Santé mentale et soins de santé primaires : une perspective globale

Funk, Michelle; Benradia, Imane; Roelandt, Jean‐Luc

doi:10.3917/inpsy.9005.0331

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…In the African context in general and Benin in particular, psychiatric disorders remain largely taboo. The deep and persistent stigma surrounding mental health issues is worsened by the limited integration of mental health care into primary health care [38] [39] [40] [41]. Psychiatric disorders are still poorly understood and associated with manifestations of personal weakness, discouraging many individuals from seeking help.…”

Section: Y Glèlè-ahanhanzo Et Al Open Journal Of Preventive Medicinementioning

confidence: 99%

Exploring the Factors Associated with 12-Month Non-Return to Work among Motorcyclists Involved in Road Accidents

Glèlè-Ahanhanzo,

Daddah,

Kpozehouen

et al. 2024

OJPM

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Introduction: Motorcyclists bear a disproportionate burden of morbidity and mortality from road accidents. In addition, the consequences of these accidents affect the ability of victims to return to work. This study aimed to determine the prevalence and factors associated with non-return to work among surviving motorcyclists involved in road accidents 12 months after the event. Materials and Methods: It was a cross-sectional study conducted using data from a cohort of motorcyclists involved in accidents and recruited in five hospitals in Benin from July 2019 to January 2020. The dependent variable was non-return to work 12 months after the accident (yes vs no). The independent variables were categorized into two groups: baseline and 12-month follow-up variables. Logistic regression was used to determine the factors associated with non-return to work at 12 months among the participants. Results: Among the 362 participants, 55 (15.19%, 95% CI = 11.84 -19.29) had not returned to work 12 months after the accident. Risk factors for non-return to work identified were: smoking (aOR = 4.41, 95% CI = 1.44 -13.56, p = 0.010), hospitalization (aOR = 2.87, 95% CI = 1.14 -7.24, p < 0.026), disability (aOR = 6.48, 95% CI = 2.73 -15.37, p < 0.001), anxiety (aOR = 3.17, 95% CI = 1.23 -8.17, p = 0.017), and depression (aOR = 6.94, 95% CI = 3.26 -14.74, p < 0.001). Conclusion: The prevalence of non-return to work at 12 months was high among surviving motorcyclists involved in road accidents in Benin. Integrated support for patients based on identified risk factors should effectively improve their return to work.

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Section: Y Glèlè-ahanhanzo Et Al Open Journal Of Preventive Medicinementioning

confidence: 99%

Exploring the Factors Associated with 12-Month Non-Return to Work among Motorcyclists Involved in Road Accidents

Glèlè-Ahanhanzo,

Daddah,

Kpozehouen

et al. 2024

OJPM

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“…Mental health problems constitute a huge global burden of disease, particularly in LMICs, most of which have health policies based on primary care services; however, there is a large treatment gap [5]. Studies show that 75-90% of people with mental health problems in these countries do not have access to the formal mental health care they need [6][7][8] for several reasons, of which the four main ones related to an insufficient annual national budget allocated to the mental health subsector, lack of integration of mental health provision into primary care in most LMICs, lack of services and stigmatization are developed below.…”

Section: Introductionmentioning

confidence: 99%

Mental health care in the city of Lubumbashi, Democratic Republic of the Congo: Analysis of demand, supply and operational response capacity of the health district of Tshamilemba

