scholarly journals Survey of Non-conventional Mental Health Care Facilities in Côte d'Ivoire – First Results

Author(s):  
Asseman Médard Koua ◽  
François Djo Bi Djo ◽  
N’guessan Raymond Kouadio ◽  
Zoumana Coulibaly ◽  
Eric S ◽  
...  

Abstract Background Mental illnesses and disabilities as well as epileptic diseases remain an important public health issue. In Côte d'Ivoire, the provision of psychiatric care and specialised psychosocial facilities is almost non-existent. Non-conventional mental health care facilities, also known as ‘Prayer Camps’, are the first point of contact for people suffering from mental illness and epilepsy in Côte d'Ivoire – although not accounted for by the Ivorian health care system. Methods For the survey, a quantitative method with an exploratory and descriptive aim was chosen. The data collection methodology was composed of the pre-survey and the actual field survey which took place in the 31 regions of Côte d'Ivoire. 541 non-conventional mental health care facilities in Côte d'Ivoire were mapped, visited, examined with regard to some characteristics, and typologised according to their spiritual orientation.Results The survey of non-conventional mental health care facilities provides a typology of the centres (Christian Prayer Camps, Traditional Healing Centres, Phytotherapy Centres, and Roqya Centres), the number of people with mental illness they treat, the educational or professional background of the facility leaders, and their attitudes towards possible cooperation with psychiatrically trained staff. Conclusions A considerable number of non-conventional mental health care facility leaders expressed a desire or acceptance of cooperation with psychiatric organisations. If cooperation could be established and combined with training for non-conventional mental health care facility leaders, there is hope that an urgently needed greater state provision of outpatient psychiatric care might well meet with a willingness on the part of the non-conventional facilities to make use of this help, especially if it can be integrated into the care provided in the centres. The long-term objective is to establish and implement future collaboration and a real community mental health care policy in Côte d'Ivoire. A more detailed study is being planned, which will examine the situation of patients in non-conventional mental health care facilities and the actual possibility of cooperation.

Author(s):  
Asseman Médard Koua ◽  
François Djo Bi Djo ◽  
Raymond N’Guessan Kouadio ◽  
Zoumana Coulibaly ◽  
Eric Sreu ◽  
...  

Abstract Background Mental illnesses and disabilities as well as epileptic diseases remain an important public health issue. In Côte d’Ivoire, the provision of psychiatric care and specialised psychosocial facilities is almost non-existent. This study is based on the hypothesis that the care of people suffering from mental illness and epilepsy in Côte d’Ivoire is mainly in the hands of non-conventional mental health care facilities, including so-called ‘Prayer Camps’. These work according to traditional and spiritual principles and are mostly not registered or controlled by the Ivorian authorities. Methods This study is the first stage of a multi-stage study. For the first stage, a quantitative method with an exploratory and descriptive aim was chosen. 541 non-conventional mental health care facilities in Côte d’Ivoire were mapped, typologised according to their spiritual orientation and treatment methods, and examined according to some charactersitics. Semi-structured interviews with 435 facility leaders were conducted. Results The article provides a typology of four types of non-conventional mental health care facilities in Côte d’Ivoire including Christian Prayer Camps, Traditional Healing Centres, Phytotherapy Centres, and Roqya Centres. It explores their administrative embedding, the qualification of the facility leaders as well as their willingness, in principle, to cooperate with conventional mental health care centres. A considerable number of non-conventional expressed a desire or acceptance of cooperation with psychiatric organisations. Conclusions The next stage of this multi-stage study will be to assess the clinical and legal situation of the patients in these centres. The aim is to interview the patients in order to analyse their perceptions and to capture the concerns of relatives and staff in the centres as well as the human rights situation in a mixed-method study. The long-term objective is to establish future cooperation between conventional psychiatric care providers and suitable non-conventional mental health care facilities and to implement a community mental health care policy in Côte d’Ivoire.


