Mental and physical health in Rwanda 14 years after the genocide

Munyandamutsa, Naasson; Nkubamugisha, Paul Mahoro; Gex‐Fabry, Marianne; Eytan, Ariel

doi:10.1007/s00127-012-0494-9

Cited by 116 publications

(115 citation statements)

References 43 publications

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“…Similar to Munyandamutsa et al (2012) we also found higher rates of distress in the southern provinces, suggesting that there are regional differences in the severity of psychopathological symptoms. However, our study was also novel, as it revealed that certain dispositional characteristics -PGI (Robitschek et al, 2012) could protect individuals against impairment.…”

Section: Discussionsupporting

confidence: 82%

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The protective function of personal growth initiative among a genocide-affected population in Rwanda.

Blackie

Jayawickreme

Forgeard

et al. 2015

Psychological Trauma: Theory, Research, Practice, and Policy

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The aim of the current study was to investigate the extent to which individual differences in personal growth initiative (PGI) were associated with lower reports of functional impairment of daily activities among a genocide-affected population in Rwanda. PGI measures an individual's motivation to develop as a person and the extent to which he or she is active in setting goals that work toward achieving self-improvement. We found that PGI was negatively associated with functional impairment when controlling for depression, posttraumatic stress disorder, and other demographic factors. Our results suggest that PGI may constitute an important mindset for facilitating adaptive functioning in the aftermath of adversity and in the midst of psychological distress, and as such they might have practical applications for the development of intervention programs.

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Section: Discussionsupporting

confidence: 82%

“…We selected our covariates based on past research; Munyandamutsa et al (2012) found that younger participants and living in the Southern province predicted a greater number of PTSD symptoms, and research (although conducted in the West) has consistently observed that experiencing greater levels of depression…”

Section: Data Analytic Planmentioning

confidence: 99%

The protective function of personal growth initiative among a genocide-affected population in Rwanda.

Blackie

Jayawickreme

Forgeard

et al. 2015

Psychological Trauma: Theory, Research, Practice, and Policy

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“…In low-income countries, public health systems were not suitable to population need; therefore, after genocide and the efforts to rebuild the healthcare structures, the task seemed a major one 3 . Public health covered different fields such as infectiology 4 , parasitology 5 , mental health 6 , organization of the centers and financing movements . After 2010, the main objectives were the fight against HIV, tuberculosis and malaria, the fight against the transmission mother-child 8 , corresponding to the Millennium Development Goals [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Mapping Rwanda public health research(1975-2014)

Poreau¹

2015

Afr H. Sci.

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Background: Since the genocide occurred in 1994, Rwanda has faced up to the challenge of rebuilding. Public health is a main field to understand this rebuilding. Objectives: In this paper, the aim was to map the scientific research on public health in Rwanda after the genocide and to present the links between different financing systems. Methods: We used bibliographic analyses with Web of Science of papers published during the period 1975-2014. We performed analyses on journals, most cited articles, authors, publication years, organizations, funding companies, countries, and keywords. Results: We obtained 86 articles between 1975 and 2014. Most articles were published after 2007. The main countries of research laboratories were the United States of America, Rwanda, England and Belgium and represented the main network collaboration. The relevant keywords were: HIV, woman, child, program, rural and violence. Conclusions: Public health research on Rwanda appeared 14 years after the genocide. A main field was emerging: the spread of HIV with mother-child transmission, and the policies to take this subject into account in rural zones. The network of institutions developing these studies was USA-Rwanda.

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“…Rwanda has developed, during the last two decades, several international collaborations in the field of mental health and psychiatry, notably with European academic institutions in Sweden [20], Germany [21] and Switzerland [10]. There is currently an expressed need for expanding these collaborations in order to develop a modern forensic psychiatry system in the country.…”

Section: Resultsmentioning

confidence: 99%

“…Studies have reported that 94% of people in Rwanda during the genocide experienced at least one genocide event including witnessing the murder of family members, having their property and homes destroyed, and having their lives threatened [9]. The overall prevalence of post-traumatic stress disorder (PTSD) in a 2008 survey was 26.1% [10]. The same survey indicated that one in five men (20.5%) and one in three women (30.0%) met diagnostic criteria for PTSD 14 years after the genocide.…”

Section: Settingmentioning

confidence: 99%

Forensic psychiatry in Rwanda

Eytan

Ngirababyeyi

Nkubili³

et al. 2018

Global Health Action

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Forensic psychiatry has often been neglected in nonwestern countries, including the African continent. Our aim was to assess the practices and needs for improvement in the field of forensic psychiatry in Rwanda. During a one-week visit conducted in October 2017, we interviewed key-informants working at decisional levels in the domains of health, justice and security. Two clinical workshops involving psychiatrists, psychologists and nurses were held in psychiatric facilities, including at Ndera, the main psychiatric hospital of the country. Three axes of development and improvement were identified: First there is a need for a clearer, more coherent and updated legislative framework. Second, the absence of a forensic secured unit, which compromises both quality of care for forensic patients and security of the other patients and staff, should be remediated. Third, the supervision and training in this specialized domain should be provided through international collaborations. Hopefully, Rwanda could become in the next few years a driving force for other African countries in the field of forensic psychiatry.

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Mental and physical health in Rwanda 14 years after the genocide

Abstract: PTSD remains a significant public health problem in Rwanda 14 years after the genocide. Facilitating access to appropriate care for all those who need it should be a national priority.

Cited by 116 publications

References 43 publications

The protective function of personal growth initiative among a genocide-affected population in Rwanda.

The protective function of personal growth initiative among a genocide-affected population in Rwanda.

Mapping Rwanda public health research(1975-2014)

Forensic psychiatry in Rwanda

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