Iversen Silje Akselberg, Nalugya Joyce, Babirye Juliet N, Engebretsen Ingunn Marie Stadskleiv, Skokauskas Norbert
Faculty of Medicine and Health Sciences, NTNU, Trondheim, Norway.
Department of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda.
Int J Ment Health Syst. 2021 Aug 3;15(1):66. doi: 10.1186/s13033-021-00491-x.
Worldwide, one in five children and adolescents suffer from mental health disorders, while facing limited opportunities for treatment and recovery. Growing up, they face multiple challenges that might contribute to the development of mental disorders. Uganda is a developing country with a history of prolonged civil and regional wars associated with child soldiers, large numbers of refugees and internally displaced people due to natural disasters and unrests, and a large infectious disease burden mainly due to acute respiratory tract infections, malaria and HIV/AIDS.
This paper aims to examine the current status of child and adolescent mental health services in Uganda.
A scoping review approach was used to select studies on child and adolescent mental health services (CAMHS) in Uganda. A search of MEDLINE, Wiley and PubMed databases was conducted using eligibility criteria. The papers were summarized in tables and then synthesized using the Frameworks for monitoring health systems performance designed by the World Health Organisation (WHO). This was done according to the Preferred Reporting Items for Systematic Review and M-Analyses Extension for Scoping Review (PRISMA-ScR) guidelines.
Twelve studies were identified; five of them used qualitative methods and focused mostly on the current limitations and strengths of CAMHS in Uganda, while six quantitative studies investigated the effects of new interventions. One study used a mixed-methods approach. In summary, the papers outlined a need for collaboration with the primary health sector and traditional healers to ensure additional human resources, as well as the need to focus on groups such as orphans, HIV/AIDS-affected youth, former child soldiers and refugees.
Relatively few studies have been conducted on CAMHS in Uganda, and most of those that exist are part of larger studies involving multiple countries. CAMHS in Uganda require improvement and needs to focus especially on vulnerable groups such as orphans, HIV/AIDS-affected youth and former child soldiers.
在全球范围内，五分之一的儿童和青少年患有心理健康障碍，同时面临着有限的治疗和康复机会。在成长过程中，他们面临着多种可能导致精神障碍发展的挑战。乌干达是一个发展中国家，有着长期内战和地区战争的历史，这些战争涉及儿童兵、因自然灾害和动荡产生的大量难民和境内流离失所者，以及主要由急性呼吸道感染、疟疾和艾滋病毒/艾滋病造成的巨大传染病负担。
本文旨在研究乌干达儿童和青少年心理健康服务的现状。
采用范围综述方法来选择关于乌干达儿童和青少年心理健康服务（CAMHS）的研究。使用纳入标准对MEDLINE、Wiley和PubMed数据库进行检索。论文被汇总到表格中，然后使用世界卫生组织（WHO）设计的卫生系统绩效监测框架进行综合。这是根据系统评价和范围综述的M分析扩展的首选报告项目（PRISMA-ScR）指南进行的。
共识别出12项研究；其中5项采用定性方法，主要关注乌干达CAMHS的当前局限性和优势，而6项定量研究调查了新干预措施的效果。1项研究采用了混合方法。总之，这些论文概述了与初级卫生部门和传统治疗师合作以确保额外人力资源的必要性，以及关注孤儿、受艾滋病毒/艾滋病影响青年、前儿童兵和难民等群体的必要性。
在乌干达，针对儿童和青少年心理健康服务的研究相对较少，而且现有研究大多是涉及多个国家的大型研究的一部分。乌干达的儿童和青少年心理健康服务需要改进，尤其需要关注孤儿、受艾滋病毒/艾滋病影响青年和前儿童兵等弱势群体。
