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传统治疗师对尼日利亚心理健康服务提供的影响。

Impact of traditional healers in the provision of mental health services in Nigeria.

作者信息

Anjorin Omolayo, Hassan Wada Yusuf

机构信息

Institute of Psychiatry, Psychology & Neuroscience, Kings College London, United Kingdom.

Faculty of Pharmaceutical Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria.

出版信息

Ann Med Surg (Lond). 2022 Sep 24;82:104755. doi: 10.1016/j.amsu.2022.104755. eCollection 2022 Oct.

Abstract

Mental health remains one of the most overlooked issues in Nigeria. The burden posed by traditional healers in the provision of mental health services is becoming a public health concern in the country. This article presents a review of the present situation on the mental health service provision in Nigeria by traditional healers and highlights way forward actions for policy makers, government, and other stakeholders. These include the need for a policy direction on the need for establishing an improved system of psychiatric and mental health services in hospitals that will drive cultural acceptability, accessibility, and affordability. Further, there is a need for policy measures to be in place towards creating long term directions and sustainability of documentations of traditional healer's activities, harmful avoidance and improved mental health services in primary health centers. The fact that traditional healers are indispensable in provision of mental health services, call for collaborative effort to improve services such as behavioral change, capacity building and referral practice that could save more lives and reduce severity of complications.

摘要

心理健康仍然是尼日利亚最被忽视的问题之一。传统治疗师在提供心理健康服务方面造成的负担正成为该国的一个公共卫生问题。本文综述了尼日利亚传统治疗师提供心理健康服务的现状,并强调了政策制定者、政府和其他利益相关者的未来行动方向。这些包括需要制定政策方向,以建立一个改进的医院精神科和心理健康服务体系,该体系将推动文化可接受性、可及性和可承受性。此外,需要制定政策措施,以确立长期方向,并使传统治疗师活动的记录、有害行为的避免以及初级卫生中心心理健康服务的可持续性。传统治疗师在提供心理健康服务方面不可或缺,这一事实要求各方共同努力,改善行为改变、能力建设和转诊实践等服务,从而挽救更多生命并减轻并发症的严重程度。

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