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Community and Social Psychiatry in the Gbeke Health Region in Ivory Coast: Preliminary Data 2018 and 2019

Received: 26 August 2022    Accepted: 8 October 2022    Published: 18 October 2022
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Abstract

Since 2008, WHO has been suggesting to governments that psychiatric care be integrated into primary care based on collaboration with non-conventional care and community actors. The SAMENTACOM Project proposes a locally adapted and integrated model of the WHO mhGAP Programme to contribute to the reform of mental health services in Ivory Coast. This study aims to present the preliminary results of activities within the framework of the Project aimed at bringing primary psychiatric care closer to the community through a mechanism of delegation and supervision of tasks. The results of this study are based on the exploitation of primary data from the mobile clinic activities in the pilot health centres from 22 to 31 October 2018. Then the data from the mobile consultations in 16 prayer camps from 08 March 2019 to 24 March 2019. These mobile and advanced consultation activities enabled the detection and medical management of 62 patients in the mobile consultations in the health centres and 50 patients in the prayer camps in the Gbeke health region. Psychiatric disorders are the most dominant compared to epilepsy. Young adults and those without a profession make up the majority of patients. In their quest for care, patients come from the localities surrounding the consultation sites, which are located within a maximum radius of 15 km, thanks to the important role of community health workers.

Published in American Journal of Psychiatry and Neuroscience (Volume 10, Issue 4)
DOI 10.11648/j.ajpn.20221004.11
Page(s) 159-168
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Community Psychiatry, Mobile Consultations, Primary Health Centre, Prayer Camp, Gbeke

References
[1] ARAYA, M., MUSSIE, M., & JACOBSON, LP (2009). Decentralized psychiatric nursing service in Ethiopia: a model for low income countries. Ethiopian Medical Journal, 47, 61 - 64.
[2] BRISSY OA, 2019, Health security and the fight against malaria in the South Bouaké Health District, PhD thesis, Alassane Ouattara University, Bouaké, 357p.
[3] CAMPBELL-HALL V, PETERSEN I, ARVIN BHANA, SITHEMBILE MJADU, VICTORIA HOSEGOOD, ALAN J. FLISHER 2010, Collaboration Between Traditional Practitioners and Primary Health Care Staff in South Africa: Developing a Workable Partnership for Community Mental Health Services.
[4] COLEMAN AME, 2019, The ethics of psychiatric care and research in resource-poor settings: The case of a psychiatric research trial in a prayer camp in Ghana. Indian J Med Ethics. Published online first on February 16, 2019. DOI: 10.20529/IJME.2019.004.
[5] DE KOCK JH, PILLAY BJ. 2017 A situation analysis of psychiatrists in South Africa's rural primary healthcare settings. Afr J Prm Health Care Fam Med. 2017; 9 (1), a1335. https://doi.org/10.4102/phcfm.v9i1.1335__
[6] DPPEIS, 2016, Annual report on the health situation, Ministry of Health and AIDS Control, Abidjan, 298p.
[7] FUNK M, BENRADIA I, ROELANDT JL, 2014, Mental health and primary health care: a global perspective. Psychiatric Information 2014; 90: 331-9 doi: 10.1684/ipe.2014.1203.
[8] HAMILTON B., MANIAS E., MAUDE P., MARJORIBANKS T. & COOK K., 2004. Perspectives of a nurse, a social worker and a psychiatrist regarding patient assessment in acute inpatient psychiatry settings: a case study approach, Journal of Psychiatric and Mental Health Nursing 11, 683-689.
[9] KOUASSI K., SREU E., KOUA A. M, 2019, "The prayer camps: what health safety valve in a desert of psychiatric care provision in the health region of Gbêkê (center-Côte d'Ivoire)?", in RIGES, special issue, pp. 306-307.
[10] MAYOYO EM, VAN DE PUT W, VAN BELLE S, VAN MIERLO B, BART CRIEL, 2021, Integration of mental health in primary health care services in the Democratic Republic of Congo, Public Health volume 33 / N° 1 - January-February 2021.
[11] MENEAR M., GILBERT, M. & FLEURY, M.-J., 2017, Improving the mental health of populations through the integration of mental health care into primary care. Health in Quebec, 42 (1), 243-271. https://doi.org/10.7202/1040253ar
[12] WHO, 2008, Closing Mental Health Gaps Action Program (mhGAP): Expanding access to care for mental, substance use and neurological disorders, GENEVA, WHO, 48p.
[13] OUANGO JG., KAPOUNE K., KERE M., OUEDRAOGO M., KABORE G., OUEDRAOGO A., 1998, "Traditional concept of madness and psychiatric therapeutic difficulties among the Moosé of Kadiogo", in Mental Health in Quebec, volume 32, no 2, 16p.
[14] PNSM, 2011, Basic Situational Analysis of Structures Providing Mental Health Care in Côte d'Ivoire, Abidjan, 71p.
Cite This Article
  • APA Style

