Match!

Primary health care workers' knowledge and attitudes towards depression and its management in the MeHPric-P project, Lagos, Nigeria

Published on Jul 1, 2017in General Hospital Psychiatry3.22
· DOI :10.1016/j.genhosppsych.2017.04.002
Abiodun O. Adewuya29
Estimated H-index: 29
(Centre for Mental Health),
Tomilola Adewumi2
Estimated H-index: 2
(Centre for Mental Health)
+ 4 AuthorsOlajide Idris3
Estimated H-index: 3
Source
Abstract
Abstract Objective This study aimed to evaluate the knowledge, perceived challenges and attitude of primary health care (PHC) workers in Lagos to depression and its management in the PHC. Methods Health workers ( n =607) from 49 "flagship" PHCs in Lagos were evaluated for their level of knowledge, experience, competence, attitude and perceived challenges to managing depression in the primary care using a case vignette. Results More than half (56.2%) of the health workers correctly diagnosed depression. The most endorsed causative factors were "Psycho-social" (77.3%), but "spiritual factors" were endorsed by 36.2%. While only 39.4% agreed that the depressed patient is best managed in a PHC, 86.2% would support treating the patient in their PHC if their capacity is enhanced. Top identified challenges were "heavy work schedule" (68.5%) and "lack of competence of the PHC staff" (67.5%). Over 42% had poor attitude towards depressed patient. Having a mental health training was the major factor that predicted good knowledge (OR 4.52, 95%CI 2.96–7.00) and good attitude (OR 2.17, 95% CI 1.48–3.17). Conclusions For successful scale up of mental health services in LMICs, the design of mental health training curriculum for PHC workers should consider their knowledge, experience, competence level, perception and attitudes.
  • References (24)
  • Citations (3)
📖 Papers frequently viewed together
5 Citations
2 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References24
Newest
#1Stan KutcherH-Index: 29
#2Yifeng WeiH-Index: 14
Last. Kevin PerkinsH-Index: 3
view all 9 authors...
Background: Depression, which frequently onsets in young people, is projected to become the largest single burden of disease globally in the next decade. Its impact may be disproportionally felt in low-income countries, such as Tanzania, where availability of appropriate care in the community is poor.
3 CitationsSource
#1Oye Gureje (UI: University of Ibadan)H-Index: 63
#2Jibril Abdulmalik (UI: University of Ibadan)H-Index: 12
Last. Kazeem Adebayo (LAUTECH: Ladoke Akintola University of Technology)H-Index: 3
view all 6 authors...
Background The World Mental Health Surveys conducted by the World Health Organization (WHO) have shown that huge treatment gaps for severe mental disorders exist in both developed and developing countries. This gap is greatest in low and middle income countries (LMICs). Efforts to scale up mental health services in LMICs have to contend with the paucity of mental health professionals and health facilities providing specialist services for mental, neurological and substance use (MNS) disorders. A...
40 CitationsSource
#1Mubarek Abera (JU: Jimma University)H-Index: 6
#2Markos Tesfaye (JU: Jimma University)H-Index: 18
Last. Charlotte Hanlon ('KCL': King's College London)H-Index: 28
view all 4 authors...
The WHO’s mental health Gap Action Programme seeks to narrow the treatment gap for mental disorders by advocating integration of mental health into primary health care (PHC). This study aimed to assess the challenges and opportunities of this approach from the perspective of PHC workers in a sub-Saharan African country. A facility-based cross-sectional survey of 151 PHC workers was conducted from 1st to 30th November 2011 in Jimma zone, south-west Ethiopia. A structured questionnaire was used to...
22 CitationsSource
#1Bola A. Ola (LASU: Lagos State University)H-Index: 18
#2Jim CrabbH-Index: 5
Last. Olayinka A. AbosedeH-Index: 2
view all 5 authors...
Globally there is a huge treatment gap for common mental disorders such as depression. Key to improving access to treatment will be the attitudes held towards depression by those physicians who work in Primary Care. This study aimed to explore Lagos State’s Primary Care Physicians’ attitudes towards depression and their views regarding their current working practices. A survey of 41 (82 %) Primary Care Physicians in Lagos State who, after written consent, completed the Depression Attitude Questi...
5 CitationsSource
#1Bawo O. JamesH-Index: 13
#2R Jenkins ('KCL': King's College London)H-Index: 70
Last. Joyce O. OmoaregbaH-Index: 10
view all 4 authors...
AbstractBackground: Depression contributes significantly to the global burden of disease in developing countries. Poor case detection and inadequate numbers of mental health staff have been associated with increased morbidity among individuals with depression presenting to primary care. In Nigeria, as in most developing countries, general practitioners (GPs) may fill this treatment gap. The knowledge of and attitudes towards depression among GPs have not been surveyed, hence the need for this st...
