Current Status of Mental Health Services at the Primary Healthcare Level in Northern Nigeria

Anyebe, Emmanuel Ejembi; Olisah, Victor Obiajulu; Garba, S.; Amedu, M A

doi:10.1007/s10488-019-00950-1

Cited by 16 publications

(17 citation statements)

References 2 publications

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“…With a population of over 209 million (Worldometers, 2020), it is estimated that 20%–30% of the population suffers from MHCs (Onyemelukwe, 2016; Suleiman, 2016). However, there are minimal human resources and facilities for mental health-care provision in Nigeria (Anyebe et al , 2019). Only one out of every five people with an MHC can access any care (Abdulmalik et al , 2019).…”

Section: Introductionmentioning

confidence: 99%

Nigerian cultural beliefs about mental health conditions and traditional healing: a qualitative study

Jidong

Bailey

Sodi

et al. 2021

JMHTEP

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Purpose This study aims to explore how cultural beliefs and traditions are integral to understanding indigenous mental health conditions (MHCs) and traditional healing (TH). However, Nigerian cultural beliefs about MHCs and TH are under-researched. Design/methodology/approach This study adopted a qualitative design using critical realist and social constructionist perspectives to explore Nigerian mental health-care practitioners (MHCPs) and lay participants’ (LPs) views regarding MHCs and TH. Purposive and snowball sampling techniques were used to select 53 participants (MHCPs = 26; LPs = 27; male = 32; female = 21) in four Nigerian cities (Ado-Ekiti, Enugu, Jos and Zaria). Data were collected using semi-structured interviews and analysed through thematic analyses. Findings The data sets revealed three overarching themes, namely, existing cultural beliefs about MHCs as spiritual curse; description of TH as the first treatment modality for MHCs; and perceived stigma associated with MHCs and help-seeking behaviours. Originality/value A study on Nigerian cultural beliefs and TH contributes meaningfully to mental health systems. Future research and policy initiatives could explore ways of optimising TH practices and community awareness programmes to increase access to mental health care in Nigeria.

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Section: Introductionmentioning

confidence: 99%

Nigerian cultural beliefs about mental health conditions and traditional healing: a qualitative study

Jidong

Bailey

Sodi

et al. 2021

JMHTEP

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“…Therefore, providing mental health services at a community-based level in poor-resourced communities within South Africa, such as public hospitals, local clinics, religious institutions, and community-based organizations, can promote mental health among community members and at the same time address existing challenges (Anyebe, Olisah, Garba, & Amedu, 2019;Burgess & Burgess, 2016). These services should include information related to mental health, psychoeducational services, the detection and treatment of CMDs, referral services, and the rehabilitation of those with a mental illness in the community (Anyebe et al, 2019). This, in turn, will contribute to the freedoms and opportunities everyone should have equal access to for them to reach their full capabilities as identified by Nussbaum (2003).…”

Section: Discussionmentioning

confidence: 99%

Mental health care services in rural South Africa: a human capabilities approach

Benjamin

Vickerman-Delport

Roman

2021

Social Work in Mental Health

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It is estimated that a significant proportion of people living in South Africa have a mental illness and do not have access to mental health services. This relates to barriers that contribute to help-seeking behavior. Semi-structured interviewers were conducted with a sample of 11 stakeholders and 35 parents. Data were thematically analyzed and results revealed that participants had limited knowledge of what mental health is. Also highlighted was the lack of structural and human mental health care resources, and stigmatization. Addressing the issues related to mental health care services could contribute to ensuring that people have access to good health.

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“…However, only one out of every five persons who suffer from mental health problems can access any care (Abdulmalik et al, 2019). Less than 3% of the Nigerian government health budget goes to the prevention and treatment of mental health problems, with most of the funds allocated for the operational cost of dilapidated mental health facilities (Anyebe et al, 2019;World Health Organisation, 2019). Current mental healthcare treatment options in Nigeria are scarce and expensive (Anyebe et al, 2019;Madhombiro et al, 2021), and about 75% of Nigerians depend on out-of-pocket payments for such services (Aregbeshola and Khan, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Less than 3% of the Nigerian government health budget goes to the prevention and treatment of mental health problems, with most of the funds allocated for the operational cost of dilapidated mental health facilities (Anyebe et al, 2019;World Health Organisation, 2019). Current mental healthcare treatment options in Nigeria are scarce and expensive (Anyebe et al, 2019;Madhombiro et al, 2021), and about 75% of Nigerians depend on out-of-pocket payments for such services (Aregbeshola and Khan, 2020). Not only is the lack of public health resources a significant challenge to the public in Nigeria (Jidong and Sanger, 2018), but more challenging for women during their maternal pre-, peri-and post-natal periods.…”

Section: Introductionmentioning

confidence: 99%

Maternal mental health and child well-being in Nigeria: A systematic review

Jidong

Husain

Ike

et al. 2021

Health Psychology Open

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Maternal mental health distress has a disease burden of severe adverse effects for both mother and child. This review identified maternal mental health concerns, their impact on child growth and the current practice of maternal healthcare for both mothers and their children in Nigeria. The Population, phenomenon of Interest and Context (PICo) model was adopted to formulate the review strategy, and five databases were searched for published articles between 1999 and 2019. Databases include Scopus, PubMed, ProQuest, Applied Social Science Index and Abstracts and Web of Science. Boolean operators (AND/OR/NOT) helped to ensure rigorous use of search terms which include ‘maternal’, ‘pre/peri/postnatal’, ‘mental health’, ‘mental illness’, ‘disorders’, ‘intervention,’ ‘Nigeria’, ‘child’, ‘infant growth’, and ‘wellbeing’. Thirty-four studies met the inclusion criteria, and extracted data were qualitatively synthesised and analysed thematically. Five themes emerged. These include (i) marital difficulties, (ii) relationship status of the mother, (iii) child’s gender, (iv) mode of child delivery and (v) child growth and development. The review showed a significant paucity of literature on the impact of specific maternal mental health problems on child physical growth and cognitive development. We concluded that culturally appropriate and evidence-based psychological interventions for maternal mental health problems would benefit Nigerian indigenous mothers. Therefore, the study recommends randomised controlled trials that are culturally appropriate and cost-effective for distressed mothers with children.

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Current Status of Mental Health Services at the Primary Healthcare Level in Northern Nigeria

Cited by 16 publications

References 2 publications

Nigerian cultural beliefs about mental health conditions and traditional healing: a qualitative study

Nigerian cultural beliefs about mental health conditions and traditional healing: a qualitative study

Mental health care services in rural South Africa: a human capabilities approach

Maternal mental health and child well-being in Nigeria: A systematic review

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