Living with psychosis in West and Southeast Africa: SUCCEED Africa's four-country situation analysis.

Journal: Global mental health (Cambridge, England)

Volume: 11

Issue: 

Year of Publication: 

Affiliated Institutions:  Rehabilitative and Social Medicine Unit, Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria. Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, London, UK. Centre for Child and Adolescent Mental Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. Research Support Centre, University of Zimbabwe, Harare, Zimbabwe. University of Makeni, Makeni, Sierra Leone. Department of Clinical Psychology, Kamuxzu University of Health Sciences, Blantyre, Malawi.

Abstract summary 

As part of the formative work of the SUCCEED Africa consortium, we followed a participatory process to identify existing gaps and resources needed for the development and implementation of a rights-based intervention for people with lived experience of psychosis in Malawi, Nigeria, Sierra Leone and Zimbabwe. In 2021, we conducted a desk review of published and grey literature on psychosis in the four SUCCEED countries. Using an adapted version of the PRIME situation analysis template, data were extracted across the five domains of the WHO Community-Based Rehabilitation (CBR) Matrix: health, education, livelihoods, social and empowerment. This was supplemented with insights from personal communications with key stakeholders and the lived and professional experiences of team members. Findings indicate that people with lived experience of psychosis have limited access to services and opportunities across the five CBR domains. Participation in social, religious, empowerment and political activities is restricted due to stigma and a lack of advocacy. People with lived experience of psychosis in SUCCEED countries are not generally able to access support in line with essential components of CBR. There is a need for their greater inclusion in policy and advocacy activities.

Authors & Co-authors:  Omobowale Olubukola O Greenley Rachel R Ryan Grace G Ogunmola Olusegun O Dzapasi Lloyd L Jimmy Abraham A Sefasi Anthony A Olusanmi Mayowa M Esliker Rebecca R Koroma Alhaji A Afolayan Adeola A Tamambang Rita R Munetsi Epiphania E Mambulasa Janet J Kakuma Ritsuko R Chibanda Dixon D Omigbodun Olayinka O Eaton Julian J

Study Outcome 

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Statistics
Citations :  Abdulmalik J, Kola L and Gureje O (2016) Mental health system governance in Nigeria: challenges, opportunities and strategies for improvement. Global Mental Health 3, 1–11. 10.1017/GMH.2016.2.
Authors :  18
Identifiers
Doi : e133
SSN : 2054-4251
Study Population
Male,Female
Mesh Terms
Other Terms
community-based rehabilitation;global mental health;psychosis;psychosocial disabilities;situation analysis
Study Design
Study Approach
Country of Study
Niger
Publication Country
England