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  6. Awareness And Involvement Of Nigerian Family Physicians In Who's Mental Health Gap Action Programme: A Qualitative Study

Awareness and involvement of Nigerian Family Physicians in WHO's Mental Health Gap Action Programme: a qualitative study

Olumide Thomas Adeleke1, Wulaimat Abimbolanle Adekunle2, Oludaisi Adeshina Oduniyi3

  • 1Bowen University, Iwo, Nigeria.

Discover Mental Health
|June 12, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Nigerian family physicians show varied awareness and engagement with the World Health Organization's Mental Health Gap Action Programme (mhGAP). Training and collaboration facilitate involvement, while stigma and systemic issues present barriers to closing the mental health gap.

Area of Science:

  • Global Mental Health
  • Primary Care Research
  • Health Systems Strengthening

Background:

  • The World Health Organization's Mental Health Gap Action Programme (mhGAP) aims to improve mental healthcare access and quality.
  • A significant gap in mental healthcare persists globally, impacting access and quality of services.
  • Family physicians are crucial for bridging this gap, but their engagement with mhGAP is not well understood.

Purpose of the Study:

  • To explore family physicians' awareness and involvement in implementing mental health services in Nigeria.
  • To identify facilitators and barriers influencing family physicians' participation in the mhGAP intervention guide.

Main Methods:

  • A descriptive participatory action research design was used.
  • Semi-structured key informant interviews were conducted with 24 family physicians across Nigeria.
Keywords:
Family physiciansMental Health Gap Action Programme (mhGAP)Mental health integrationNigeria

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  • Inductive coding and content analysis were applied to interview transcripts.
  • Main Results:

    • Family physicians exhibited diverse levels of awareness regarding mental health guidelines and interventions.
    • Physician involvement ranged from minimal to proactive, influenced by the absence of a unified national guide.
    • Key facilitators included physician training, patient relationships, and multidisciplinary collaboration.
    • Barriers identified were time constraints, stigma associated with mental health, and systemic gaps in care.

    Conclusions:

    • Nigerian family physicians demonstrate varied awareness and engagement with mhGAP.
    • Training, patient relationships, and collaboration are key enablers for mhGAP implementation.
    • Addressing time constraints, stigma, and systemic deficiencies is crucial for enhancing family physician participation and closing the mental health gap.
    Primary care mental health