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A study of the role of consumer and family groups and their potential contribution to mental health policy and services in Nigeria.
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Orientador(es)
Resumo(s)
RESUMO: Introdução: A Nigéria, uma economia de rendimento médio baixo com uma população
estimada de mais de 182 milhões, tem uma grande lacuna no tratamento dos problemas de
saúde mental. Além disso, as pessoas com problemas de saúde mental sofrem de
estigmatização e graves violações dos direitos humanos.
A Nigéria fez progressos mínimos no sentido de melhorar o acesso aos serviços de saúde
mental.
Provavelmente, a falta de advocacia das partes interessadas no que respeita à saúde mental
contribui para esta situação. Até agora, famílias e grupos de consumidores não foram
envolvidos como partes interessadas na saúde mental.
Este estudo examinou o papel dos grupos de consumidores e familiares e sua contribuição
potencial para as políticas e os serviços de saúde mental na Nigéria.
Método: O estudo foi conduzido através de um inquérito. Primeiro, foram enviados
questionários por e-mail para psiquiatras em todo o país. Um grupo funcional de
utilizadores e familiares foi identificado em Ibadan, no sudoeste da Nigéria. Em seguida, um
questionário detalhado foi administrado ao facilitador do grupo para obter os detalhes do
funcionamento administrativo do grupo. Finalmente, foram administrados questionários
aos membros do grupo.
Resultados: O inquérito nacional enviado por e-mail aos psiquiatras permitiu identificar dois
grupos de consumidores, um dos quais foi estudado, uma vez que o outro era
logisticamente inacessível. Os profissionais mostraram uma boa compreensão dos papéis e
potencialidades dos grupos de consumidores.
Este estudo estabeleceu o perfil do The Family Support Group, um grupo de consumidores
que opera em Ibadan, na Nigéria. O grupo é relativamente pequeno, mas vibrante, e os seus
membros são entusiastas. No entanto, os membros pareciam mais focados no apoio
emocional compartilhado e na obtenção de informações de saúde, prevenindo assim a
recaída, do que no engajamento com o governo ou a defesa pública.
Conclusões: Como recomendações sugere-se que sejam proporcionados formação e apoio
em áreas específicas, de forma a estimular o grupo a ampliar seu campo de atividade. Serão
necessários mais estudos para determinar o potencial de crescimento e replicação desses
grupos eo impacto desse desenvolvimento nas políticas e nos serviços de saúde mental.
ABSTRACT: Nigeria, a Lower Middle Income Economy with an estimated population of over 182 million, has a large mental health treatment gap. In addition, people with mental health conditions suffer from stigmatization and severe human rights abuses. Nigeria has made minimal progress towards improving access to mental healthcare services. Probably, contributing to this situation is the lack of stakeholder advocacy for mental health. Hitherto, family and consumer groups have not been involved as stakeholders in mental health. This study examined the role of consumer and family groups and their potential contribution to mental health policy and services in Nigeria. The study was conducted through a survey design. First, questionnaires were emailed to Psychiatrists nationwide. A functioning group of users and family members was identified in Ibadan, South-Western Nigeria. Then an in-depth questionnaire was administered to the facilitator of the group to obtain the details of the administrative running of the group. Finally, questionnaires were administered to members of the group. A nationwide email survey of Psychiatrists was able to identify two consumer groups, one of which was studied, as the other was logistically inaccessible. Practitioners showed a good understanding of the roles and potentials of consumer groups. This study has profiled The Family Support Group, a consumer group operating in Ibadan, Nigeria. The group was found to be relatively small but vibrant, one whose members are enthusiastic. However, members seemed more focused on the shared emotional support and obtaining of health information, thus preventing relapse, than on engagement with government or public advocacy. Training and support in specific areas are recommended, stimulating the group to broaden its scope of activity .Further studies will be required to determine the potential for growth and replication of such groups and the impact of this development on mental health policy and services.
ABSTRACT: Nigeria, a Lower Middle Income Economy with an estimated population of over 182 million, has a large mental health treatment gap. In addition, people with mental health conditions suffer from stigmatization and severe human rights abuses. Nigeria has made minimal progress towards improving access to mental healthcare services. Probably, contributing to this situation is the lack of stakeholder advocacy for mental health. Hitherto, family and consumer groups have not been involved as stakeholders in mental health. This study examined the role of consumer and family groups and their potential contribution to mental health policy and services in Nigeria. The study was conducted through a survey design. First, questionnaires were emailed to Psychiatrists nationwide. A functioning group of users and family members was identified in Ibadan, South-Western Nigeria. Then an in-depth questionnaire was administered to the facilitator of the group to obtain the details of the administrative running of the group. Finally, questionnaires were administered to members of the group. A nationwide email survey of Psychiatrists was able to identify two consumer groups, one of which was studied, as the other was logistically inaccessible. Practitioners showed a good understanding of the roles and potentials of consumer groups. This study has profiled The Family Support Group, a consumer group operating in Ibadan, Nigeria. The group was found to be relatively small but vibrant, one whose members are enthusiastic. However, members seemed more focused on the shared emotional support and obtaining of health information, thus preventing relapse, than on engagement with government or public advocacy. Training and support in specific areas are recommended, stimulating the group to broaden its scope of activity .Further studies will be required to determine the potential for growth and replication of such groups and the impact of this development on mental health policy and services.
Descrição
Palavras-chave
Saúde Mental Utilizadores Parceiros Advocacia Nigeria Mental Health Consumer Stakeholder Advocacy Nigeria