Advocacy to improve understanding of mental disorders, investment in mental-health resources in rural areas, and collaboration with traditional medical practitioners are urgently needed, especially in poor areas. These are the conclusions of authors of an Article in this week’s edition of The Lancet.
Dr Vikram Patel and Dr Helen Weiss, London School of Hygiene and Tropical Medicine, UK and colleagues studied 2739 households in Mozambique, 1796 in Maputo City and 943 in the rural town of Cuamba. A person from each household was asked to identify household members who had symptoms matching the three disorders above, as well as causes of the disorders, and their treatment and current state.
The researchers found that lifetime prevalence rates for all the three disorders were higher in rural than in urban settings. Prevalence of psychoses (in adults) was 4.4% in the rural town versus 1.6% in the city. For mental retardation, the prevalence was 1.9% (rural) versus 1.3 % (city), and for seizure disorders 4.0% (rural) versus 1.6% (city).
Informants in each house most frequently attributed psychoses to supernatural causes, followed by seizure disorder. In about three-quarters of all cases, households had consulted a traditional practitioner. Further, nearly half the people with these disorders in rural areas were rated as being in poor health.
The authors conclude: “These findings imply that mental-health policies in sub-Saharan Africa should focus on advocacy activities to raise awareness about severe mental and neurological disorders; investment in mental-health resources in community care settings, especially in rural areas; and close co-operation with traditional medical practitioners to promote recognition and appropriate management of people with severe mental and neurological disorders.”
In an accompanying Comment, Dr Julio Arboleda-Flórez, Ontario, Canada, says: “The results of this study should provide authorities in Mozambique, at whose behest the study was done, with a basis for planning health services…epidemiological and health-services research to determine the burden of mental illness are urgently needed in developing countries. The integration of mental health services into primary-care systems might be the only way to cope with that burden worldwide.”
Tony Kirby | alfa
Malaria Already Endemic in the Mediterranean by the Roman Period
27.07.2017 | Universität Zürich
Serious children’s infections also spreading in Switzerland
26.07.2017 | Universitätsspital Bern
Physicists working with researcher Oriol Romero-Isart devised a new simple scheme to theoretically generate arbitrarily short and focused electromagnetic fields. This new tool could be used for precise sensing and in microscopy.
Microwaves, heat radiation, light and X-radiation are examples for electromagnetic waves. Many applications require to focus the electromagnetic fields to...
Strong light-matter coupling in these semiconducting tubes may hold the key to electrically pumped lasers
Light-matter quasi-particles can be generated electrically in semiconducting carbon nanotubes. Material scientists and physicists from Heidelberg University...
Fraunhofer IPA has developed a proximity sensor made from silicone and carbon nanotubes (CNT) which detects objects and determines their position. The materials and printing process used mean that the sensor is extremely flexible, economical and can be used for large surfaces. Industry and research partners can use and further develop this innovation straight away.
At first glance, the proximity sensor appears to be nothing special: a thin, elastic layer of silicone onto which black square surfaces are printed, but these...
3-D shape acquisition using water displacement as the shape sensor for the reconstruction of complex objects
A global team of computer scientists and engineers have developed an innovative technique that more completely reconstructs challenging 3D objects. An ancient...
Physicists have developed a new technique that uses electrical voltages to control the electron spin on a chip. The newly-developed method provides protection from spin decay, meaning that the contained information can be maintained and transmitted over comparatively large distances, as has been demonstrated by a team from the University of Basel’s Department of Physics and the Swiss Nanoscience Institute. The results have been published in Physical Review X.
For several years, researchers have been trying to use the spin of an electron to store and transmit information. The spin of each electron is always coupled...
26.07.2017 | Event News
21.07.2017 | Event News
19.07.2017 | Event News
27.07.2017 | Life Sciences
27.07.2017 | Life Sciences
27.07.2017 | Health and Medicine