General and post-disaster mental health servicing in Vanuatu: A qualitative analysis

Dawes, Nathan; Franklin, Richard C.; McIver, Lachlan; Obed, Jimmy

doi:10.1016/j.ijdrr.2019.101256

Cited by 9 publications

(3 citation statements)

References 28 publications

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“… [24] Nearly 10 years later, there were few health professionals working solely in the field of mental health, [25] mental health literacy is low and access to mental health services limited. [26] Cultural beliefs in the determinants and course of mental illness influence ni-Vanuatuans’ conceptualisation and experience of mental health problems, [25] which may not be captured in the SRQ-20. However, it has been used in Pacific Island Countries, including Vanuatu in the National Survey.…”

Section: Discussionmentioning

confidence: 99%

Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu

McKelvie

Stocker

Manwo

et al. 2021

The Lancet Regional Health - Western Pacific

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Background We aimed to describe the association between ni-Vanuatu women's experiences of violence perpetrated by their intimate partner (IPV) during pregnancy, and health outcomes, including self-reported general health, antenatal care attendance, psychological distress and suicidal thoughts/behaviours. Methods A cross-sectional survey of a consecutive cohort of women attending the antenatal clinic at Northern Provincial Hospital, Vanuatu from May to July 2019. Psychological, physical and sexual IPV were measured using the WHO Violence Against Women Instrument. Psychological distress was measured using the 20-item WHO Self-Reporting Questionnaire. Data were collected in confidential individual interviews with a trained local interviewer. Logistic regression models were used to investigate the relationship between IPV and health outcomes while controlling for confounding variables. Findings 192 women contributed data, among whom 188 answered the questions about IPV. Of these, 80 women had experienced any form of IPV during the current pregnancy. Women who experienced IPV were more likely than those who did not to report poorer general health (aOR:2.97, 95%CI:1•42-6•22), higher levels of psychological distress (aOR:4.77, 95%CI:2•02-11.24) and suicidal thoughts (aOR:3•78, 95%CI:1•71–8.33) and/or behaviours (aOR:1.98, 95%CI:0•69–5.64) in the previous four weeks. Late antenatal attendance was widespread, but not related to IPV. Interpretation IPV perpetrated against women who are pregnant is a serious public health problem in Vanuatu and is related to worse antenatal physical and psychological health. Funding JF is supported by the Finkel Professorial Fellowship, funded by the Finkel Family Foundation; TT is supported by a Monash Strategic Bridging Fellowship. Monash University provided a student research grant to SMcK. Soroptimist International Gippsland provided a grant to fund small gifts for the participants.

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Section: Discussionmentioning

confidence: 99%

Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu

McKelvie

Stocker

Manwo

et al. 2021

The Lancet Regional Health - Western Pacific

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“…Previous studies showed that exposure to disasters has detrimental impacts on people's mental health. For example, previous research found a prevalence of mental health illnesses following a natural disaster in Vanuatu [ 3 ], traumatic effects among residents in flood-affected areas in the UK [ 4 ], and depression, anxiety, and post-traumatic stress disorder (PTSD) among adolescents after the 2011 Great East Japan earthquake and tsunami [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Measurement and community antecedents of positive mental health among the survivors of typhoons Vamco and Goni during the COVID-19 crisis in the Philippines

Aruta

Crisostomo

Canlas

et al. 2022

International Journal of Disaster Risk Reduction

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“…This study also builds on the limited existing work that has explored psychological functioning of people during and after a disaster in Vanuatu (e.g. Dawes et al, 2019;Zahlawi et al, 2019 in Ambae). We add to this by bringing Ambaean voices to the fore and linking distress with subjective experiences of resource loss, while also outlining how recovery has transpired.…”

Section: Introduction and Study Aimsmentioning

confidence: 99%

“I thought I lost my home”: resource loss, distress and recovery after the Manaro Voui volcanic disaster on Ambae Island

Clissold

McNamara

Westoby

et al. 2021

DPM

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PurposeThis paper builds on existing studies by drawing on Conservation of Resources theory to explore the losses, psychological impacts as well as recovery processes of the 2017/18 volcanic disaster on Ambae Island, Vanuatu.Design/methodology/approachThis discussion is based on local perspectives and personal accounts collected through a series of eight semi-structured interviews (five males and three females).FindingsThe volcanic activity and subsequent displacement and evacuation led to significant resource loss which had a spiralling nature, causing psychological harm. Locals invested resources to recover and protect against future loss in diverse ways and, as resource gains were secured, experienced emotional relief. Key to recovery and healing included returning “home” after being displaced and reinvigorating cultural practices to re-establish cultural continuity, community and identity. Resource gains spiralled as people reconnected and regained a sense of place, optimism and the motivation to rebuild.Originality/valueNumerous studies have drawn upon the Conservation of Resources (COR) theory to explore how resource loss can trigger psychological distress during environmental disasters; however, it has not been applied in Vanuatu, the most at-risk nation globally to natural hazards. This paper builds on existing studies by exploring personal accounts of resource loss, distress and recovery, and providing insights into resource spirals, caravans and passageways.

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General and post-disaster mental health servicing in Vanuatu: A qualitative analysis

Cited by 9 publications

References 28 publications

Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu

Intimate partner violence and health outcomes experienced by women who are pregnant: a cross-sectional survey in Sanma Province, Vanuatu

Measurement and community antecedents of positive mental health among the survivors of typhoons Vamco and Goni during the COVID-19 crisis in the Philippines

“I thought I lost my home”: resource loss, distress and recovery after the Manaro Voui volcanic disaster on Ambae Island

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