Anxiety, depression and access to mental health services among internally displaced persons in Mogadishu, Somalia: a cross-sectional survey.

Journal: BMJ open

Volume: 14

Issue: 11

Year of Publication: 2024

Affiliated Institutions:  SOS College of Health Science, SOS Children's Villages Somalia, Mogadishu, Somalia Hassan.dahiye@sossomalia.org. SOS College of Health Science, SOS Children's Villages Somalia, Mogadishu, Somalia.

Abstract summary 

The study aims to evaluate anxiety and depression levels and access to mental health services among internally displaced persons (IDPs) in Mogadishu, Somalia.A community-based, cross-sectional survey was carried out in IDP camps. Face-to-face interviews were conducted using a modified Hospital Anxiety and Depression Scale. Data were analysed using SPSS V.25.0, incorporating univariate and logistic regression analyses.The study was conducted in 10 IDP camps located in the districts of Daynile and Kahda in the Banadir region of Somalia between November and December 2023.The study included 522 randomly sampled individuals aged 18-70 years living in the selected IDP camps.The study revealed high prevalence rates of anxiety (43.7%) and depression (35.8%) among IDPs in the selected districts. Of those with anxiety, 54% were categorised as borderline cases and 46% as severe cases. Similarly for depression, 72.7% were classified as borderline cases and 27.3% as severe cases. Significant associations were found between anxiety symptoms and variables such as camp residence (OR: 3.872, 95% CI 2.333 to 6.424), female gender (OR: 2.387, 95% CI 1.604 to 3.552), young age (OR: 6.319, 95% CI 4.309 to 9.267), marriage contract (OR: 4.569, 95% CI 2.850 to 7.325), lack of education (OR: 1.92, 95% CI 1.349 to 2.737) and past experiences of trauma (OR: 5.207, 95% CI 3.274 to 8.281). Depressive symptoms were significantly associated with younger age (OR: 1.536, 95% CI 1.069 to 2.208), lack of formal education (OR: 1.661, 95% CI 1.153 to 2.395) and history of trauma (OR: 3.695, 95% CI 2.529 to 5.400). Additionally, the study highlighted a grave shortage of mental health and psychosocial support (MHPSS) services. User evaluations of MHPSS services varied, indicating room for improvement.The study revealed elevated levels of anxiety and depression among IDPs in the districts of Kahda and Daynile in the Banadir region of Somalia, underscored by a critical shortage of MHPSS services, emphasising the need for tailored mental health interventions.

Authors & Co-authors:  Dahie Hassan Abdullahi HA Osman Mohamed Abdullahi MA Jimale Yusuf Ali YA Mohamud Falis Ibrahim FI Hussein Hamdi Ahmed HA Alasow Mohamed Osman MO Osman Abukar Abdi AA Abdullahi Abdirahman Mohamed AM

Study Outcome 

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Citations :  Getanda EM, Papadopoulos C, Evans H. The mental health, quality of life and life satisfaction of internally displaced persons living in Nakuru County, Kenya. BMC Public Health. 2015;15:755. doi: 10.1186/s12889-015-2085-7.
Authors :  8
Identifiers
Doi : e084275
SSN : 2044-6055
Study Population
Female
Mesh Terms
Humans
Other Terms
Anxiety disorders;Cross-Sectional Studies;Health & safety;Health Services;Health Services Accessibility;Health Surveys
Study Design
Cross Sectional Study
Study Approach
Country of Study
Mali
Publication Country
England