Rochelle Ann Burge
Datos Biográficos
| ID | 166117 |
|---|---|
| NOMBRE | Rochelle Ann Burge |
| NOMBRES | Rochelle Ann |
| APELLIDO | Burge |
| FIRMA | BURGE R A |
| AFILIACIONES | University College London |
| ORCID | 0000-0001-9749-7065 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 50 |
| TOTAL DE CITAS | 69 |
| TOTAL COMO AUTOR | 49 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 1982 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
A co‐produced analysis of Send policy for children and young people
Despite decades of documented ethnic inequalities in Special Educational Needs and Disability (SEND), the well‐established role of social determinants of health and growing awareness of cultural safety and trauma‐informed practices in supporting children's mental health, their integration into England's SEND policy remains unclear. This study, co‐produced with peer researchers and community stakeholders, examined national and local SEND policy an…
Outcome and management of 2–59-month-old Nigerian children with chest indrawing pneumonia at primary-level healthcare facilities
Background: In 2012, World Health Organization (WHO) recommended outpatient oral amoxicillin for children aged 2-59 months with chest indrawing pneumonia without general danger signs, based on randomised trials. We assessed mortality and case management for such children routinely managed at primary healthcare centres (PHCs) in Lagos, Nigeria. Methods: This prospective observational cohort study (September 2021-September 2023) was conducted in Ik…
Nurturing transformative participation
The importance of involving people with lived experiences of mental health difficulties and the communities they inhabit, in interventions for them is now widely recognised. However, there is a lack of scrutiny around the theory and practice of how - and to what extent - participation occurs in global mental health interventions. The aim of this review was to examine existing literature and consult with community groups in low and middle income s…
Resisting epistemic violence in global mental health
Background While there is consensus that local knowledge is important to build better mental health responses, integration of this knowledge into mental health services remains a work in progress. In this paper, we explore local understandings of mental health, mental illness, well-being and emotional distress building dialogical spaces that enable community perspectives to inform academic knowledge and health systems . Methods We identified loca…
The impact of creative arts-based interventions for mental health in conflict-affected contexts
In conflict-affected contexts, mental health interventions utilising creative arts methods are increasingly common. However, there is limited information on the effectiveness of these interventions. Building towards an evidence-base, this systematic narrative review applies a realist lens to explore where, for whom, and how arts-based interventions impact mental health in conflict-affected contexts. Academic studies were retrieved from 4 database…
Intersectional discrimination, exclusion and the socio-political economy of global mental health
Social determinants literature has reinforced the importance of social landscapes to poor mental health. In this scoping review, we explore the extent to which the current mental health evidence base acknowledges the impact of intersectional structural determinants of mental health outcomes, via the mechanism of discrimination - linked to a range of commonly underexplored socio-political factors (Protocol registration DOI:10.17605/OSF.IO/CGJQH). …
Living in peace
Mental well-being research focusing on the perspectives of women in Nigeria is severely limited. To address this knowledge gap, this secondary qualitative analysis of 19 semi-structured life-history interviews with women of child-bearing age from the INSPIRING trial in Jigawa state, Nigeria explores how the self-defined concept of “living in peace” provides insight into locally derived definitions and understandings of mental well-being. Thematic…
Stepping Stones and Creating Futures Plus
Marginalised young women and men in South Africa experience and perpetrate high rates of intimate partner violence (IPV), shaped by their contexts and life histories. To address this, we co-developed Stepping Stones and Creating Futures Plus (SSCF+) with young women and men living in marginalised communities to reduce IPV, strengthen livelihoods and improve mental health. We assessed the intervention’s feasibility, acceptability and potential imp…
Protecting unaccompanied migrant youth in transit through Mexico
Mexico is the world’s largest global migration corridor and in the last decade there has been an increase in forced migration of families, women, and unaccompanied children and adolescents. The latter population requires specific policy and implementation frameworks due to increased vulnerability related to their age, gender, and unaccompanied status, which can seriously impact their long-term health and wellbeing. However, globally and in Mexico…
Investigating the social factors shaping the relationship between child marriage and mental health in Zimbabwe
‘Let him die in peace’
INTRODUCTION: Efforts to improve oxygen access have focused mainly on the supply side, but it is important to understand demand barriers, such as oxygen refusal among caregivers. We therefore aimed to understand caregiver, community and healthcare provider (HCP) perspectives and experiences of medical oxygen treatments and how these shape oxygen acceptance among caregivers of sick children in Lagos and Jigawa states, which are two contrasting set…
