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Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review
BACKGROUND: Mental health is mostly affected by numerous socioeconomic factors that need to be addressed through comprehensive strategies. The aftermath of armed conflict and natural disasters such as Ebola disease virus (EVD) outbreaks is frequently associated with poor access to mental healthcare....
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281256/ https://www.ncbi.nlm.nih.gov/pubmed/35836283 http://dx.doi.org/10.1186/s12992-022-00862-0 |
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author | Vivalya, Bives Mutume Nzanzu Vagheni, Martial Mumbere Kitoko, Germain Manzekele Bin Vutegha, Jeremie Muhindo Kalume, Augustin Kensale Piripiri, Astride Lina Masika, Yvonne Duagani Mbeva, Jean-Bosco Kahindo |
author_facet | Vivalya, Bives Mutume Nzanzu Vagheni, Martial Mumbere Kitoko, Germain Manzekele Bin Vutegha, Jeremie Muhindo Kalume, Augustin Kensale Piripiri, Astride Lina Masika, Yvonne Duagani Mbeva, Jean-Bosco Kahindo |
author_sort | Vivalya, Bives Mutume Nzanzu |
collection | PubMed |
description | BACKGROUND: Mental health is mostly affected by numerous socioeconomic factors that need to be addressed through comprehensive strategies. The aftermath of armed conflict and natural disasters such as Ebola disease virus (EVD) outbreaks is frequently associated with poor access to mental healthcare. To design the basis of improving mental health services via the integration of mental health into primary health care in the Democratic Republic of Congo (DRC), we conducted a scoping review of available literature regarding mental illness in armed conflict and EVD outbreak settings. METHODS: This scoping review of studies conducted in armed conflict and EVD outbreak of DRC settings synthesize the findings and suggestions related to improve the provision of mental health services. We sued the extension of Preferred Reporting Items for Systematic Reviews and Meta-Analyses to scoping studies. A mapping of evidence related to mental disorders in the eastern part of DRC from studies identified through searches of electronic databases (MEDLINE, Scopus, Psych Info, Google Scholar, and CINAHL). Screening and extraction of data were conducted by two reviewers independently. RESULTS: This review identified seven papers and described the findings in a narrative approach. It reveals that the burden of mental illness is consistent, although mental healthcare is not integrated into primary health care. Access to mental healthcare requires the involvement of affected communities in their problem-solving process. This review highlights the basis of the implementation of a comprehensive mental health care, through the application of mental health Gap Action Program (mhGAP) at community level. Lastly, it calls for further implementation research perspectives on the integration of mental healthcare into the health system of areas affecting by civil instability and natural disasters. CONCLUSION: This paper acknowledges poor implementation of community mental health services into primary health care in regions affected by armed conflict and natural disasters. All relevant stakeholders involved in the provision of mental health services should need to rethink to implementation of mhGAP into the emergency response against outbreaks and natural disasters. |
format | Online Article Text |
id | pubmed-9281256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92812562022-07-14 Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review Vivalya, Bives Mutume Nzanzu Vagheni, Martial Mumbere Kitoko, Germain Manzekele Bin Vutegha, Jeremie Muhindo Kalume, Augustin Kensale Piripiri, Astride Lina Masika, Yvonne Duagani Mbeva, Jean-Bosco Kahindo Global Health Research BACKGROUND: Mental health is mostly affected by numerous socioeconomic factors that need to be addressed through comprehensive strategies. The aftermath of armed conflict and natural disasters such as Ebola disease virus (EVD) outbreaks is frequently associated with poor access to mental healthcare. To design the basis of improving mental health services via the integration of mental health into primary health care in the Democratic Republic of Congo (DRC), we conducted a scoping review of available literature regarding mental illness in armed conflict and EVD outbreak settings. METHODS: This scoping review of studies conducted in armed conflict and EVD outbreak of DRC settings synthesize the findings and suggestions related to improve the provision of mental health services. We sued the extension of Preferred Reporting Items for Systematic Reviews and Meta-Analyses to scoping studies. A mapping of evidence related to mental disorders in the eastern part of DRC from studies identified through searches of electronic databases (MEDLINE, Scopus, Psych Info, Google Scholar, and CINAHL). Screening and extraction of data were conducted by two reviewers independently. RESULTS: This review identified seven papers and described the findings in a narrative approach. It reveals that the burden of mental illness is consistent, although mental healthcare is not integrated into primary health care. Access to mental healthcare requires the involvement of affected communities in their problem-solving process. This review highlights the basis of the implementation of a comprehensive mental health care, through the application of mental health Gap Action Program (mhGAP) at community level. Lastly, it calls for further implementation research perspectives on the integration of mental healthcare into the health system of areas affecting by civil instability and natural disasters. CONCLUSION: This paper acknowledges poor implementation of community mental health services into primary health care in regions affected by armed conflict and natural disasters. All relevant stakeholders involved in the provision of mental health services should need to rethink to implementation of mhGAP into the emergency response against outbreaks and natural disasters. BioMed Central 2022-07-14 /pmc/articles/PMC9281256/ /pubmed/35836283 http://dx.doi.org/10.1186/s12992-022-00862-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Vivalya, Bives Mutume Nzanzu Vagheni, Martial Mumbere Kitoko, Germain Manzekele Bin Vutegha, Jeremie Muhindo Kalume, Augustin Kensale Piripiri, Astride Lina Masika, Yvonne Duagani Mbeva, Jean-Bosco Kahindo Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review |
title | Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review |
title_full | Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review |
title_fullStr | Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review |
title_full_unstemmed | Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review |
title_short | Developing mental health services during and in the aftermath of the Ebola virus disease outbreak in armed conflict settings: a scoping review |
title_sort | developing mental health services during and in the aftermath of the ebola virus disease outbreak in armed conflict settings: a scoping review |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9281256/ https://www.ncbi.nlm.nih.gov/pubmed/35836283 http://dx.doi.org/10.1186/s12992-022-00862-0 |
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