Browsing by Author "Murtala, H.H."
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Item Barriers to the provision of community-based mental health services at primary healthcare level in northern Nigeria – A mixed methods study; International Journal of Africa Nursing Sciences;(Elsevier Publisher: International Journal of Africa Nursing Sciences, 2021-11-02) Anyebe, E.E.; Olisah, V.O.; Garba, S.N.; Murtala, H.H.; Danjuma, A.This study examined the barriers associated with the level of community-based mental health services in three selected States in northern Nigeria. Both quantitative and qualitative data were collected from a convenient sample of 191 primary healthcare (PHC) service providers and a purposive sample of 13 primary healthcare system administrators and managers at both State and Local government levels through a WHO/WFMH 10-factor questionnaire and literature-derived guide for in-depth interviews (IDIs). Quantitative data analysis was un dertaken using simple descriptive measures (with the use of IBM Statistical Product and Service Solutions (SPSS) 23.0) while the qualitative data was thematically analysed to complement the quantitative data. Results show that in all the study States, poor funding, lack of skilled mental health human resource and inadequate training of available personnel were identified as the major barriers to provision of mental health services at the community level. Socio-cultural factors such as community rejection of the services, stigma and misconceptions were re ported as second-grade barriers. It is concluded that PHC administrators, coordinators and service providers agree that fallouts of policy failure and lack of political will at Federal, State and Local government levels and socio-cultural dynamics constitute barriers to community based mental health services. Efforts towards improving the provision of these services need to focus more on healthcare policy issues and political machinery of the governments while motivating available service providers to increase community psycho-education in their respective centres and host communities. This should be done as short-, medium- and long-term measures.Item Factors Influencing the Attitude of Urban Residents Toward People Living with Mental Illness in Northwest, Nigeria(Kampala International University, Uganda, 2023-04-20) Murtala, H.H.; Haddad, M.M.; Abubakar, A.A.; Anyebe, E.E.; Umar, M.U.; Alhassan, M.Objectives: The study investigated respondents’ attitudes toward people living with mental, illness the relationship between attitude toward those individuals and socio-demographic characteristics, and factors influencing attitude toward those individuals among urban residents of North-western Nigeria. Methods and Material: An analytic cross-sectional design adopted to interview 435 respondents recruited using multistage sampling technique. A structured interviewer-guided questionnaire was used to obtain data, organized and analyzed with SPSS version 20. The data were summarized using frequency distribution tables and percentages. Chi-square was used to test the relationship between attitude scores on people with mental health issues and socio-demographic characteristics at 5% level of significance, within a 95% confidence interval. Results: Half (50.8%) of respondents had a positive attitude toward people living with mental illness. Statistically, significant association was found between attitude toward those individuals and age (χ2=403.026, p=<0.0001), gender (χ2=158.303, p=<0.0001), religion (χ2=65.527, p=<0.0001), ethnicity (χ2=230.851, p=<0.0001), educational status (χ2=268.044, p=<0.0001) and occupation (χ2=293.922, p=<0.0001) of the respondents. Factors influencing attitude to people with mental health issues were gender (84.7%), literacy level (72.0%), age (76.4%) and severity of illness (76.4%), previous encounters with individuals living with mental illness (77.6%) as well as fear of individuals with mental illness (86.0%). Conclusions: Approximately half of the respondents indicated negative attitude towards people with mental health issues. Thus, advocacy for, and educating community members toward individuals with mental illness might improve positive attitudes toward mental health issues. Further exploring cultural perspectives will aid in improving positive attitudes towards people with mental health issues.Item Push Factors and Attitudes to Substance Abuse among Students of a Government Senior Secondary School in Kano State.(College of Health Sciences, University of Ilorin, 2020) Murtala, H.H.; Haddad, M.M.; Yahaya, A.S.; Suberu, A.; Ashiru, M.; Anyebe, E.E.; Balarabe, F.Psychoactive substance use continues to be a major risk behavior among youths. It is on the increase and associated with physical and or mental health consequences. This study assessed the push factors towards psychoactive substances among students of Tarauni Government Senior Secondary School, Kano state. This cross sectional descriptive study employed the systematic sampling technique to select 247 participants from data was obtained, using a self-administered questionnaire. The data obtained were analyzed using SPSS version 20.0. The results revealed that, the main push factors for taking psychoactive substances are to feel relaxed or to sleep (68.1%, n=160), relieve stress (57.0%, n=134) and anxiety (54.0%, n=127), enhance alertness (48.5%, n=114), keep calm (52.0%, n=112), blend with peers (49.8%, n=117), gain more power (51.5%, n=121) and socialize (45.1%, n=106). It was therefore recommended that health education and sensitization programme on the effect of substance use for students and families via school curriculum, health and religious worship centers should be put in placeItem The Role of Non-Governmental Organisations (NGOs) in Community-based Mental Health Services in Northern Nigeria: Prospects and Challenges; Texila International Journal of Public Health; 9(4):1-14(Texila International Journal of Public Health; Texila American University., 2021) Anyebe, E.E.; Abubakar, F.U.; Garba, S.N.; Murtala, H.H.; Igbinlade, A.S.Despite the role of non-governmental organisations (NGOs) in many health issues, their role in community mental health services in parts of northern Nigeria is unknown. This study explored the availability and role of NGOs in community-mental health care services, with a view to identifying the prospects and challenges. Using the convergent mixed methods approach, a self-constructed questionnaire and in-depth interviews were used to collect data from 205 conveniently and purposively selected study participants. Descriptive and thematic analyses were done and then triangulated to meet research objectives. There is a scarcity of mental health-related NGOs in the study areas; only one NGO engaged in the mental health activities was identified (13.4%). Surprisingly attempts by the only available NGO at providing the needed community-based mental health care were “frustrated” by certain government policy directions, which appear to paralyse activities and intentions of the only existing one. NGOs for mental health care are lacking. There is a dire need for NGO activities in mental health care. Efforts should be made to attract NGOs to the study areas in view of the increasing burden of mental health issues in the communities in the setting. Governments at all levels, community-based organisations and traditional institutions can be instrumental to this. NGOs within and outside the study areas focusing on community health in general and mental health care, in particular, may also interrogate this situation further for urgent intervention.