Mental health capacity building in Mali by training rural general practitioners and raising community awareness.

Journal: The Pan African medical journal

Volume: 38

Issue: 

Year of Publication: 2021

Affiliated Institutions:  Santé Sud, Bamako, Mali. Global Health, Sanofi, Gentilly, France. Department of Psychiatry, Point G Hospital, Bamako, Mali. Department of Psychiatry, Martigues Hospital, Martigues, France. Association of Rural Physicians in Mali, Markacoungo, Mali. Santé Sud, Marseille, France. Global Health, Sanofi, Dakar, Senegal. Institut National de la Santé et de La Recherche Médicale (INSERM), Université Limoges, Centre Hospitalier Universitaire Limoges, Institut de Recherche pour le Développement (IRD), U Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, Institut Génomique-Environnement-Immunité-Santé et Thérapeutiques (GEIST), Limoges, France.

Abstract summary 

despite the high prevalence and significant burden of mental disorders, they remain grossly under-diagnosed and undertreated. In low-income countries, such as Mali, integrating mental health services into primary care is the most viable way of closing the treatment gap. This program aimed to provide a mental health training intervention to rural general practitioners (GPs), to organize community awareness activities, and to evaluate the impact on mental health knowledge and through the number of new patients diagnosed with mental disorders and managed by these general practitioners.a pre-test/post-test design and the monthly monitoring of the number of new patients diagnosed with mental disorders by the trained GPs were used to evaluate the effect of the training interventions (two face-to-face group training workshops followed by individual follow-up supervisions) and of the community awareness activities.the mean knowledge score of the 19 GPs who completed the initial 12-day group training raised from 24.6/100 at baseline, to 61.5/100 after training (p<0.001), a 150% increase. Among them, sixteen completed the second 6-day group training with a mean score increasing from 50.2/100 to 70.1/100 (p<0.001), a 39.6% improvement. Between July 2018 and June 2020, 2,396 new patients were diagnosed with a mental disorder by the 19 GPs who took part in the program.despite limited data regarding the effect of the community awareness component at this stage, the findings from this study suggest that the training intervention improved GPs' knowledge and skills, resulting in a significant number of new patients being identified and managed.

Authors & Co-authors:  Poudiougou Oumar O Bruand Pierre-Emile PE Mounkoro Pakuy Pierre PP Gaglione Jean-Michel JM Nimaga Karamoko K Sy Mansour M Vincent Clotilde C Calas François F Fall-Ndao Amy A Petiteau Lucie L Hanssen Nicole N Dossa Djamirou D Boumédiène Farid F Preux Pierre-Marie PM Togora Arouna A

Study Outcome 

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Statistics
Citations :  Steel Z, Claire M, Changiz I, Tien C, John WJ, Vikram P, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014 Apr;43(2):476–93.
Authors :  15
Identifiers
Doi : 389
SSN : 1937-8688
Study Population
Male,Female
Mesh Terms
Capacity Building
Other Terms
Capacity building;general practitioners;mental health;public awareness;training
Study Design
Study Approach
Country of Study
Mali
Publication Country
Uganda