Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review.

Journal: Globalization and health

Volume: 18

Issue: 1

Year of Publication: 2022

Affiliated Institutions:  Department of Psychiatry, Kampala International University Western Campus, P.O BOX , Bushenyi, Uganda. nzanzumutume@kiu.ac.ug. Department of Psychiatry, University of Kinshasa, Kinshasa, Democratic Republic of Congo. Division provinciale de la Sante, Goma, North-Kivu, Democratic Republic of Congo. Department of Psychiatry, Kampala International University Western Campus, P.O BOX , Bushenyi, Uganda. Kinshasa School of Public Health, Faculty of Medicine University of Kinshasa, Kinshasa, Democratic Republic of Congo. Faculté de Psychologie et des Sciences de l'Education, Université de Kinshasa, Kinshasa, République Démocratique du Congo. Department of Public Health, Official University of Ruwenzori, Goma, North-Kivu, Democratic Republic of the Congo.

Abstract summary 

Mental health is mostly affected by numerous socioeconomic factors that need to be addressed through comprehensive strategies. The aftermath of armed conflict and natural disasters such as Ebola disease virus (EVD) outbreaks is frequently associated with poor access to mental healthcare. To design the basis of improving mental health services via the integration of mental health into primary health care in the Democratic Republic of Congo (DRC), we conducted a scoping review of available literature regarding mental illness in armed conflict and EVD outbreak settings.This scoping review of studies conducted in armed conflict and EVD outbreak of DRC settings synthesize the findings and suggestions related to improve the provision of mental health services. We sued the extension of Preferred Reporting Items for Systematic Reviews and Meta-Analyses to scoping studies. A mapping of evidence related to mental disorders in the eastern part of DRC from studies identified through searches of electronic databases (MEDLINE, Scopus, Psych Info, Google Scholar, and CINAHL). Screening and extraction of data were conducted by two reviewers independently.This review identified seven papers and described the findings in a narrative approach. It reveals that the burden of mental illness is consistent, although mental healthcare is not integrated into primary health care. Access to mental healthcare requires the involvement of affected communities in their problem-solving process. This review highlights the basis of the implementation of a comprehensive mental health care, through the application of mental health Gap Action Program (mhGAP) at community level. Lastly, it calls for further implementation research perspectives on the integration of mental healthcare into the health system of areas affecting by civil instability and natural disasters.This paper acknowledges poor implementation of community mental health services into primary health care in regions affected by armed conflict and natural disasters. All relevant stakeholders involved in the provision of mental health services should need to rethink to implementation of mhGAP into the emergency response against outbreaks and natural disasters.

Authors & Co-authors:  Vivalya Bives Mutume Nzanzu BMN Vagheni Martial Mumbere MM Kitoko Germain Manzekele Bin GMB Vutegha Jeremie Muhindo JM Kalume Augustin Kensale AK Piripiri Astride Lina AL Masika Yvonne Duagani YD Mbeva Jean-Bosco Kahindo JK

Study Outcome 

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Statistics
Citations :  Saxena S, Funk M, Chisholm D. World health assembly adopts comprehensive mental health action plan 2013–2020. The Lancet. 2013;381(9882):1970–1. doi: 10.1016/S0140-6736(13)61139-3.
Authors :  8
Identifiers
Doi : 71
SSN : 1744-8603
Study Population
Male,Female
Mesh Terms
Armed Conflicts
Other Terms
Armed conflict;Democratic Republic of Congo;Ebola;Mental health;Mental health services;Scoping review
Study Design
Study Approach
Country of Study
Democratic republic of Congo
Publication Country
England