Outcomes of the mental health and development model in rural Kenya: a 2-year prospective cohort intervention study
Autor: | Milka Waruguru, Shoba Raja, Saju Mannarath, Erica Breuer, Joyce Kingori, Crick Lund, Sarah Kippen-Wood |
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Rok vydání: | 2013 |
Předmět: |
Adult
Employment Male Rural Population Health (social science) Global Assessment of Functioning Statistics Nonparametric Cohort Studies Quality of life (healthcare) Surveys and Questionnaires Environmental health medicine Humans Prospective Studies Prospective cohort study Poverty business.industry Mental Disorders Public Health Environmental and Occupational Health General Medicine Mental illness medicine.disease Kenya Mental health Community Mental Health Services Mental Health Treatment Outcome Socioeconomic Factors Models Organizational Quality of Life Feasibility Studies Female General Health Questionnaire business Follow-Up Studies Program Evaluation Demography Cohort study |
Zdroj: | International Health. 5:43-50 |
ISSN: | 1876-3405 1876-3413 |
DOI: | 10.1093/inthealth/ihs037 |
Popis: | The aim of this study was to evaluate outcomes for participants in BasicNeeds' Mental Health and Development programme in rural Kenya.All new entrants to the programme in the Meru South and Nyeri North districts were enrolled in the study over a 3-month period (n = 203). Assessments of mental health, functioning, economic status and quality of life were conducted at baseline and at 1-year and 2-year follow up, using a single group cohort design.Over the 2 years there were significant improvements in scores on the General Health Questionnaire (21.5 [95% CI: 20.2-22.8] to 6 [95% CI: 4.8-7.2] p0.01), Global Assessment of Functioning scale (78 [95% CI: 75.5-80.3] to 94 [95% CI: 90.7-97.3] p0.01), summed WHO Quality of Life-Brief scale (39.5 [95% CI: 38.6-40.4] to 57.2 [95% CI: 56.2-58.3] p0.01) and the proportion who were engaged in either income generation or productive work (45.3-64.0%, p0.01).The mental health and development model shows improvements in mental health, functioning, income generation and quality of life among people living with severe mental illness in rural Kenya. The findings demonstrate the feasibility and benefits of integrating mental health and poverty alleviation components in mental health care in Africa. |
Databáze: | OpenAIRE |
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