The ties that bind
The Home Office Windrush Scandal of 2018 has had major implications for the wellbeing of survivors and is thought to have affected more than 15,000 individuals. The Government led compensation scheme to provide retribution to those impacted has been consistently argued as insufficient, in part linked to under appreciation of mental health consequences of the scandal. However, there is limited evidence which documents the nature of mental health i…
Fostering resilient recovery
Disasters leave survivors at heighted risk of negative psychological consequences. Teachers require post-disaster psychosocial support, given their added responsibility for supporting their students' recovery. However, alongside coping with their own mental health, teachers often lack training to support students psychologically. This study addresses this gap by detailing an intervention designed to foster resilient recovery among secondary schoo…
Covid-19 knowledge and practices in Jigawa State, Nigeria
Population knowledge of COVID-19 and adherence to prevention measures may not be equitably distributed, limiting the success of public health measures. We aimed to understand whether COVID-19 knowledge differed by socio-economic status in a rural low-income setting of Jigawa State, Nigeria. We conducted a secondary analysis of the baseline cross-sectional survey of the INSPIRING cluster randomised controlled trial in Kiyawa Local Government Area,…
Inverting the deficit model in global mental health
Global mental health [GMH] scholarship and practice has typically focused on the unmet needs and barriers to mental health in communities, developing biomedical and psychosocial interventions for integration into formal health care platforms in response. In this article, we analyse four diverse settings to disrupt the emphasises on health system weaknesses, treatment gaps and barriers which can perpetuate harmful hierarchies and colonial and medi…
A vision for reinvigorating global mental health
Across individuals, communities, and ecosystems, unequal ways of living mean different experiences and expressions of wellbeing and distress. What would it mean for Global Mental Health (GMH) to start with these disparities in lived-experience, radically, rather than take them as stumbling blocks to unite under a broad GMH umbrella? This question builds on a tradition of critically appraising the GMH field (see e.g. [1]), seeking a re-shaping of …
Exploring the feeding practices of mothers of under-five children and how household members influence exclusive breastfeeding in Jigawa State, Nigeria – A qualitative study
Child nutrition interventions in low-income settings are variably effective as strategies often focus on primary caregivers, with less attention given to other household members. This study explored the influence of household members on exclusive breastfeeding and the feeding practices of mothers of under-five children in Jigawa State, Northern Nigeria. As part of a cluster randomised controlled trial in Jigawa State, we conducted an ethnographic…
Misunderstood and underappreciated
Mental health advocacy and activism have been highlighted as important in the effort towards creating environments for better mental health. However, relevant research in low- and middle-income country settings remains limited and lacks critical exploration. We seek to contribute to filling this gap by exploring driving factors behind mental health advocacy and activism efforts in low- and middle-income country settings. This review uses a critic…
Linking communities and health facilities to improve child health in low-resource settings
Community–facility linkage interventions are gaining popularity as a way to improve community health in low-income settings. Their aim is to create/strengthen a relationship between community members and local healthcare providers. Representatives from both groups can address health issues together, overcome trust problems, potentially leading to participants’ empowerment to be responsible for their own health. This can be achieved via different …
Growing up in transit. Personal development and resistance of migrant adolescents travelling through Mexico unaccompanied
Mexico is a major global migration corridor. The last decade has seen an increase in adolescents travelling unaccompanied from Guatemala, Honduras and El Salvador, mainly due to violence and natural disasters. This group of migrants is exposed to migration risks such as trafficking and exploitation, as well as multiple deportations and long waiting times without appropriate access to health and education services. These conditions have significan…
Reconstructing theory in mental health and psychosocial support and peacebuilding
Despite wide agreement among practitioners on the need for integration, mental health and peacebuilding practice remain siloed in conflict‐affected contexts. Yet before the integration of these two fields should occur, a revaluation of existing practice is needed. Within the field of mental health and psychosocial support (MHPSS), critics have long questioned dominant assumptions and treatment models, raising concerns about top‐down implementatio…
Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria
