Evaluation of a Master of Science in Integrated Clinical and Community Mental Health (MSc ICCMH) program in Ethiopia.

Journal: German medical science : GMS e-journal

Volume: 16

Issue: 

Year of Publication: 2019

Affiliated Institutions:  Department of Psychiatry, College of Health Sciences, Jimma University, Jimma, Ethiopia. Center for International Health, LMU, Munich, Germany. Department of Ophthalmology, College of Health Sciences, Jimma University, Jimma, Ethiopia. Department of Psychiatry, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Abstract summary 

The shortage of trained manpower in the field of mental health remains a significant obstacle to the treatment of people with mental illnesses in low and middle-income countries. In 2010, a new program for non-physician clinicians was established at Jimma University to address this shortage in Ethiopia. This study aimed to assess the competency, satisfaction, and involvement level of graduates of the program. A cross-sectional study was conducted among the graduates of the program. Data were collected with a semi-structured, self-administered questionnaire that was developed for the study. Responses were recorded on a Likert scale to assess graduates' competency and satisfaction level. The quantitative data were summarized by descriptive statistics, including means, standard deviations, and frequencies. Qualitative data were transcribed and analyzed thematically. Until June 2015, 32 trainees had graduated from the MSc ICCMH program; 87.5% (n=28) of these graduates participated in the study. Almost all (96.4%, n=27) graduates were working in public institutions. The majority (75%, n=21) were directly engaged in the clinical care of patients. Also, two-thirds of the graduates (67.9%, n=19) were involved in mental health research. All of the graduates felt confident in conducting psychiatric assessments of adults and identifying and managing common mental disorders (100%, n=28). Similarly, 100% (n=28) of the graduates reported that they felt confident in identifying and managing severe mental illnesses. The outcome of the program is a considerable workforce of skilled mental health professionals. The majority of graduates were retained within the public mental health service. Brain drain does not appear to be a challenge among non-physician mental health specialists. The findings on the self-perceived competencies mirror the amount of clinical exposure during the training. With a minimal revision of the curriculum, the level of satisfaction and competencies can be enhanced.

Authors & Co-authors:  Soboka Matiwos M Adorjan Kristina K Dehning Sandra S Asaminew Tsedeke T Abera Mubarek M Siebeck Matthias M Tesfaye Markos M Jobst Andrea A

Study Outcome 

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Statistics
Citations :  Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, Rahman A. No health without mental health. Lancet. 2007 Sep 8;370(9590):859–877. doi: 10.1016/S0140-6736(07)61238-0. doi: 10.1016/S0140-6736(07)61238-0. Available from:
Authors :  8
Identifiers
Doi : Doc04
SSN : 1612-3174
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Ethiopia;brain drain;competency;evaluation;human resources;mental health;non-physician clinician;satisfaction
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Quantitative,Qualitative
Country of Study
Ethiopia
Publication Country
Germany