et al. 2023

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Background Integrating mental health care into the primary care system is an important policy option in the Democratic Republic of the Congo (DRC). From the perspective of the integration of mental health care in district health services, this study analyzed the existing demand and supply of mental health care in the health district of Tshamilemba, which is located in Lubumbashi, the second largest city of the DRC. We critically examined the district’s operational response capacity to address mental health. Methods A multimethod cross-sectional exploratory study was carried out. We conducted a documentary review (including an analysis of the routine health information system) from the health district of Tshamilemba. We further organized a household survey to which 591 residents responded and conducted 5 focus group discussions (FGDs) with 50 key stakeholders (doctors, nurses, managers, community health workers and leaders, health care users). The demand for mental health care was analyzed through the assessment of the burden of mental health problems and care-seeking behaviors. The burden of mental disorders was assessed by calculating a morbidity indicator (proportion of mental health cases) and through a qualitative analysis of the psychosocial consequences as perceived by the participants. Care-seeking behavior was analyzed by calculating health service utilization indicators and more specifically the relative frequency of mental health complaints in primary health care centers, and by analyzing FGDs participants’ reports. The mental health care supply available was described by using the qualitative analysis of the declarations of the participants (providers and users of care) to the FGDs and by analyzing the package of care available in the primary health care centers. Finally, the district’s operational response capacity was assessed by making an inventory of all available resources and by analyzing qualitative data provided by health providers and managers regarding the district’ capacity to address mental health conditions. Results Analysis of technical documents indicated that the burden of mental health problems is a major public problem in Lubumbashi. However, the proportion of mental health cases among the general patient population seen in the outpatient curative consultations in the Tshamilemba district remains very low, at an estimated 5.3%. The interviews not only pointed to a clear demand for mental health care but also indicated that there is currently hardly any offer of care available in the district. There are no dedicated psychiatric beds, nor is there a psychiatrist or psychologist available. Participants in the FGDs stated that in this context, the main source of care for people remains traditional medicine. Conclusion Our findings show a clear demand for mental health care and a lack of formal mental health care supply in the Tshamilemba district. Moreover, this district lacks adequate operational capacity to meet the mental health needs of the population. Traditional African medicine is currently the main source of mental health care in this health district. Identifying concrete priority mental health actions to address this gap, by making evidence-based mental care available, is therefore of great relevance.

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“…Mental health problems constitute a huge global burden of disease, particularly in LMICs, most of which have health policies based on primary care services; however, there is a large treatment gap [5]. Studies show that 75-90% of people with mental health problems in these countries do not have access to the formal mental health care they need [6][7][8] for several reasons, of which the three main ones related to budget, lack of services and stigmatization are developed below.…”

Section: Introductionmentioning

confidence: 99%

Mental health care in the city of Lubumbashi, Democratic Republic of the Congo: Analysis of demand, supply and operational response capacity of the health district of Tshamilemba

Mayoyo

Criel

Michielsen

et al. 2022

Preprint

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Background Integrating mental health care into the primary care system is an important policy option in the Democratic Republic of the Congo (DRC). From the perspective of the integration of mental health care in district health services, this study analyzed the existing demand and supply of mental health care in the health district of Tshamilemba, which is located in Lubumbashi, the second largest city of the DRC. We critically examined the district’s operational response capacity to address mental health. Methods A multimethod cross-sectional exploratory study was carried out. We conducted a documentary review (including an analysis of the routine health information system) from the health district of Tshamilemba. We further organized a survey to which 591 residents responded and conducted 5 focus group discussions with 50 key stakeholders (doctors, nurses, managers, community health workers and leaders, health care users). The demand for mental health care was analyzed through the assessment of the burden of mental health problems and care-seeking behaviors. The mental health care supply available was described. Finally, the district’s operational response capacity was assessed. Results Analysis of technical documents indicated that the burden of mental health problems is a major chalenge in Lubumbashi. However, the proportion of mental health cases among the general patient population seen in the outpatient curative consultations in the Tshamilemba district remains very low, at an estimated 5.3%. The interviews not only pointed to a clear demand for mental health care but also indicated that there is currently hardly any offer of care available in the district. There are no dedicated psychiatric beds, nor is there a psychiatrist or psychologist available. In this context, the main source of care for people remains traditional medicine. Conclusion The gaps in the management of mental health problems constitute a major challenge in the DRC in general and in the health district of Tshamilemba in particular. Testing the feasibility of integrating a basic package of mental health care into existing primary care services is therefore of great relevance. Such a policy may contribute to strengthening the health system and enhancing people’s access to quality mental health care.

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Santé mentale et soins de santé primaires : une perspective globale

Cited by 9 publications

References 4 publications

Exploring the Factors Associated with 12-Month Non-Return to Work among Motorcyclists Involved in Road Accidents

Exploring the Factors Associated with 12-Month Non-Return to Work among Motorcyclists Involved in Road Accidents

Mental health care in the city of Lubumbashi, Democratic Republic of the Congo: Analysis of demand, supply and operational response capacity of the health district of Tshamilemba

Mental health care in the city of Lubumbashi, Democratic Republic of the Congo: Analysis of demand, supply and operational response capacity of the health district of Tshamilemba

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