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'We do not talk about it': Engaging youth in Malawi to inform adaptation of a mental health literacy intervention.
Jumbe, Sandra; Nyali, Joel; Simbeye, Maryrose; Zakeyu, Nelson; Motshewa, Gase; Pulapa, Subba Rao.
  • Jumbe S; Centre for Evaluation and Methods, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom.
  • Nyali J; Millennium University, Blantyre, Malawi.
  • Simbeye M; Millennium University, Blantyre, Malawi.
  • Zakeyu N; The National Youth Council of Malawi, Lilongwe, Malawi.
  • Motshewa G; Drug Fight Malawi, Lilongwe, Malawi.
  • Pulapa SR; Millennium University, Blantyre, Malawi.
PLoS One ; 17(3): e0265530, 2022.
Article in English | MEDLINE | ID: covidwho-1765535
ABSTRACT

PURPOSE:

There is limited knowledge on how to tackle mental health problems among youth in Africa. Literature describing community engagement (CE) approaches in low/middle-income countries (LMICs) health research is sparse. CE with youth from LMICS can help steer and shape culturally relevant interventions for stigmatised topics like mental health, resulting in better healthcare experiences. We share our experience of engaging youth in Malawi through advocacy organisations to inform cultural adaptation of a mental health literacy intervention.

METHODS:

Young people were recruited using social media from universities and community youth organisations in Malawi to participate in focus group discussions to help culturally adapt content of an existing mental health literacy intervention. Nine online focus groups with 44 individuals were conducted. Discussions involved views and experiences of mental health, including impact of the coronavirus pandemic. Discussions were recorded, transcribed verbatim and analysed using content analysis.

RESULTS:

Transcript analyses revealed a vicious cycle of poverty and mental health problems for youth in Malawi. Four key themes were identified, 1) poverty-related socioeconomic and health challenges, 2) no one talks about mental health, 3) lacking mental health support and 4) relationship issues. These themes fed into one another within this vicious cycle which perpetually and negatively impacted their lives. The coronavirus pandemic worsened socioeconomic issues, health challenges, mental health and substance use issues, and burden on Malawi's already weak mental health system.

CONCLUSION:

Findings suggest increasing untreated mental health burden among Malawi's youth. It highlights great need to address mental health literacy using existing community structures like educational settings to minimise burden on a weak health system. Online focus groups are an effective way of acquiring views from various young people in Malawi on mental health. This CE approach has grown our stakeholder network, strengthening potential for future CE activities and broader research dissemination.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / Health Literacy Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Adolescent / Humans Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0265530

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Mental Health / Health Literacy Type of study: Experimental Studies / Observational study / Qualitative research / Randomized controlled trials Limits: Adolescent / Humans Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0265530