primary care doctors in Sudan using the WHO mhGAP Intervention Guide

2015 ◽  
Vol 12 (S1) ◽  
pp. S-16-S-19 ◽  
Author(s):  
Anne Aboaja ◽  
Puja Myles ◽  
Peter Hughes
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
World Health ◽  
Middle Income ◽  
Middle Income Countries ◽  
The World ◽  
Health Gap ◽  
Action Programme ◽  
Primary Care Doctors ◽  
Health Organization

This paper describes the evaluation of a pilot e-supervision programme, with a focus on feasibility. The findings suggest that e-supervision in mental health using the World Health Organization (WHO) Mental Health Gap Action Programme (mhGAP) Intervention Guide and case-based discussions is valued by participants and can improve the knowledge, confidence and beliefs of primary care doctors in low- and middle-income countries.

scholarly journals What did we learn from a pilot trial to inform the scale-up of training based on the Mental Health Gap Action Programme in Tunisia?

2021 ◽  
Author(s):  
Jessica Spagnolo ◽  
Fatma Charfi ◽  
Nesrine Bram ◽  
Leila Larbi Doghri ◽  
Wahid Melki
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Pilot Trial ◽  
Scale Up ◽  
Eastern Mediterranean Region ◽  
Training Programme ◽  
Lessons Learned ◽  
Health Gap ◽  
Action Programme

The Mental Health Gap Action Programme (mhGAP) Intervention Guide was developed to support evidence-based training offered to nonspecialists to further encourage the integration of mental health into primary care and community-based settings. This training programme was implemented in many countries of the Eastern Mediterranean Region (EMR). Tunisian primary care physicians were offered an mhGAP-based training programme as a pilot in 2016 and it was evaluated using an 18-month exploratory trial and implementation analysis. Pilot findings informed the scale-up of a mental health training programme that began in January 2020 by recommending amendments to mental health policy, informing training content, further operationalizing the National Strategy for Mental Health Promotion, and encouraging the sustainability of the training’s effects through a cascade model. Our lessons learned may be useful to other countries of the EMR, invested in furthering the training of primary care physicians/other nonspecialists, as well as the integration of mental health into primary care settings.

scholarly journals Evaluation of a mental health training project in the Republic of the Sudan using the Mental Health Gap Action Programme curriculum

2012 ◽  
Vol 9 (2) ◽  
pp. 43-45
Author(s):  
Sherese Ali ◽  
Khalid Saeed ◽  
Peter Hughes
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Primary Care Physicians ◽  
Positive Impact ◽  
Field Tests ◽  
World Health ◽  
Mental Health Training ◽  
Middle Income ◽  
Health Gap ◽  
Action Programme

This paper reports on the training of primary care physicians in the family medicine programme at the University of Gezira, Sudan, using the World Health Organization's Mental Health Gap Action Programme Intervention Guide (mhGAP-IG). The training had a positive impact on their knowledge of and attitudes to mental disorder. More field tests of the mhGAP-IG would be useful to make further recommendations on its cultural relevance and its adaptation for use in low- and middle-income countries. Distance supervision of training of primary care physicians by internal facilitators is seen as critical for the sustainability of the intervention.

scholarly journals Mental Health Gap Action Programme training in Nigeria: reflections for progressive learning among primary care workers

2021 ◽  
pp. 1-3
Author(s):  
Alvina Ali ◽  
Nandini Chakraborty
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Knowledge Base ◽  
Mental Healthcare ◽  
World Health ◽  
Middle Income ◽  
Care Workers ◽  
The World ◽  
Health Gap ◽  
Action Programme

In the majority of low- and middle-income countries, mental healthcare is delivered by primary care workers. Often, they are the only contact for patients and their families. Although their knowledge base can be limited, they are expected to manage complex cases with few resources. The authors describe their experience of partnership with mental health centres set up by the Nigeria Health Care Project, and training their primary care workers based on the World Health Organization's Mental Health Gap Action Programme. Although the programme was very effective in helping to upskill their knowledge and experience, a need for continued professional development was highlighted. Based on their feedback, multiple evidence-based options are explored, including the use of remote learning and social media (increased significantly around the world because of the COVID-19 pandemic), to help primary care workers improve their knowledge base and maintain their competencies with the limited resources available.

