Browsing by Author "Olisah, V.O."

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    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.
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    The Current Status of Mental Health Services at the Primary Healthcare Level in Northern Nigeria. Administration and Policy in Mental Health and Mental Health Services Research. 40(5):1-9
    (Springer: Administration and Policy in Mental Health and Mental Health Services Research, 2019) Anyebe, E.E.; Olisah, V.O.; Garba, S.N.; Amedu, M.
    Mental health services at the primary healthcare level remain critical in most developing countries, especially in resource poor and crisis-stricken communities. This study explored the erstwhile mental health services, with particular reference to their availability, at the 47 primary healthcare centres in three selected states in northern Nigeria, with a view to drawing for action. Qualitative data were collected from a purposive sample of 13 participants through in-depth interviews. Additional data were also collected from observations during the visits (a checklist based on minimum standards for primary healthcare services) and clinic records at the centres. The data were analysed using content analysis and thematic clustering to indicate the status of the mental health services at the primary healthcare centres. Despite having the mental health units on the ser vice delivery charts of the primary healthcare centres studied, none was providing any formal mental health services. There were only few but uncoordinated services in some centres essentially provided by individual primary healthcare service providers and a non-governmental organization found in one of the 47 primary healthcare centres in one of the three states investigated. In conclusion, mental health services at all primary healthcare centres in all the Local Government Areas in all the states visited are at best scarce, poorly and haphazardly rendered in a few places or completely absent in most centres. There is an urgent need to stimulate the primary healthcare system and other levels of government and their partners, to initiate or activate policies in favour of community-based mental health services to make these important services available at the community (primary healthcare) level for the promotion of mental health and treatment of mental illnesses.