Abstract

Mental health research is needed in African countries in order to improve quality of care at local levels. This paper presents the results of a study conducted in 2018 among one hundred care givers in two peripheral primary health care facilities in rural Kenya. Opened interviews were performed, with the aim of eliciting relevant issues. The body of knowledge generated by the Global Mental Health (GMH) movement was used as the theoretical frame of reference. Five broad topics emerged as particularly significant in the specific context of this study: a. a globally negative perception of mental illness; b. a lack of trained professionals associated with limited opportunities for task-sharing or task-shifting; c. an intense stigmatization of affected individuals; d. the importance of strengthening the collaboration between the formal health sector and traditional healers, and, e. the necessary efforts to be made in order to reach patients living in remote areas. Our study highlights the importance of actively detecting mental disorders, promoting initiatives to reduce stigma and adapting western designed tools for specific settings in low and middle income countries (LMICs).

摘要

非洲国家需要进行心理健康研究，以提高地方层面的护理质量。本文介绍了 2018 年在肯尼亚农村两个外围初级卫生保健机构的 100 名护理人员中进行的一项研究的结果。进行了公开访谈，目的是引出相关问题。全球心理健康 (GMH) 运动产生的知识体系被用作理论参考框架。在本研究的特定背景下，出现了五个特别重要的广泛主题：全球对精神疾病的负面看法；湾。缺乏训练有素的专业人员，与任务共享或任务转移的机会有限有关；C。对受影响个人的强烈污名化；d。加强正规卫生部门和传统治疗师之间合作的重要性，以及，e。为接触生活在偏远地区的患者所做的必要努力。我们的研究强调了积极发现精神障碍、促进减少污名化的举措以及将西方设计的工具用于低收入和中等收入国家 (LMIC) 特定环境的重要性。