    Eric Sreu, Asseman Medard Koua, Brahima Samuel Traore, Francois Djo Bi Djo, Emeric Desire Konandri, et al. (2022). Community and Social Psychiatry in the Gbeke Health Region in Ivory Coast: Preliminary Data 2018 and 2019. American Journal of Psychiatry and Neuroscience, 10(4), 159-168. https://doi.org/10.11648/j.ajpn.20221004.11

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    ACS Style

    Eric Sreu; Asseman Medard Koua; Brahima Samuel Traore; Francois Djo Bi Djo; Emeric Desire Konandri, et al. Community and Social Psychiatry in the Gbeke Health Region in Ivory Coast: Preliminary Data 2018 and 2019. Am. J. Psychiatry Neurosci. 2022, 10(4), 159-168. doi: 10.11648/j.ajpn.20221004.11

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    AMA Style

    Eric Sreu, Asseman Medard Koua, Brahima Samuel Traore, Francois Djo Bi Djo, Emeric Desire Konandri, et al. Community and Social Psychiatry in the Gbeke Health Region in Ivory Coast: Preliminary Data 2018 and 2019. Am J Psychiatry Neurosci. 2022;10(4):159-168. doi: 10.11648/j.ajpn.20221004.11

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  • @article{10.11648/j.ajpn.20221004.11,
      author = {Eric Sreu and Asseman Medard Koua and Brahima Samuel Traore and Francois Djo Bi Djo and Emeric Desire Konandri and Akme Sylvie Akpa and Damaukan Dimitri Kevin Koffi and Yessonguilana Jean Marie Yeo Tenena},
      title = {Community and Social Psychiatry in the Gbeke Health Region in Ivory Coast: Preliminary Data 2018 and 2019},
      journal = {American Journal of Psychiatry and Neuroscience},
      volume = {10},
      number = {4},
      pages = {159-168},
      doi = {10.11648/j.ajpn.20221004.11},
      url = {https://doi.org/10.11648/j.ajpn.20221004.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20221004.11},
      abstract = {Since 2008, WHO has been suggesting to governments that psychiatric care be integrated into primary care based on collaboration with non-conventional care and community actors. The SAMENTACOM Project proposes a locally adapted and integrated model of the WHO mhGAP Programme to contribute to the reform of mental health services in Ivory Coast. This study aims to present the preliminary results of activities within the framework of the Project aimed at bringing primary psychiatric care closer to the community through a mechanism of delegation and supervision of tasks. The results of this study are based on the exploitation of primary data from the mobile clinic activities in the pilot health centres from 22 to 31 October 2018. Then the data from the mobile consultations in 16 prayer camps from 08 March 2019 to 24 March 2019. These mobile and advanced consultation activities enabled the detection and medical management of 62 patients in the mobile consultations in the health centres and 50 patients in the prayer camps in the Gbeke health region. Psychiatric disorders are the most dominant compared to epilepsy. Young adults and those without a profession make up the majority of patients. In their quest for care, patients come from the localities surrounding the consultation sites, which are located within a maximum radius of 15 km, thanks to the important role of community health workers.},
     year = {2022}
    }
    

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    AU  - Eric Sreu
    AU  - Asseman Medard Koua
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Author Information
  • Department of Geography, Alassane Ouattara University, Bouake, Ivory Coast

  • Bouake Psychiatric Hospital, Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast

  • Medical Sciences Training and Research Unit, Felix Houphouet Boigny University, Abidjan, Ivory Coast

  • Bouake Psychiatric Hospital, Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast

  • Bouake Psychiatric Hospital, Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast

  • Bouake Psychiatric Hospital, Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast

  • Bouake Psychiatric Hospital, Medical Sciences Training and Research Unit, Alassane Ouattara University, Bouake, Ivory Coast

  • Medical Sciences Training and Research Unit, Felix Houphouet Boigny University, Abidjan, Ivory Coast

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