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通过孟加拉国农村地区社区主导的解决方案提高心理健康素养与护理水平。

Enhancing mental health literacy and care through community-driven solutions in rural Bangladesh.

作者信息

Afreen Ryan, Surya Sanjna L, Jara Tasnim, Islam Ima, Parvin Rahana, Ferdousuzzaman S M, Salah Uddin Masum, Ahmed Nahreen

机构信息

Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Brigham and Women's Hospital, Boston, MA, United States.

出版信息

Front Glob Womens Health. 2024 Dec 12;5:1478817. doi: 10.3389/fgwh.2024.1478817. eCollection 2024.

Abstract

Women in rural Bangladesh encounter significant barriers to seeking mental healthcare, primarily due to stigmatization rooted in a lack of knowledge about mental health. To address this issue, community-based participatory research (CBPR) has been identified as a promising approach. CBPR involves the active collaboration of community members and stakeholders in the research process to tackle pressing community issues. This study examines the application of CBPR to enhance mental health awareness and education among women. The program described in this study leverages local technology centers and community health workers to boost participation in improving access to equitable mental healthcare and increasing health literacy. Implemented across three rural districts in Bangladesh, the program began with a needs assessment survey to evaluate participants' knowledge, experiences, and stigmatization of psychological conditions such as depression, anxiety, psychosis, suicide, and postpartum depression. This survey assessed baseline knowledge, personal experiences, and the perceived impact of mental wellness as a community issue. Additionally, five focus group discussions were conducted at local tech hubs with trained community health workers to explore participants' perceptions and attitudes toward mental health. These discussions highlighted the role of medical misinformation, the shortage of professionals, and other factors contributing to mental health stigmatization. The study's second phase would focus on developing digital medical content for screening at tech hubs, followed by live Q&A sessions with Bangladeshi health experts. This initiative aims to familiarize women with user-friendly telehealth services, fostering healthcare literacy and improving well-being in rural Bangladesh.

摘要

孟加拉国农村地区的女性在寻求心理保健方面面临重大障碍,主要原因是缺乏心理健康知识导致的污名化。为解决这一问题,基于社区的参与式研究(CBPR)被视为一种有前景的方法。CBPR让社区成员和利益相关者在研究过程中积极合作,以解决紧迫的社区问题。本研究考察了CBPR在提高女性心理健康意识和教育方面的应用。本研究中描述的项目利用当地技术中心和社区卫生工作者,以促进参与改善获得公平心理保健的机会并提高健康素养。该项目在孟加拉国的三个农村地区实施,首先进行了一项需求评估调查,以评估参与者对抑郁症、焦虑症、精神病、自杀和产后抑郁症等心理状况的知识、经历和污名化程度。这项调查评估了基线知识、个人经历以及心理健康作为一个社区问题的感知影响。此外,还在当地技术中心与训练有素的社区卫生工作者进行了五次焦点小组讨论,以探讨参与者对心理健康的看法和态度。这些讨论突出了医学错误信息、专业人员短缺以及其他导致心理健康污名化的因素的作用。该研究的第二阶段将专注于开发数字医疗内容,以便在技术中心进行筛查,随后与孟加拉国健康专家进行现场问答环节。这一举措旨在让女性熟悉用户友好型远程医疗服务,提高孟加拉国农村地区的医疗素养并改善福祉。

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