Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey

Simkhada, Bibha; Sharma, Geeta; Pradhan, Sumita; Teijlingen, Edwin van; Ireland, Jillian; Simkhada, Padham; Devkota, Bhimsen

doi:10.3126/jmmihs.v2i0.15793

Cited by 5 publications

(5 citation statements)

References 12 publications

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“…Health workers reported that mental disorders were life-long conditions that had no effective treatment. The general public stated that mental disorders could not be cured by Western biomedicine but only through traditional healing (Kisa et al ., 2016; Simkhada et al ., 2016; Koirala et al ., 2019; Lamichhane, 2019; Kaiser et al ., 2020). This was also reflected in conceptions about the use of psychotropic medications for mental health conditions; most people described that once a person starts taking medications, she/he must take it for life (Upadhaya et al ., 2018).…”

Section: Resultsmentioning

confidence: 99%

Stigma against mental health disorders in Nepal conceptualised with a ‘what matters most’ framework: a scoping review

Gurung

Poudyal

Wang

et al. 2022

Epidemiol Psychiatr Sci

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Aims Stigma related to mental disorders is a barrier to quality mental healthcare. This scoping review aimed to synthesise literature on stigma related to mental disorders in Nepal to understand stigma processes. The anthropological concept of ‘what matters most’ to understand culture and stigma was used to frame the literature on explanatory models, manifestations, consequences, structural facilitators and mitigators, and interventions. Methods We conducted a scoping review with screening guided by the Preferred Reporting Items for Systematic Review and Meta-analysis Extension for Scoping Reviews (PRISMA-ScR). A structured search was done using three international databases (PsycINFO, Medline and Web of Science), one Nepali database (NepJol) and cross-referencing for publications from 1 January 2000 through 24 June 2020. The search was repeated to include structural stigma-related terms. Quality of quantitative studies was assessed using the Systematic Assessment of Quality in Observational Research (SAQOR) tool. The review was registered through the Open Science Framework (OSF) (osf.io/u8jhn). Results The searches yielded 57 studies over a 20-year period: 19 quantitative, 19 qualitative, nine mixed methods, five review articles, two ethnographies and three other types of studies. The review identified nine stigma measures used in Nepal, one stigma intervention, and no studies focused on adolescent and child mental health stigma. The findings suggest that ‘what matters most’ in Nepali culture for service users, caregivers, community members and health workers include prestige, productivity, privacy, acceptance, marriage and resources. Cultural values related to ‘what matters most’ are reflected in structural barriers and facilitators including lack of policies, programme planning and resources. Most studies using quantitative tools to assess stigma did not describe cultural adaptation or validation processes, and 15 out of the 18 quantitative studies were ‘low-quality’ on the SAQOR quality rating. The review revealed clear gaps in implementation and evaluation of stigma interventions in Nepal with only one intervention reported, and most stigma measures not culturally adapted for use. Conclusion As stigma processes are complex and interlinked in their influence on ‘what matters most’ and structural barriers and facilitators, more studies are required to understand this complexity and establish effective interventions targeting multiple domains. We suggest that stigma researchers should clarify conceptual models to inform study design and interpretations. There is a need to develop procedures for the systematic cultural adaptation of stigma assessment tools. Research should be conducted to understand the forms and drivers of structural stigma and to expand intervention research to evaluate strategies for stigma reduction.

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Section: Resultsmentioning

confidence: 99%

Stigma against mental health disorders in Nepal conceptualised with a ‘what matters most’ framework: a scoping review

Gurung

Poudyal

Wang

et al. 2022

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

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“…At the same time, we need to train existing community health workers, primary care providers on the range of issues around mental health and mental illness. For example, a recent project used UK healthcare workers that volunteered to train ANMs (auxiliary nurse midwives) in Nawalparasi (southern Nepal) on a range of mental health issues [48,49]. Theory of change was used to integrate mental health into primary health care services by training healthcare workers, finding volunteers for community champion on mental health within the community in Nigeria [50].…”

Section: Strategies To Achieving Cultural and Attitudinal Changes Towmentioning

confidence: 99%

Mental Health in low-and middle income countries (LMICs): Going beyond the need for funding

et al. 2018

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Despite being globally recognised as an important public health issue, mental health is still less prioritised as a disease burden in many Low-and Middle-Income Countries (LMICs). More than 70% of the global mental health burden occurs in these countries. We discussed mental health issues in LMICs under themes such as abuse and mental illness, cultural influence on mental health, need for dignity in care, meeting financial and workforce gaps and the need for national health policy for the mental health sector. We highlighted that although mental health education and health care services in most LMICs are poorly resourced; there is an urgent need to address issues beyond funding that contribute to poor mental health. In order to meet the increasing challenge of mental health illness in LMICs, there is a need for effort to address cultural and professional challenges that contribute to poor mental health among individuals. We have a notion that mental health should be integrated into primary health care in LMICs. Creating awareness on the impact of some cultural attitudes/practices will encourage better uptake of mental health services and increase the ease when discussing mental health issues in these countries which can contribute to reducing the poor mental health in LMICs.

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“…The project also suggested the need for perinatal mental health training to improve their knowledge and practice. [ 13 ] In addition, a recent systematic review recommended that it is crucial to incorporate mental health training in midwifery curriculum to empower midwives to identify and manage women with maternal mental health issues. [ 14 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a manual-based training program in changing auxiliary nurse midwives (ANMs) knowledge, attitudes, and skills related to maternal mental health

Poreddi

Gandhi

Ramachandra

et al. 2023

Indian Journal of Psychiatry

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Background: Globally, maternal mental health has been recognized as a priority public health issue. While it is crucial to integrate maternal mental health into mother and child health services, research on strengthening the knowledge and skills of primary healthcare providers on maternal mental health is limited in India. Aim: To evaluate the effectiveness of a manual-based training program in improving auxiliary nurse midwives (ANMs) knowledge, attitudes, and skills related to maternal mental health. Methods: The present study adopted an experimental design among ANMs (N = 110) working at primary health centers, Karnataka, India. The participants were randomly assigned to either experimental group (n = 53) or control group (n = 57). The training program delivered interactive sessions based on a facilitator’s manual developed specifically for ANMs in India. The assessments were done in both groups at baseline, after the intervention, at three months and at six months using self-rated questionnaires and a case vignette. The descriptive and inferential statistics were used to analyze the data. Results: After the training program the mean knowledge, attitudes and skills scores were significantly increased in the experimental group ( P < 0.001) and significant differences were found between the mean scores of the groups at 3 months and 6 months follow-up ( P < 0.05). Conclusion: The training program was found to have a positive impact in enhancing ANMs’ knowledge, attitudes, and skills related to maternal mental health in India as there is dearth for mental health professionals in primary care settings.

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Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey

Cited by 5 publications

References 12 publications

Stigma against mental health disorders in Nepal conceptualised with a ‘what matters most’ framework: a scoping review

Stigma against mental health disorders in Nepal conceptualised with a ‘what matters most’ framework: a scoping review

Mental Health in low-and middle income countries (LMICs): Going beyond the need for funding

Evaluation of a manual-based training program in changing auxiliary nurse midwives (ANMs) knowledge, attitudes, and skills related to maternal mental health

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