Background: Between 2013 and 2022, Nigeria did not meet globally defined targets for pneumonia control, despite some scale-up of vaccinations, oxygen and antibiotics. A deliberate focus on community-based programs is needed to improve coverage of protective, preventive and treatment interventions. We therefore aimed to describe caregiver knowledge and care seeking behaviour for childhood pneumonia, in a high child mortality setting in Nigeria, to…
Challenges and opportunities in coproduction
Coproduction is widely recognised as essential to the development of effective and sustainable complex health interventions. Through involving potential end users in the design of interventions, coproduction provides a means of challenging power relations and ensuring the intervention being implemented accurately reflects lived experiences. Yet, how do we ensure that coproduction delivers on this promise? What methods or techniques can we use to …
A latent class analysis of young women’s co-occurring health risks in urban informal settlements in Durban, South Africa
In South Africa, substance use, violence, and HIV risk disproportionately affect young poor Black women. Few studies have explicitly measured the co-occurrence of these health risks or the impact on mental health and wellbeing for this population. To this aim, we use a person-centred approach to explore the clustering of health risks among young Black women from urban informal settlements in Durban, South Africa, enrolled in an intervention trial…
Maternal mental well-being and recent child illnesses–A cross-sectional survey analysis from Jigawa State, Nigeria
Child health indicators in Northern Nigeria remain low. The bidirectional association between child health and maternal well-being is also poorly understood. We aim to describe the association between recent child illness, socio-demographic factors and maternal mental well-being in Jigawa State, Nigeria. We analysed a cross-sectional household survey conducted in Kiyawa local government area, Jigawa State, from January 2020 to March 2020 amongst …
The role of communities in advancing the goals of the Movement for Global Mental Health
This special section of Transcultural Psychiatry explores the local-global spaces of engagement being opened up by the Movement for Global Mental Health, with particular emphasis on the need for expanded engagement with local communities. Currently the Movement places its main emphasis on scaling up mental health services and advocating for the rights of the mentally ill, framed within universalised western understandings of health, healing and p…
Contextualising women's mental distress and coping strategies in the time of Aids
Increasing attention is paid to impacts of HIV/AIDS on women's mental health, often framed by decontextualized psychiatric understandings of emotional distress and treatment. We contribute to the small qualitative literature extending these findings through exploring HIV/AIDS-affected women's own accounts of their distress-focusing on the impacts of social context, and women's efforts to cope outside of medical support services. Nineteen in-depth…
Resilience as a communal concept
This study illuminates the elements and mechanisms embodied in these adolescents' communities and relationships that allow for adaptation to life in Bar Elias. These factors strengthen their approach to overcome social barriers and practice resilience. These communal aspects of the adolescents' lives also connect to their memories of home, current environment, and future aspirations
Finding agency in limbo
The process of seeking asylum is complex and often leads to extended periods of uncertainty and liminality for people awaiting decisions on their status. Occupational engagement-defined as meaningful activities and roles that bring purpose and agency to one's life-may be a key driver for mental health recovery for marginalized populations, including asylum seekers with traumatic experiences pre- and post-migration. This study aimed to clarify how…
Supporting mental health in South African HIV-affected communities
How do practitioners respond to the mental distress of HIV-affected women and communities? And do their understandings of patients' distress matter? The World Health Organization (WHO) along with advocates from the Movement for Global Mental Health (MGMH) champion a primary mental health care model to address burgeoning mental health needs in resource-poor HIV-affected settings. Whilst a minority of studies have begun to explore interventions to …
Policy, power, stigma and silence
The Movement for Global Mental Health's (MGMH) efforts to scale up the availability of mental health services have been moderately successful. Investigations in resource-poor countries like South Africa have pointed to the value of an integrated primary mental health care model and multidisciplinary collaboration to support mental health needs in underserved and underresourced communities. However, there remains a need to explore how these polici…
Growing up in transit. Personal development and resistance of migrant adolescents travelling through Mexico unaccompanied
Mexico is a major global migration corridor. The last decade has seen an increase in adolescents travelling unaccompanied from Guatemala, Honduras and El Salvador, mainly due to violence and natural disasters. This group of migrants is exposed to migration risks such as trafficking and exploitation, as well as multiple deportations and long waiting times without appropriate access to health and education services. These conditions have significan…
