ケニアのキリフィ郡とナイロビ郡のmhGAP-IGの子供と青年の精神および行動障害モジュールの文脈化と適応
Beatrice Mkubwa1,2, Vibian Angwenyi1, Laura Pacione3,4
1Institute for Human Development, Aga Khan University, Nairobi, Kenya.
Global mental health (Cambridge, England)
|September 2, 2025
まとめ
世界 保健 機関 を 調整 する
科学分野:
- 世界 的 な 精神 健康
- 公衆衛生
- 児童・青少年精神科
背景:
- 世界保健機関のメンタルヘルス・ギャップ・アクション・プログラム・インターベンション・ガイド (mhGAP-IG) は,非専門的なメンタルヘルスケアに不可欠です.
- mhGAP-IG,特に子供と青年の精神障害 (CMH) モジュールの適応は,地元の関連性にとって不可欠ですが,十分な証拠がありません.
- mhGAP-IG CMHモジュールの文脈化に関する研究は限られている.
研究 の 目的:
- ケニアのナイロビとキリフィで使用するために2016 mhGAP-IG CMH モジュールを文脈化し,適応します.
- これらの特定の地域における児童・青少年精神保健の実施における課題と機会を特定する.
- mhGAP-IG CMHモジュールの文化的および実用的な適用性を強化する.
主な方法:
- 地元の精神衛生の専門家や関係者との6回の深入インタビューを行いました
- mhGAP-IG CMHモジュールの文脈化と適応のための2つのワークショップを開催しました.
- データを分析するためにNVivo-Lumivero©ソフトウェアを使用しました.
主要な成果:
- 専門家の不足 薬の不足 汚名 資源の不足
- 主な適応は,地元の用語の使用,訓練の拡張,基本的ケア慣行の統合,紹介経路の精錬でした.
- CMHモジュールに関連する自己傷害/自殺および薬物使用に関するコンテンツを組み込みます.
結論:
- mhGAP-IG CMHモジュールを文脈化することは,多様な環境で効果的な実装に不可欠です.
- メンタルヘルスケア介入の効果を維持するには,訓練以外のシステム上の障壁に対処する必要があります.
- 適応戦略は,子どもと青年の精神的健康に関する地域的な課題と文化的なニュアンスを考慮する必要があります.
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