Nurses And Community Health Workers’awareness And Practices Regarding Child And Adolescent Mental Health In Ekiti State, Nigeria

Abstract

Abstract:-This study was designed to assess the levels of awareness and practises regarding Child and Adolescent Mental Healthcare (CAMH) among the Primary Healthcare Providers (PHP) in Ekiti State, Nigeria. A hospital based cross-sectional study was conducted using a three-stage sampling technique. A total of 371 (191 nurses and 180 community health workers) respondents were randomly selected from ten (10) primary health care centres in two local government areas selected for the study. The respondents' age ranged from 18 to 56 years (mean age = 35.7 years). Information was collected using a self-administered semi-structured questionnaire. Results of data analyses indicated that about half of the primary healthcare workers have worked for a period of 1-5 years in primary health care centres. Most of the PHP said they first heard of CAMH from school, while about 32% of them claimed to first hear about CAMH from home. A high proportion (73.5%) of the PHPs said they have limited confidence in themselves to recognize when a child or adolescent has a mental illness. The awareness of CAMH among the PHPs did not translate to actual full involvement in good practice regarding CAMH services, and the levels of practices are worse among the community health workers. Advocacy and training opportunities are needed to address the problem. Specifically, regular training programmes to address specific needs such as prompt referral and correct treatment for children and adolescents with mental health problems are recommended.

Knowledge, attitudes, and practices on child and adolescent mental health among healthcare workers in sub-Saharan Africa: a scoping review

“…Of the 21 sources of evidence included in the scoping review, 15 were cross-sectional studies [ 28 , 33 , 35 , 39 – 41 , 43 , 57 – 64 ], one was a longitudinal cohort study [ 65 ], one was an experimental pretest–posttest design [ 27 ], two were mixed methods papers [ 22 , 66 ], and two were exploratory studies [ 67 , 68 ].…”

“…The most described CAMH disorder was autism, which was reported in ten papers [ 33 , 39 , 40 , 57 , 58 , 60 , 62 – 64 , 68 ], papers described CAMH in general [ 27 , 28 , 35 , 43 ], one reported on child and adolescent mental illness [ 41 ], two reported on developmental disorders [ 22 , 67 ], one on child mental health [ 59 ], one on adolescent depression [ 65 ], one on Tourette’s Syndrome [ 66 ], and one on psychomotor development of children [ 61 ].…”

“…There were six studies from Nigeria [ 27 , 35 , 39 , 41 , 43 , 57 ], and four from Uganda [ 22 , 28 , 40 , 66 ]. Four studies were from Ethiopia [ 33 , 59 , 68 ], two from Ghana [ 58 , 67 ], two from South Africa [ 60 , 63 ], one from Congo [ 61 ], one from Kenya [ 64 ], and one from Tanzania [ 65 ].…”

“…Positive attitudes entail empathy, carefulness, and a non-judgmental approach that recognizes the importance of mental health in children and adolescents [ 29 , 34 ]. Healthcare workers’ practices involve assessing, treating, and managing CAMH disorders [ 28 , 35 , 36 ]. Therefore, by enhancing the KAP of HCWs regarding CAMH, it becomes feasible to establish a robust health system for CAMH services and build capacity even at the lowest level of health systems, facilitating the decentralization of CAMH care services to primary healthcare facilities.…”

Pengaruh intervensi berbasis film terhadap self-esteem remaja di Surabaya

“…Performa akademik yang buruk dapat menyebabkan rendahnya pendidikan seseorang. Pendidikan yang rendah menutup akses individu menuju pekerjaan dengan penghasilan yang lebih tinggi, sehingga keterbatasan status sosial-ekonomi kembali terjadi dan menjadi lingkaran setan yang terus berulang (Oyinloye et al, 2019). Lebih jauh, tingkat sosial ekonomi yang rendah (Haney, 2007) dan tingkat harga diri yang rendah (Mier et al, 2018) terbukti meningkatkan resiko terjadinya perilaku kriminal.…”