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Appiah-Poku J Laugharne R Mensah E Osei Y Burns T 《Social psychiatry and psychiatric epidemiology》2004,39(3):208-211
Abstract.Objective: There are four services providing mental health care to
the people of Kumasi, Ghana. This study aimed to identify
previous help sought by patients presenting to the services for
an initial assessment.Method: New patients presenting to each of the four services were
asked about distance travelled, previous help sought and time
since symptoms of illness started. Staff also recorded basic
demographic details and clinical diagnoses.Results: Of the 322 patients presenting to the four sites,only 6%
had seen a traditional healer whereas 14% had seen a pastor
before presentation. There was a greater delay in presenting to
that service if the patient had seen a traditional healer or
pastor. Many patients had previously used one of the other
mental health units in Kumasi.Conclusion: It is possible that fewer patients with mental health
problems present to traditional healers in modern, urban Africa
compared to rural areas. More patients consult with pastors than
traditional healers and liaison with these groups may improve
mental health care. It is important to maintain liaison between
the four services as patients presenting to one clinic may have
presented previously to another local clinic. 相似文献
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Victor Makanjuola Yomi Esan Bibilola Oladeji Lola Kola John Appiah-Poku Benjamin Harris Caleb Othieno Leshawndra Price Soraya Seedat Oye Gureje 《Social psychiatry and psychiatric epidemiology》2016,51(12):1645-1654
Background
Most cultures in sub-Saharan Africa subscribe to the belief that the root cause of psychosis is supernatural. Individuals in the community who hold a religiomagical explanatory model of causation have been shown to exhibit more stigmatizing attitudes towards people with psychosis. Self-stigma among individuals with psychosis is less frequently studied.Method
We used a mixed-method approach, consisting of key informant’s interviews to elicit information on explanatory models of causation of psychosis and questionnaire assessment of internalized stigma with an adapted version of the Scale for Internalized Stigma of Mental Illness. Twenty-four, 31, and 30 subjects with recent experience of utilizing the service of traditional or faith healers for severe mental disorders in Ibadan (Nigeria), Kumasi (Ghana), and Nairobi (Kenya), respectively, were interviewed.Results
About 44 % (42.1 %) of the Nigerian respondents had a high (severe) level of self-stigma with the respective proportions among Ghanaian and Kenyan respondents being 20.7 and 37.5 %. Compared with 4 out of a total of 12 respondents (33.3 %) who reported low self-stigma reported supernatural attribution, 14 out of 20 respondents (70 %) with the highest level of self-stigma reported supernatural attribution across the three sites. When low scorers ascribed supernatural causation, it was often with a religious focus.Conclusion
There is a greater tendency for persons with high levels of self-stigma than those with low levels to ascribe supernatural attribution to their experience of a severe mental health condition.3.
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Biritwum RB Asante A Amoo PK Gyekye AA Amissah CR Osei KG Appiah-Poku YA Welbeck JE 《Journal of health, population, and nutrition》2004,22(2):182-190
Hospital-based surveillance for severe diarrhoea has been recommended to assess the burden of disease due to rotavirus. However, information on healthcare-seeking patterns of residents in the hospital catchment area is needed first to obtain the burden of disease in the community using the hospital data. A community-based cluster survey was conducted in two districts of Ghana, each served by a single district hospital, to determine the prevalence of severe diarrhoea among and treatment preferences for children aged less than five years. Caretakers of 619 children in Tema, an urban district, and caretakers of 611 children in Akwapim South, a rural district, were interviewed. During the month preceding the survey, the prevalence of severe diarrhoea in children aged less than five years was similar in the two districts (13.6% urban and 12.9% rural), as was the proportion of mothers who sought care outside the home (69.0% urban and 70.9% rural). 48.8% of urban mothers of children with severe diarrhoea visited public/private clinics, 9.5% pharmacies, and 3.6% the district hospital. Whereas, 22.8% of rural mothers visited public/private clinics, 19.0% pharmacies, and 13.9% the district hospital. Results of the study suggest that rotavirus surveillance should be guided by community studies on healthcare-use patterns. Where hospital use is low for severe diarrhoea, rotavirus surveillance should include other health facilities. 相似文献
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Esan Oluyomi Appiah-Poku John Othieno Caleb Kola Lola Harris Benjamin Nortje Gareth Makanjuola Victor Oladeji Bibilola Price LeShawndra Seedat Soraya Gureje Oye 《Social psychiatry and psychiatric epidemiology》2019,54(3):395-403
Social Psychiatry and Psychiatric Epidemiology - Traditional and faith healers constitute an important group of complementary and alternative mental health service providers (CAPs) in sub-Sahara... 相似文献
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