A5013030134- Child and Adolescent Psychosocial and Emotional Development
- Mental Health Treatment and Access
- Maternal Mental Health During Pregnancy and Postpartum
- Attachment and Relationship Dynamics
- Adolescent Sexual and Reproductive Health
- Adolescent and Pediatric Healthcare
- Child Abuse and Trauma
- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Health disparities and outcomes
- Early Childhood Education and Development
- Migration, Health and Trauma
- Homelessness and Social Issues
- HIV/AIDS Impact and Responses
- Poverty, Education, and Child Welfare
- Food Security and Health in Diverse Populations
- Resilience and Mental Health
- Health, psychology, and well-being
- Mental Health and Patient Involvement
- Childhood Cancer Survivors' Quality of Life
- Bipolar Disorder and Treatment
- Educational and Psychological Assessments
- COVID-19 and Mental Health
- Schizophrenia research and treatment
- Family Dynamics and Relationships
Africa Health Research Institute
2024
University of KwaZulu-Natal
2020-2024
University of Nairobi
2018-2024
University of Zululand
2020-2024
Vrije Universiteit Amsterdam
2018-2022
Harvard University Press
2021
University of Washington
2021
Butabika Hospital
2021
University of Amsterdam
2018
Adverse childhood experiences (ACEs) is a significant public health and social welfare problem in low-and middle income countries (LMICs). However, most ACEs research based on developed countries, little known about mechanisms of early adulthood offspring's wellbeing for populations LMICs. This area needed to guide policy intervention service planning. study addresses these gaps by examining patterns understanding the role (i.e., physical, mental health, experience underage pregnancy) Kenya....
Abstract Background The lack of locally validated screening instruments contributes to poor detection depression in primary care. Patient Health Questionnaire-9 (PHQ-9) is a brief and freely available tool which was developed for care settings; however, its accuracy may be affected by the population it administered. This study aimed determine validity reliability PHQ-9 Botswana. Methods Data collected from conveniently selected sample 257 adult attendants. Mini International Neuropsychiatric...
Globally adolescents continue to have an upward trend in HIV incidence and AIDS-related mortality. The interplay between the rapid physical growth, sexual maturation, enormous albeit slow-evolving cognitive psychological changes adolescence may partly explain this trend. Our main purpose was highlight key psychosocial characteristics of HIV-infected explore if these are associated with depression symptoms. From August December 2016 after obtaining informed consent, living at Kenyatta...
Background: Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) remains a great challenge among young people in Kenya. Young living with HIV are faced lot of challenges that often overlooked and may have an impact on their treatment adherence overall well-being. This calls for interventions age-appropriate, which tap into the psychosocial problems they experience. is protocol proposed study aimed at developing facilitator-led peer support manual called ‘Positive...
Exposure to adversity during childhood is associated with elevated risk for commonly occurring forms of psychopathology, especially psychotic disorders. Despite the noteworthy consequences adverse experiences, an inconsistent and unpredictable number at-risk populations present remarkably good physical mental health outcomes that can be attributed resilience. This study aimed qualitatively explore experience events coping strategies employed by individuals promote resilience better outcomes.
There is a significant link between insecure attachment and the development of psychopathology in adolescence. We investigated relationship adolescent styles emotional behavioral problems among adolescents Kenya. also examined modifying influence socio-economic-status (SES).One hundred thirty-seven who were attending two schools participated study. One school (low SES school) catered for children from predominantly low-income households, while second (middle middle-income households. The...
Abstract Background Depression ranks as the foremost mental health concern among childbearing women. Within low- and middle-income countries (LMICs), between 20 25% of women encounter depression during pregnancy or soon after delivery. This condition impacts not only mothers but also their offspring. Offspring suffering from postnatal (PND) exhibit suboptimal cognitive development increased emotional behavioural issues throughout growth. scenario becomes more pronounced in LMICs, where...
Approximately, 42% of the Kenyan population live below poverty line. Rapid growth and urbanization Kenya's have resulted in a changing food security environment high-density urban areas. Lack basic needs Kenya affects approximately 34.8% rural 7.6% its population. Using multi-community stakeholders such as teachers community health workers (CHWs), this paper examined insecurity consequences on caregiving practices child development. A qualitative study design was utilized. Key informant...
