Mental Health Promotion in Gambia

Transcription

1 Mental Health Prmtin in Gambia

2 A very little abut Mbee Mbee = Everyne in Mandinka language T raise awareness f the imprtance f Mental wellbeing in the Gambia in partnership with AFG and Natinal Gvernment f the Gambia. T develp ur staff (AFG ) as peple and emplyees T develp friendship and cnnectin, Presct- Banjul, natural partners & well cnnected! 2860 miles Gambian Prject

3 Mental health & wellbeing in Africa Natinal expenditure n mental illness ften less than 1% f health expenditure N basic evidence n incidence, what is available, what resurces d exist in cmmunities WHO Atlas prjects

4 Mental health & wellbeing in Gambia Very lw incidences? Depressin rare, Drug induced psychsis cmmnest diagnsis in yung peple (men) althugh independent reviews have nt supprted this Rates f psychsis lwer than 1.5% wrld incidence Many experiences that wuld be pathlgised in Eurpe are accmmdated fr Persnal & life dysfunctin and disruptin are lwer Recvery is expected Lingering (in philsphical terms) is nt Peple dn t get stuck Breakdwn/breakthrugh/breakut Smith (2007)

5 Mental health & wellbeing in Gambia Persnal & life dysfunctin and disruptin appear lwer as a cnsequence f events than Eurpe it is a scially develped culture. Inclusive nuclear family still there-- cmpunds Recvery is expected (C.O.R) is 83% Leff et Al Lingering (in philsphical terms) is nt Peple dn t get stuck Breakdwn/breakthrugh/breakut Smith (2007) The alternative with n welfare state and small state interventin

6 It s a big cntinent Start with things that are achievable Gambia Plitically stable Demcratic and bradly inclusive A cuntry that prides itself n inclusin and diversity and has a histry f such, apart frm the Pliticians. Its Tag line is the smiling cast!!

7 The Public Gambia The smiling cast its nice t be nice, smile brther

8 Ppulatin 1.9 M and very yung almst 50% belw 18 Many tribes Mandinka being the largest grup English main language f gvernment, Mandinka, Wlf and Jla widely spken t Cmpulsry state educatin at primary level Green, prductive and fd abundant Gegraphy/distance leads t many prblems

9 The Gambia Cntrlled ppulatin grwth f 3% Life expectancy 58.6 (2003) and rising 64 (2013) Gn incme per adult wrker $1860 Gn incme per adult $510 Natinal spending n health 2.4% 1 psychiatric nurse 3 in training 1 small hspital nn medical fr everything drugs, alchl, learning disabilities and psychiatry70-80% highest ccupancy 0 psychiatrists (Cuban interns) 1 visiting OT (Netherlands) An abundance f gdwill and ptimism

10 The Gambia gvernment fcus High perinatal mrtality rates ccupy the ministry 1:56 mthers HiV infectin very lw 1% Unicef 2012 Malaria risk very high and infant mrtality high Death & injury by driving cmmn Literacy rates 72% & 63% FGM high 76% (2008) falling, nw 56% (daughters 2012) Cmmittee n traditinal practices 83% have mbile phnes s it s the lcus fr cmmunicatin

11 Mental health & wellbeing in The Gambia There is cmmunity chesin There is cmmunity actin Mental wellbeing is nt hwever central nr a clear emphasis upn it by cmmunity wrkers Mbee aims t supprt and develp this alng with ffering tls that supprt wellbeing, strategies that help, discussins that need t be had in health services, families and cmmunities In an African cntext

12 Giving and seeing the bigger picture, grunding urselves Getting perspective Helping ur brethren (Tuke) Finding the survivr missin is a part f all ur recvery and resilience tls

13 Prject Overview Backgrund Purpse Aims, Objectives and Outcme Partners Organisatinal Structures

14 MOBEE Gambia Mental Health Prject MOBEE is a registered Gambian Charity Lcated at Brusubi Institutinal Layut, Banjul The gvernance and assurance f the Charity is verseen by the Bard f Trustees The Directr f the Charity is Salifu Manneh The prject is currently supprted fr a perid f tw years by Alternative Futures Grup Will be self sustaining 2015

15 MOBEE Purpse T deliver scial interventins, thrugh educatin, training and sign psting T wrk directly with families t develp understanding and skills, s they may supprt family members with Mental Health and Wellbeing in lcal cmmunities T wrk alngside partners t supprt develpments in Mental Health and Wellbeing in Gambia T identify, share and develp tls and techniques t assess signs and symptms f depressin

16 Prject Aims, Objectives & Outcmes T prmte and raise awareness f mental health issues in Gambia T prvide creative and innvative learning pprtunities fr AFG staff T build capacity and cmpetence in helpful techniques and practice in the UK and Gambia T develp netwrks and relatinships t benefit individuals living in lcal cmmunities

17 Partners MOBEE are wrking cllabratively in partnership with Alternative Futures Grup. A Nrth west England based charity, wh have 21 years, extensive expertise in the Mental Health and Learning Disability sectrs. MOBEE are wrking in cllabratin with The Wrld Mental Health Organisatin t supprt develpments in Mental Health Services acrss Gambia.

18 MOBEE Organisatinal Structure Bard f Trustees Directr Prject Administratr Huse Keeper Lgistics Facilitatr Driver Supprt Wrker X2 Cmmunity Mental Health C-rdinatr X2 A flat rganisatinal structure has been implemented t facilitate and influence a chesive team apprach t deliver the prject utcmes.

19 The benefits & feedback fr AFG s far

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21 Outcmes t date 20 staff have had a life changing, learning experience in Gambia Increased capacity f knwledge in the recvery jurney Cntributed t the lcal ecnmy f lcal cmmunities Develp an internatinal relatinship/netwrk circle Created pprtunities t share experiences f tls and techniques in practice Stretched and challenged persnal/rganisatinal perceptins and thinking, t influence change in ur wn practice Tremendus media cverage Generated a Feel gd Factr acrss the rganisatin Created emplyment pprtunities in Gambia

22 All assistance wuld be welcmed! Technlgy Equipment (bi lab equipment a natinal need) Recrd keeping and patient recrds Peple Everyne = Mbee

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