scholarly journals Country Contextualization of the Mental Health Gap Action Programme Intervention Guide: A Case Study from Nigeria

PLoS Medicine ◽  
2013 ◽  
Vol 10 (8) ◽  
pp. e1001501 ◽  
Author(s):  
Jibril Abdulmalik ◽  
Lola Kola ◽  
Woye Fadahunsi ◽  
Kazeem Adebayo ◽  
M. Taghi Yasamy ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Gap ◽  
Action Programme

scholarly journals Contextualizing and pilot testing the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) to primary healthcare workers in Kilifi, Kenya

2020 ◽  
Vol 7 ◽  
Author(s):  
Mary A. Bitta ◽  
Symon M. Kariuki ◽  
Anisa Omar ◽  
Leonard Nasoro ◽  
Monica Njeri ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Healthcare ◽  
Implementation Process ◽  
Research Programme ◽  
Rank Test ◽  
Situational Analysis ◽  
Successful Implementation ◽  
Pilot Testing ◽  
Health Gap ◽  
Action Programme

Abstract Background Little data exists about the methodology of contextualizing version two of the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) in resource-poor settings. This paper describes the contextualisation and pilot testing of the guide in Kilifi, Kenya. Methods Contextualisation was conducted as a collaboration between the KEMRI-Wellcome Trust Research Programme (KWTRP) and Kilifi County Government's Department of Health (KCGH) between 2016 and 2018. It adapted a mixed-method design and involved a situational analysis, stakeholder engagement, local adaptation and pilot testing of the adapted guide. Qualitative data were analysed using content analysis to identify key facilitators and barriers to the implementation process. Pre- and post-training scores of the adapted guide were compared using the Wilcoxon signed-rank test. Results Human resource for mental health in Kilifi is strained with limited infrastructure and outdated legislation. Barriers to implementation included few specialists for referral, unreliable drug supply, difficulty in translating the guide to Kiswahili language, lack of clarity of the roles of KWTRP and KCGH in the implementation process and the unwillingness of the biomedical practitioners to collaborate with traditional health practitioners to enhance referrals to hospital. In the adaptation process, stakeholders recommended the exclusion of child and adolescent mental and behavioural problems, as well as dementia modules from the final version of the guide. Pilot testing of the adapted guide showed a significant improvement in the post-training scores: 66.3% (95% CI 62.4–70.8) v. 76.6% (95% CI 71.6–79.2) (p < 0.001). Conclusion The adapted mhGAP-IG version two can be used across coastal Kenya to train primary healthcare providers. However, successful implementation in Kilifi will require a review of new evidence on the burden of disease, improvements in the mental health system and sustained dialogue among stakeholders.

A Fallacy of the World Health Organization's Mental Health Gap Action Programme and Intervention Guide: Counseling and Psychotherapy Are Also (Western) Indigenous/Traditional Healing Methods

2020 ◽  
Vol 22 (1) ◽  
pp. 49-61
Author(s):  
Robinder P. Bedi ◽  
Mohit Bassi
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Global Mental Health ◽  
World Health ◽  
Middle Income ◽  
Western Countries ◽  
The World ◽  
Health Gap ◽  
Cultural Healing ◽  
Action Programme

This article will argue that, rather than being objective and universal treatment appro-aches, counseling and psychotherapy are indigenous/traditional (i.e., cultural) healing methods of the Euro-American West. Therefore, the World Health Organization's Mental Health Gap Action Programme (MHGAP), designed to provide increased access to reportedly highly effective Western mental health treatment services in many low- and middle-income countries, is likely to falter. It can be argued that culturally adapted counseling and psychotherapy will be most effective for individuals in non-Western countries who endorse or are somewhat acculturated to Western understandings and ways of living. Therefore, Western psychological interventions should not be at the forefront of the MHGAP in non-Western countries. Supportive evidence for this perspective is summarized and alternative approaches to promoting global mental health that draw on non-Western indigenous healing practices are presented.

Suicide Prevention in the WHO Mental Health Gap Action Programme (mhGAP)

Crisis ◽  
2013 ◽  
Vol 34 (5) ◽  
pp. 295-296 ◽  
Author(s):  
Alexandra Fleischmann ◽  
Shekhar Saxena
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Health Gap ◽  
Action Programme
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