Objective: Using a social ecological framework, this study aimed to establish emerging mental health clinicians and researchers' perspectives about child adolescent (CAMH) in Africa.Method: Perspectives of 17 participants from Ethiopia, Kenya, South Africa, Tunisia, Uganda Zambia, whose professional backgrounds ranged psychiatry speech-language therapy, were collected at an African CAMH conference. Data gathered using open-ended questions, online survey. analysed theoretical thematic...
There is a need to scale-up mental health service provision in primary care. The current extent of integration care pertinent promoting and augmenting at this level. We describe facility mapping exercise conducted two low-income/primary facilities Kenya identify existing barriers facilitators the delivery services general specifically for peripartum adolescents as well available resources, cadres, developmental partners on ground.This study utilized qualitative evidence synthesis through...
Literature highlights that adolescent mental health problems are amenable to treatment, specifically psychological interventions. Unfortunately, there is a dearth of evidence on the services available for their management especially in low-middle-income contexts. This study aimed highlight interventions adolescents seeking at National referral hospital Kenya and understand effectiveness child disorders. Making use naturalistic, observational approach, we followed cohort (n = 201) receiving...
Abstract Background Child and adolescent mental health problems account for a significant proportion of the local global burden disease is recognized as growing public concern in need adequate services. Studies carried out Kenya suggest robust service treatment, prevention, promotion child health. Despite few existing services to provide treatment management disorders, we more knowledge about their effectiveness these disorders. This paper describes study protocol that aims evaluate process...
There is paucity of culturally adapted tools for assessing depression and anxiety in children adolescents low-and middle-income countries. This hinders early detection, provision appropriate acceptable interventions. In a partnership with the University Nairobi, Nairobi County, Kenyatta National Hospital, UNICEF, rapid cultural adaptation three adolescent mental health scales was done, i.e., Revised Children's Anxiety Depression Scale, Patient Health Questionnaire-9 additional UNICEF module...
Background: The prevalence of depression is estimated to be high in primary care settings, especially amongst people with chronic diseases. Early identification and management can improve disease outcomes quality life, however, there are many missed opportunities care. Aim: This study aimed determine the correlates depressive symptoms two urban settings. Setting: was conducted at facilities capital city Botswana. Methods: We administered a demographic questionnaire Patient Health...
The evaluation of treatment outcomes is important for service providers to assess if there improvement or not. Health the Nation Outcome Scales Children and Adolescents (HoNOSCA) was developed this use in child adolescent mental health services. measurement routine services limited. This paper evaluates psychometric properties self clinician rated versions HoNOSCA Kenya.Using a prospective design, clinician- self-rated Paediatric Symptom Checklist (PSC) were administered at Youth Centre...
Introduction Adolescents living with HIV (ALHIV) are an extremely vulnerable population, the burden of mental health problems carefully documented together constraints for receiving timely and adequate management problems, especially in rural settings. Problem Management Plus (PM+) is a scalable psychological intervention individuals impaired by distress communities exposed to adversity. Initially developed adult populations, few studies have assessed its potential address adolescent...
Partnership and engagement are mediators of change in the efficient uptake evidence-based patient-centered health interventions. We reflect on our process preparation peer mentors development peer-led psychotherapy intervention for HIV infected adolescents active care at Comprehensive Care Centre (CCC) Kenyatta National Hospital. The program was implemented two phases, using a Consultation, Involve, Collaboration Empowerment approach as stepping stones to guide partnership with stakeholders...
Background: Mental and substance use disorders prevalence is continuing to rise in Kenya adolescents young adults as demographic transition taking place.Methods: The GBD 2019 estimates are cover all available sources of data estimate the burden mental for at national sub-national levels ages 10-24 years presented here. was estimated with DisMod-MR (version 2.1), a Bayesian meta-regression framework that non-fatal health outcomes by location, age, sex, year ad results were obtained from...