Background Optimising mental health literacy (MHL) at the individual and population level can be an effective mental health improvement and prevention tool. However, concepts of MHL are largely based on evidence from high-income countries. Little is known about the manifestation and role of MHL in countries where collectivist health and social cultures are dominant. Aim This study aimed to examine the MHL of Indonesian children and young people (CYP) with experience of common mental health problems and their parents. Methods Semi-structured interviews with 40 participants (19 CYP aged 11–15 with experience of common mental health problems and 21 parents) from three areas of Java, Indonesia. Data were analysed using framework analysis, informed by Jorm's 1997 Mental Health Literacy Framework. Results Parents and CYP demonstrated relatively low levels of MHL defined from a conventional perspective. Religiosity and spirituality were salient in participants' accounts, particularly parents, as were narratives about personal responsibility. These beliefs appeared to contribute to a high level of self-blame for mental illness, self-reliance for symptom management, the foregrounding of support from spiritual/traditional healers and a reduced propensity to access professional help. CYP were heavily reliant on family support, but parents often felt they were not best placed to communicate with their children about mental health. Providing trusted, technology-based sources of mental health information were advocated by CYP. Conclusion Robust efforts are needed to improve MHL in low- and middle-income countries drawing on culturally appropriate approaches to reduce stigma and optimise timely, effective help-seeking for CYP. Enhancing parental and family level literacy may be efficacious, especially when combined with mechanisms to facilitate open communication, as may the development of standalone interventions directly developed to reach younger generations. Future research may usefully establish the comparative efficacy and acceptability of these different approaches.
Data from the national health survey (Riskesdas), Ministry of Health Republic of Indonesia showed there's increasing the proportion of risk common mental disorders (CMD) in people aged > 15 years from 6.0% (in 2013) to 9.8% (in 2018). This study is to determine the prevalence of CMD among health worker after joined as individual Nusantara Sehat (NSI) staff di remote primary health care and also to determine the relationship between socio-demographic factors, work stressors, and CMD. A cross-sectional study involving the target population NSI in remote primary health care was conducted on December 2018. A socio-demographic, the 20-item self-reporting questionnaire (SRQ), the 30 item-survey diagnostic stress (SDS) questionnaire were self-administered. The presence of CMD was considered when the subject answers "yes" to 6 statements or more in SRQ-20. The χ2 test was used to analyze data statistically. In total, 449 NSI staff participated in the study. Generally, the prevalence of CMDs among NSI staff was 21.4% (n=96). Nurses are known to tend to have a lower prevalence while the dentists tend to have the highest prevalence compared with other group types of health worker in terms of CMD. The results of statistical tests showed that marital status has a significant affect to CMD (p<0.05) and 5 from 6 stressors were assessed was statistically associated with CMD (p<0.01). Intervention for NSI is needed to restore their mental health conditions in order to better working conditions. An in-depth analysis of the causes of stress is needed, especially in the health workers with high CMD to reduce work stressors. As an addition, Ministry of Health should develop a coping stress management guidelines for health workers and strengthened stress monitoring implementation to support sustainable health services in remote areas.
Deaths from COVID-19 in doctors are the highest of any other type of health worker. Ensuring the protection of health workers is an important thing of every country as a strategic response to the Covid-19 crisis. Tracing the cause of death and the assessment of the risk of Covid-19 morbidity in doctors became an important thing to do. Research aims to assess the risk of morbidity of doctors who work in government's public health center (GPHC). Cross-sectional survey, using blast mail surveys targeting the GPHC doctor's WhatsApp application across Indonesia, by sending messages containing online questionnaire links that can then be filled out independently (self-administered questioner). The filling time is set to January 25, 2021. The WHO's "Risk assessment and management of exposure of health care workers in the context of Covid-19" was used and translated into Indonesian with adding some questions. Variables studied included the use of personal protective equipment (PPE), behaviour, biological accidents, medical practices, handling COVID-19, risks from family and friends, social behaviour, tracking and isolation tests, shifts and workloads, and incentives related to Covid-19. There were 2268 respondents who filled out and sent back their responses from 6628 sent numbers (34.22%). The results showed the index of the risk level of exposure to COVID-19 on GPHC doctors in Indonesia was 0.7003, with a range of 0.35-0.94. Generally, GPHC doctors in Indonesia are in the category of high exposure risk (84.5%). It is recommended that health care doctors always be aware and protect themselves and apply strict protocols: keep distance from patients, always wash hands, use personal protective equipment, and limit social activities. District/City Health Office and GPHC should complement and meet the needs of quantity and quality of PPE, as well as routine decontamination.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.