Blood lead levels among high-risk children, Detroit, Michigan
Since 1972, a federally funded lead screening program has been operational in Detroit, Michigan. Blood lead screening data (27,430 initial tests on Black children less than or equal to 6 years) were assigned by census tract of child's residence to one of the 15 socioeconomically similar areas in geographic proximity to one another. Higher blood lead levels were associated with lower education, lower income, and increased proportion of single pare…
Blood lead levels among high-risk children, Detroit, Michigan
Since 1972, a federally funded lead screening program has been operational in Detroit, Michigan. Blood lead screening data (27,430 initial tests on Black children less than or equal to 6 years) were assigned by census tract of child's residence to one of the 15 socioeconomically similar areas in geographic proximity to one another. Higher blood lead levels were associated with lower education, lower income, and increased proportion of single pare…
The role of communities in advancing the goals of the Movement for Global Mental Health
This special section of Transcultural Psychiatry explores the local-global spaces of engagement being opened up by the Movement for Global Mental Health, with particular emphasis on the need for expanded engagement with local communities. Currently the Movement places its main emphasis on scaling up mental health services and advocating for the rights of the mentally ill, framed within universalised western understandings of health, healing and p…
‘It Depends on Them’ – Exploring Order and Disjuncture in Responding to the Local Needs of Aids Affected Communities in the Kingdom of Swaziland
Though the role of global–local partnerships in the HIV/AIDS response has been widely advocated, many social theorists question their ability to promote sustainable change in the lives of everyday communities. This is often related to the distance between policy and governance structures, and, the realities of life in AIDS affected communities. This article unpacks the specifics of this ‘distance’ in the context of the HIV/AIDS response in the Ki…
Contextualising women's mental distress and coping strategies in the time of Aids
Increasing attention is paid to impacts of HIV/AIDS on women's mental health, often framed by decontextualized psychiatric understandings of emotional distress and treatment. We contribute to the small qualitative literature extending these findings through exploring HIV/AIDS-affected women's own accounts of their distress-focusing on the impacts of social context, and women's efforts to cope outside of medical support services. Nineteen in-depth…
Creating social policy to support women's agency in coercive settings
Many emphasise the need for policies that support women's agency in highly coercive settings, and the importance of involving target women in public deliberation to inform policy design. The Ugandan Marriage and Divorce Bill seeks to strengthen women's agency in marriage, but has faced many obstacles, including objections from many women themselves in public consultations. We explore key stakeholders' accounts of the difficulties facing the Bill'…
Supporting mental health in South African HIV-affected communities
How do practitioners respond to the mental distress of HIV-affected women and communities? And do their understandings of patients' distress matter? The World Health Organization (WHO) along with advocates from the Movement for Global Mental Health (MGMH) champion a primary mental health care model to address burgeoning mental health needs in resource-poor HIV-affected settings. Whilst a minority of studies have begun to explore interventions to …
Policy, power, stigma and silence
The Movement for Global Mental Health's (MGMH) efforts to scale up the availability of mental health services have been moderately successful. Investigations in resource-poor countries like South Africa have pointed to the value of an integrated primary mental health care model and multidisciplinary collaboration to support mental health needs in underserved and underresourced communities. However, there remains a need to explore how these polici…
Medicine doesn’t cure my worries’
The mental health of migrant communities is an important public health concern. A growing body of literature suggests that social and cultural determinants of health significantly contribute to the mental health and wellbeing of older migrants in their host countries. Despite the increasing population of older Nepalese migrants in the UK, there is little research exploring the mental health needs of this community. This article explores older Nep…
Re-thinking recovery in post-conflict settings
Addressing mental health needs is a central focus of the Colombian Government's framework for socio-political reconstruction following over 60 years of conflict. Informed by WHO standards, country efforts utilise biopsychosocial models that prioritise individual psychological and psychiatric conditions. However, increasing scrutiny of the deployment of Western approaches to mental health and recovery in the global south suggests a need to explore…
Uptake of HIV testing among 15–19-year-old adolescents in Zambia
