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Integrating mental health into primary health care in Nigeria: management of depression in a local government (district) area as a paradigm.
Seishin Shinkeigaku Zasshi. 2002; 104(10):802-9.SS

Abstract

BACKGROUND

In Nigeria, the primary health care (PHC) manned by non-physician health workers, forms the bedrock of the health care system. And mental health care has not yet been integrated into primary health care system.

OBJECTIVE

To demonstrate how the training of primary health care workers in the recognition and management of depression can form an example of systematic integration of mental health into primary health care.

METHODS

The training needs and knowledge of 62 primary health care workers were assessed through focus group discussions and structured self-administered questionnaire. A two-day training program on the recognition and management of depression was conducted using an adapted version of the World Psychiatric Association (WPA) guidelines for the management of depression in primary health care. The trainees completed a pre and post-training assessments to determine the immediate outcome of the training.

RESULTS

Pre-training, the health workers had very poor knowledge of depression. None of the participants could mention any antidepressant. There were significant improvements in knowledge post training, with the greatest gain in knowledge occurring in drug management of depression. General outcome evaluation showed significant increase in knowledge and skills for the recognition and management of depression.

CONCLUSIONS

The training increased PHC workers knowledge about the concept, recognition and management of depression. And the methods adopted could be helpful means of integrating mental health into PHC.

Authors+Show Affiliations

Odejide AO
Department of Psychiatry, College of Medicine, University of Ibadan, Nigeria.
Morakinyo JJ
No affiliation info available
Oshiname FO
No affiliation info available
Omigbodun O
No affiliation info available
Ajuwon AJ
No affiliation info available
Kola L
No affiliation info available

MeSH

Community Health WorkersCommunity Mental Health ServicesDelivery of Health Care, IntegratedDepressionHealth Knowledge, Attitudes, PracticeHumansLocal GovernmentNigeriaPrimary Health CareProgram EvaluationSurveys and Questionnaires

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12607921

Citation

Odejide, Adebayo O., et al. "Integrating Mental Health Into Primary Health Care in Nigeria: Management of Depression in a Local Government (district) Area as a Paradigm." Seishin Shinkeigaku Zasshi = Psychiatria Et Neurologia Japonica, vol. 104, no. 10, 2002, pp. 802-9.
Odejide AO, Morakinyo JJ, Oshiname FO, et al. Integrating mental health into primary health care in Nigeria: management of depression in a local government (district) area as a paradigm. Seishin Shinkeigaku Zasshi. 2002;104(10):802-9.
Odejide, A. O., Morakinyo, J. J., Oshiname, F. O., Omigbodun, O., Ajuwon, A. J., & Kola, L. (2002). Integrating mental health into primary health care in Nigeria: management of depression in a local government (district) area as a paradigm. Seishin Shinkeigaku Zasshi = Psychiatria Et Neurologia Japonica, 104(10), 802-9.
Odejide AO, et al. Integrating Mental Health Into Primary Health Care in Nigeria: Management of Depression in a Local Government (district) Area as a Paradigm. Seishin Shinkeigaku Zasshi. 2002;104(10):802-9. PubMed PMID: 12607921.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Integrating mental health into primary health care in Nigeria: management of depression in a local government (district) area as a paradigm. AU - Odejide,Adebayo O, AU - Morakinyo,Jide J, AU - Oshiname,Frederick O, AU - Omigbodun,Olayinka, AU - Ajuwon,Ademola J, AU - Kola,Lola, PY - 2003/3/1/pubmed PY - 2003/4/26/medline PY - 2003/3/1/entrez SP - 802 EP - 9 JF - Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica JO - Seishin Shinkeigaku Zasshi VL - 104 IS - 10 N2 - BACKGROUND: In Nigeria, the primary health care (PHC) manned by non-physician health workers, forms the bedrock of the health care system. And mental health care has not yet been integrated into primary health care system. OBJECTIVE: To demonstrate how the training of primary health care workers in the recognition and management of depression can form an example of systematic integration of mental health into primary health care. METHODS: The training needs and knowledge of 62 primary health care workers were assessed through focus group discussions and structured self-administered questionnaire. A two-day training program on the recognition and management of depression was conducted using an adapted version of the World Psychiatric Association (WPA) guidelines for the management of depression in primary health care. The trainees completed a pre and post-training assessments to determine the immediate outcome of the training. RESULTS: Pre-training, the health workers had very poor knowledge of depression. None of the participants could mention any antidepressant. There were significant improvements in knowledge post training, with the greatest gain in knowledge occurring in drug management of depression. General outcome evaluation showed significant increase in knowledge and skills for the recognition and management of depression. CONCLUSIONS: The training increased PHC workers knowledge about the concept, recognition and management of depression. And the methods adopted could be helpful means of integrating mental health into PHC. SN - 0033-2658 UR - https://www.unboundmedicine.com/medline/citation/12607921/Integrating_mental_health_into_primary_health_care_in_Nigeria:_management_of_depression_in_a_local_government__district__area_as_a_paradigm_ DB - PRIME DP - Unbound Medicine ER -