2011 ◽  
Vol 26 (S2) ◽  
pp. 587-587
Author(s):  
P. Weiser ◽  
T. Becker ◽  
R. Kilian

IntroductionPeople with a mental disorder are at increased risk for physical illness and therefore their risk of premature death is raised. An unhealthy lifestyle, living conditions, medication side-effects and a lack of physical health monitoring are regarded as the main causes of high somatic morbidity. But up to now only little research has addressed the physical co-morbidity in mentally ill. At present, there are no specific policies to improve the health status of residents in mental health care facilities.Objectives / methodsAgainst this background a multi-disciplinary network of experts from 15 European countries was set up. Working together with researchers, stakeholders, professionals, networks, practitioners, and relevant organizations, the HELPS network developed a “physical health promotion toolkit” for routine application in a wide range of mental health care facilities across Europe. The HELPS toolkit intends to empower patients and staff to identify the most relevant risk factors in their specific context and subsequently select the most appropriate action out of a range of defined health promoting interventions. In doing so, the toolkit takes into account the heterogeneity of mental disorders, the high number of somatic problems, aspects of lifestyle, environment, medical care system, personal goals of patients and their motivation for health behavior.Results / conclusionsThe poster presents the HELPS toolkit. It illustrates the individual components of the tool and the processes of its implementation and evaluation. First results of the pilot study concerning the feasibility of the toolkit will be presented and discussed.


2018 ◽  
Vol 14 (8) ◽  
pp. 119
Author(s):  
Djessou Flore Marie Hélèna Epse Tra

The "new conflict" that emerged in the 90s, mainly in developing countries, is a major obstacle to improving health. Quantitative studies of the impact of armed conflict on maternal health indicators are still fragmentary and scarce. The purpose of this study is to analyze the impact of the 2002 and the 2010 conflicts on maternal health in Côte d'Ivoire. In this study, we choose a particular type of health care service with assisted delivery in a health center. We use the parametric difference using the difference method to estimate our parameter of interest. Also, we use the propensity score technique and the standard error bootstrap technique to regulate some double difference hypotheses. In making our estimates, we use survey data including the MICS 2000 and 2006 and EDSCI 2012. Our results show that, globally, the crisis of 2002 had a negative effect on the use of assisted delivery in the CNO zone (Center North and West) (-0,708). The same is true for the post-election crisis (-0,514). On the other hand, in South and Abidjan zone, the 2002 crisis had no significant effect, while that of the 2010 crisis had a positive effect (+0,628). The conflicts of 2002 and 2010 therefore constituted a major impediment to access to maternal health care services for households living in CNO zone.


2017 ◽  
Vol 13 (29) ◽  
pp. 306
Author(s):  
Dje Bi Tchan Guillaume ◽  
Coulibaly Onata Chaka

Drug use is growing rapidly in Côte d'Ivoire, leading to serious adaptation difficulties and mental health problems. The present study aims at presenting the profile of women with drug use problem in Côte d'Ivoire. The participants, aged 14 to 67 years, were 83 patients of the Blue Cross of Côte d'Ivoire. Data related to drug use were obtained through urine tests (Rapitest) and semi-directive interviews with patients and their resource persons. The results indicate three profiles of women with problematic use. They also indicate that 4/5 of these women are poly-consumers. Considering these results, and given the growing interest of women in decision-making structures, it seems useful to reinforce measures to prevent and / or care for girls in drug problem.


2018 ◽  
Vol 14 (6) ◽  
pp. 124
Author(s):  
Maï Gilles-Harold Wilfried ◽  
Aloko-N’guessan Jérôme ◽  
Essan Kodia Valentin

State of complete physical, mental and social well-being, health is fundamental for man. Yet global figures for access to health are alarming. According to Gijs (2011) 2.5 billion people in the world do not have access to basic health care. In Côte d'Ivoire, the State has made population access a priority. Thus, sanitary infrastructures were built and equipped (PNDS, 2016). However, the problem of access to health services remains. The city of GrandBassam, located in the south-east of Côte d'Ivoire, has a wide range of health structures. Yet there are still people who still do not have access to health care. According to the RASS (2015), 25% of the population of Grand-Bassam still does not use health services. The purpose of this article is to identify the determinants of the access of the population of Grand-Bassam to health services. The methodological approach adopted to conduct this study took into account a bibliographic synthesis and the administration of a questionnaire. This study shows that perception of distance, income of head of household, perception of cost of care, household size, educational level, and age of households are the factors that determine access health services in the city of Grand-Bassam.


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