Purpose – The purpose of this case study is to describe the experiences of a development organization operating in Africa to make mental health services accessible to communities in Kenya and Uganda through partnerships. The lessons that can be learnt from this work are also considered. Design/methodology/approach – The paper is a case study that builds on operations research gathered over five to seven years by the authors who have managed the country mental health programmes in Uganda and Kenya. The case study describes the problem of mental illness and its magnitude in Kenya and Uganda, and why it is important that this is addressed. Existing mechanisms in place and gaps in current service provision are also discussed. Findings – Methods used to address gaps in current service provision include capacitating different service providers, their roles and their contribution to community mental health. The inclusion and training of non‐psychiatrists can contribute to the management, treatment and recovery of people with mental health problems in African communities. Research limitations/implications – The case study is limited in its applicability in full to other low to middle income countries (LMICs). Causality cannot be established between improvement in access and training of the different health service providers. Practical implications – The case study gives practical experiences that practitioners in LMICs can further test in improving access to community‐based mental health services. These experiences can help to form a promising practice in how LMICs can reduce health workforce gaps in mental health and planners can consider using this to reduce such gaps. Social implications – The case study shows how the participation of service users and other stakeholders and using family resources can bring ownership and sustainability of mental health care at the community level. Originality/value – The case study adds value to practice and social development theories and models of care.
Ethnicity and Inequalities in Health and Social Care – Emerald Publishing
Published: May 23, 2011
Keywords: Community mental health; Health workers; Service users; Traditional healers; Care; District personnel; Mental illness; Kenya; Uganda
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera