Care of patients in Malawi who have HIV/AIDS and mental health problems

Chorwe‐Sungani, Genesis; Shangase, Nosipho; Chilinda, Idesi

doi:10.7748/mhp2014.04.17.7.35.e849

Cited by 5 publications

(3 citation statements)

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“…This helps in reducing the patients' burden of moving from place to place to get services they need. However, it is documented that most health workers in Malawi feel neither confident nor competent when dealing with the mental disorders of their clients [19] [20]. This is corroborated by Chorwe-Sungani who found that that more than half of the nurses (53.2%) did not have knowledge and skills to care for people with co-morbidity of HIV and AIDS and mental disorders [21].…”

Section: Provision Of Mental Health Care To People With Hiv Infectionmentioning

confidence: 99%

Mental Health Problems Affecting People Who Have HIV and AIDS in Malawi: A Review

Chorwe‐Sungani¹,

Sefasi²,

Pindani³

2015

OJN

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Malawi is located in the southern part of Africa with a population of more than 16 million people. The country is ravaged with HIV and AIDS epidemic of which the prevalence rate is at 14%. The people who have HIV/AIDS are also affected by mental and psychological disorders. Nevertheless, very little is known about mental health care of people who have HIV and AIDS in Malawi. We did literature search using AJOL, Proquest, PsychINFO, Google Scholar and HINARI search engines and the search yielded scanty (12) research studies on the mental health of people with HIV and AIDS that were conducted in Malawi between 2006-2014. Twelve (12) studies that were reviewed focused on prevalence of mental disorders among people who have HIV and AIDS; nurses' knowledge and skills for providing mental health care to people living with HIV and AIDS (PLWHA); perceived risk of HIV infection among people who have mental health problems; substance abuse and HIV/AIDS issues and awareness of interaction between HIV/AIDS and Mental health. In conclusion, the review shows that people with HIV infection are also affected by mental health problems such as depression and substance abuse. They receive some mental health care in general settings at ART clinics because mental health care is integrated into general health care delivery system. Therefore, it is necessary that health professionals who are generalists should be equipped with adequate knowledge and skills for providing mental health care to care to people with HIV and AIDS.

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Section: Provision Of Mental Health Care To People With Hiv Infectionmentioning

confidence: 99%

Mental Health Problems Affecting People Who Have HIV and AIDS in Malawi: A Review

Chorwe‐Sungani¹,

Sefasi²,

Pindani³

2015

OJN

Self Cite

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“…(p. 2) Existing mental health care in Africa is under-resourced and overburdened (Bradshaw et al, 2006), with enormous gaps between the degree of mental suffering and the number of people receiving care (Becker & Kleinman, 2013;Hinkle, 2014;Saraceno et al, 2007;Weissman et al, 1997;Weissman et al, 1994;Weissman et al, 1996;WHO, 2010aWHO, , 2010b. Chorwe-Sungani, Shangase, and Chilinda (2014), as well as Pence (2009), have indicated that mental health problems in Malawi "are often not identified and treated, because health professionals do not believe they are sufficiently competent to provide mental health care" (Chorwe-Sungani et al, 2014, p. 35). Unfortunately, mental health professionals might not have the "requisite public health skills for effective national advocacy" regarding mental health (Jenkins et al, 2010, p. 232).…”

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confidence: 99%

“…In addition to a general lack of mental health workers (Chorwe-Sungani et al, 2014), one psychiatrist served the entire country of Malawi (Chorwe-Sungani et al, 2014), only 2.5 psychiatric nurses were available for every 100,000 people (WHO, 2005), and only one psychiatric unit was available, but not always open or at full capacity. A variety of settings must be used in Malawi, and not all of them are within formal health care.…”

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confidence: 99%

Fostering Non-Cognitive Development of Underrepresented Students Through Rational Emotive Behavior Therapy: Recommendations for School Counselor Practice

Warren¹,

Hale²

2016

TPC

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The Mental Health Facilitator (MHF) program utilizes a population-based curriculum and has been implemented in Malawi for the past seven years. This article reports findings from an ethnographic study that explored how 40 MHF stakeholders have experienced the MHF program. This transdisciplinary program is a 30-hour training in community mental health that focuses on fundamental helping skills; identification of stress, distress and mental disorders; and appropriate community referral and followup. Results indicated four interrelated themes representing participants' beliefs about their experiences with the training, including the curriculum's responsiveness to the Malawian context, the availability and limitations of resources, the processes involved, and a variety of identified outcomes. Implications for community implementation and future directions are identified.

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Prevalence and factors associated with emotional and behavioural difficulties among children living with HIV in Malawi: a cross-sectional study

et al. 2019

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BackgroundApproximately 84,000 children under the age of 15 years are living with HIV in Malawi. Although the survival rate of children living with HIV in Malawi has improved due to the increased availability of antiretroviral medications, these children continue to experience numerous challenges negatively impacting on their mental health. The aim of this study was to investigate the prevalence of, and factors associated with, emotional and behavioural difficulties in children aged between 6 and 12 years living with HIV in Malawi.MethodsA random sample of 429 primary caregivers of children living with HIV drawn from the three main administrative regions of Malawi was recruited in a cross-sectional study. They completed a questionnaire about family socio-demographic characteristics, HIV disclosure, and child demographic and clinical characteristics, as well as the Strengths and Difficulties Questionnaire, Life Stress Scale, Support Function Scale, and Impact on Family Scale which were pre-tested and translated into the local Chichewa language. Data were analysed using descriptive statistics and logistic regression.FindingsUsing the newer band categorisations of the Strengths and Difficulties Questionnaire, parent version, 31% of primary caregivers reported that their child had a slightly raised to very high level of total difficulties. Factors that were associated with difficulties were: primary caregivers’ young age (adjusted odds ratio [aOR] 3.6; 95% confidence interval [CI]: 1.4–9.5); low level of education (aOR 2.6; 95% CI: 1.2–5.7); lack of employment (aOR 2.7; 95% CI: 1.2–5.9); the report of a substantial impact of the child’s illness on the family (3.1; 95% CI: 1.5–6.5); and a low level of family functional support (aOR 2.0; 95% CI: 1.1–4.1). Neither non-disclosure of HIV status nor any of the child demographic or clinical factors were significant in multivariate analysis (p > .0.05).ConclusionClose to one-third of children living with HIV in this study had high scores indicative of emotional and behavioural difficulties. Emotional and behavioural difficulties in children living with HIV were associated with family demographic and psychosocial factors, but not HIV disclosure. Effective policies and programs that promote the mental wellbeing of children living with HIV in Malawi are indicated.

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Care of patients in Malawi who have HIV/AIDS and mental health problems

Cited by 5 publications

References 0 publications

Mental Health Problems Affecting People Who Have HIV and AIDS in Malawi: A Review

Mental Health Problems Affecting People Who Have HIV and AIDS in Malawi: A Review

Fostering Non-Cognitive Development of Underrepresented Students Through Rational Emotive Behavior Therapy: Recommendations for School Counselor Practice

Prevalence and factors associated with emotional and behavioural difficulties among children living with HIV in Malawi: a cross-sectional study

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