Voices from the Youth in Kenya Addressing Mental Health Gaps and Recommendations.

Journal: International journal of environmental research and public health

Volume: 19

Issue: 9

Year of Publication: 2022

Affiliated Institutions:  Division of Epidemiology and Prevention, Institute of Human Virology, University of Maryland Baltimore, Baltimore, MD , USA. School of Social Work, University of Maryland Baltimore, Baltimore, MD , USA. LVCT Health, Nairobi P.O. Box -, Kenya. Ministry of Health Kenya, Nairobi P.O. Box -, Kenya. Nairobi Metropolitan Services, Nairobi P.O. Box -, Kenya. Mombasa County Department of Health, Mombasa P.O. Box -, Kenya. Kisumu County Department of Health, Kisumu P.O. Box -, Kenya. Youth Advisory Champions for Health, Nairobi Youth Advisory Council, Mombasa P.O. Box -, Kenya. Amref Health Africa in Kenya, Nairobi P.O. Box -, Kenya.

Abstract summary 

Studies including adolescents and young people (AYP) enhance the relevance of research results, benefit stakeholders, and inform future research. There exists a mental health gap in services for AYP living in low and middle-income countries. This study aims to identify mental health challenges faced by adolescents and young people in Kenya, develop practical recommendations to mitigate these issues, and reduce the mental health burden among this population. We convened an AYP-led meeting that involved 41 participants. The meeting objectives were to (1) identify efforts to support existing national and regional strategic priorities and review goals for addressing mental health needs among AYPs, (2) develop immediate action plans for strengthened mental health services, (3) review and strengthen country-level coordination mechanisms, and (4) identify how participating county experiences can inform mental health services in Kenya. Ministry of Health (MoH) officials from national and county levels, academic experts, and implementing partner agencies involved in mental health services participated in the meeting. The team, including AYP representatives, identified various mental health challenges among the AYA and recommended interventions aimed towards improving their mental health situation in the country. The challenges were clustered into three themes and comprehensively reviewed to establish the precipitating factors to mental health outcomes among AYPs in Kenya and provide recommendations. The themes included (1) legislative, (2) service provider/Ministry of Health, and (3) adolescent/individual-level factors. To bridge the mental health gap in the country and scale up mental health outcomes, the stakeholders recommended interventions within the context of the three clusters. The key suggestions included an increase in insurance financing, acceleration of community health interventions, the establishment of adolescent-friendly spaces, the training of adolescent youth champions, interactive service provision models, implementation of the existing mental health policies and structures, the development of comprehensive assessment tools, well equipped mental health departments in health facilities, the enhancement of telehealth services and digital villages, the mobilization of a functional mental health response team, and the development of a mental health database.

Authors & Co-authors:  Memiah Wagner Kimathi Anyango Kiogora Waruinge Kiruthi Mwavua Kithinji Agache Mangwana Merci Ayuma Muhula Opanga Nyambura Ikahu Otiso

Study Outcome 

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Statistics
Citations :  Crocetti E. Identity formation in adolescence: The dynamic of forming and consolidating identity commitments. Child Dev. Perspect. 2017;11:145–150. doi: 10.1111/cdep.12226.
Authors :  18
Identifiers
Doi : 5366
SSN : 1660-4601
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Ministry of Health (MoH);Youth Advisory Champions for Health (YACH);adolescents and young people;digital health;mental health;participatory research
Study Design
Study Approach
Country of Study
Kenya
Publication Country
Switzerland