14 CitationsSource
#1Oye Gureje (UCLH: University College Hospital)H-Index: 26
#2Richard Uwakwe (College of Health Sciences, Bahrain)H-Index: 4
Last. Oluyomi Esan (University College Hospital, Ibadan)H-Index: 8
view all 5 authors...
BACKGROUND: Community-based studies of the rates and profile of depression among Africans are still sparse. METHODS: As part of the World Mental Health Surveys initiative, a clustered multi-stage sampling of households in 21 of Nigeria's 36 states (representing 57% of the national population) was implemented to select adults aged 18 years and over (N=6752) for face-to-face interviews using the Composite International Diagnostic Interview (CIDI 3.0). Diagnosis of major depressive episode (MDE) wa...
44 CitationsSource
#1Joseph MbatiaH-Index: 10
#2Ajit Shah (UCLan: University of Central Lancashire)H-Index: 26
Last. R JenkinsH-Index: 70
view all 3 authors...
Background Examination of consultation data in a variety of primary care settings in Tanzania shows that, while psychoses are routinely diagnosed and treated at primary care level, depression is rarely recorded as a reason for consultation. Since, epidemiological studies elswhere show that depression is a much more common disorder than psychosis, a series of studies were undertaken to elucidate this apparent paradox in Tanzania and inform mental health policy; firstly, a household prevalence stu...
20 CitationsSource
#1Abiodun O. Adewuya (LASU: Lagos State University)H-Index: 29
#2Roger O. A. Makanjuola (OAU: Obafemi Awolowo University)H-Index: 6
Background Although studies have shown that views about causation are strongly associated with stigmatising attitudes to mental illness, none have examined the correlates of such causal views in order to identify the population needed to be targeted for education.
43 CitationsSource
#1Abiodun O. Adewuya (LASU: Lagos State University)H-Index: 29
#2Roger O. A. Makanjuola (College of Health Sciences, Bahrain)H-Index: 6
Objective: Recent research findings have challenged earlier claims that stigmatizing attitudes towards the mentally ill are less evident in non-Western cultures. A knowledge base of the attitude of the community towards the mentally ill is needed before embarking on an active anti-stigma programme in sub-Saharan Africa. The aim of the present study was to assess the lay public's attitude (social distance) towards people with mental illness in southwestern Nigeria and examine the factors correlat...
65 CitationsSource
#1Saba Moussavi (WHO: World Health Organization)H-Index: 3
#2Somnath Chatterji (WHO: World Health Organization)H-Index: 62
Last. T. Bedirhan Üstün (WHO: World Health Organization)H-Index: 55
view all 6 authors...
Summary Background Depression is an important public-health problem, and one of the leading causes of disease burden worldwide. Depression is often comorbid with other chronic diseases and can worsen their associated health outcomes. Few studies have explored the effect of depression, alone or as a comorbidity, on overall health status. Methods The WHO World Health Survey (WHS) studied adults aged 18 years and older to obtain data for health, health-related outcomes, and their determinants. Prev...
2,197 CitationsSource
Cited By3
Newest
#1Charlotte Bernard (French Institute of Health and Medical Research)H-Index: 2
#2Moussa SeydiH-Index: 14
Last. François Dabis (French Institute of Health and Medical Research)H-Index: 75
view all 7 authors...
Depression is highly prevalent in people living with HIV (PLHIV) worldwide. As mental health specialists are scarce in sub-Saharan Africa (SSA), the World Health Organization (WHO) encourages task-shifting. We aimed to evaluate the barriers that could compromise task-shifting in front-line health care workers (HCWs) who provide HIV integrated care in West Africa. We collected knowledge, attitudes and practices (KAP) information on symptoms, causes and management of depression in PLHIV in care in...
Source
#1Oladayo Afolabi (University of Maiduguri)
#2Mary Abboah-Offei ('KCL': King's College London)
Last. Catherine Evans ('KCL': King's College London)H-Index: 18
view all 4 authors...
Source
#1Abiodun O. AdewuyaH-Index: 29
#2Tomilola AdewumiH-Index: 2
Last. Dapo AdegbajuH-Index: 1
view all 9 authors...
2 CitationsSource
#1Qainat N. Shah (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 1
#2Pooja A. Dave (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 1
Last. Craig L. Katz (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 12
view all 5 authors...
Unmet needs in mental health care are high in low and middle-income countries like India. We propose recruiting community health workers (CHWs) to provide mental health services and address the treatment gap, but there is limited data available on the training needs for this potential role. The aim of this study is to help determine what type of formal mental health training and programming could most benefit CHWs in India. This was a cross sectional study design. Self-administered surveys were ...
1 CitationsSource