Adolescent HIV testing rates remain low with many unaware of their status. We explored factors associated with HIV testing uptake among adolescents aged 15-19 years using data from the Zambian Demographic Health Survey 2013-2014. The sample consisted of 7030 adolescents of which 42% reported ever testing for HIV. We found that as the age of a respondent increased so did their odds of testing (aOR = 1.26; 1.21-1.32); females had higher odds of tes…
Gender, mental health and resilience in armed conflict
For over 60 years, Colombia has endured violent civil conflict forcibly displacing more than 8 million people. Recent efforts have begun to explore mental health consequences of these contexts, with an emphasis on national surveys. To date few Colombian studies explore mental health and well-being from a lived experience perspective. Those that do, overlook processes that enable survival. In response to this gap, we conducted a life history study…
Measuring oxygen access
The COVID-19 pandemic has highlighted global oxygen system deficiencies and revealed gaps in how we understand and measure ‘oxygen access’. We present a case study on oxygen access from 58 health facilities in Lagos state, Nigeria. We found large differences in oxygen access between facilities (primary vs secondary, government vs private) and describe three key domains to consider when measuring oxygen access: availability, cost, use. Of 58 facil…
Time is on our side
Coproduction is increasingly positioned as the gold standard for improving health engagement with marginalised groups. Yet little is known about how key factors such as power, position and culture impact success. Our research aims to identify the psychosocial factors and resources that enable successful coproduction between Black, Asian and other Minority communities and statutory agencies within a coproduction network for mental health services …
Decolonising the ‘safe space’ as an African innovation
Contemporary power and decolonisation discourses reflect how Eurocentric and Western analysis has shaped our understandings of the world. Decolonisation efforts within Global Health and feminist studies (including what counts as valid forms of women’s organising) also require a reclaiming of praxis developed within historically oppressed countries lost through erasures of knowledge-production. Our work contributes to these efforts through an anal…
In search of ‘community’
Community is deemed a central resource for the improvement of health, across disciplines, contexts and conditions. However, what is meant by this term is rarely critically explored. In Global Mental Health, considerable efforts in recent years have been directed towards scaling up ‘community’ approaches, with variable success, creating the need to better understand approaches to its use. Our study contributes to this need, through a critical revi…
Resilience as a communal concept
This study illuminates the elements and mechanisms embodied in these adolescents' communities and relationships that allow for adaptation to life in Bar Elias. These factors strengthen their approach to overcome social barriers and practice resilience. These communal aspects of the adolescents' lives also connect to their memories of home, current environment, and future aspirations
Working in the wake
Overlooked and unaddressed
Child Marriage (before the age of 18) affects over 12 million young women globally, annually. Given the ability for poor mental health to intensify other health and social challenges, understanding the mental health consequences linked to child marriage is vital. Our study is the first to examine how mental health is approached in current literature on child marriage. Our conceptual framework was informed by a rapid assessment of key issues in th…
Perceptions of child death in Jigawa State, Nigeria
BACKGROUND: Vital statistics are critical for effective public health and monitoring progress towards child survival. Nigeria has the highest global under-five mortality rate; however, deaths are often under- or misreported. OBJECTIVE: We explored perceptions of child deaths and socio-cultural factors influencing the reporting of child deaths in Jigawa State, Nigeria. METHODS: We conducted a triangulation mixed-methods study in Kiyawa local gover…
Exploring the impact of a complex intervention for women with depression in contexts of adversity
BACKGROUND: Depression is a leading cause of disease burden worldwide but is often undertreated in low- and middle-income countries. Reasons behind the treatment gap vary, but many highlight a lack of interventions which speak to the socio-economic and structural realties that are associated to mental health problems in many settings, including South Africa. The COURRAGE-PLUS intervention responds to this gap, by combining a collective narrative …
Young people’s experiences of Covid-19 messaging at the start of the UK lockdown
Young people want to be listened to and feel they have a part to play in responding to a national crisis such as the COVID-19 epidemic. To reduce the likelihood of disenfranchising the next generation, Government and the media should focus on developing messaging that reflects young people's values and concerns and to provide opportunities for young people to become involved in responses to future crises
Finding agency in limbo
The process of seeking asylum is complex and often leads to extended periods of uncertainty and liminality for people awaiting decisions on their status. Occupational engagement-defined as meaningful activities and roles that bring purpose and agency to one's life-may be a key driver for mental health recovery for marginalized populations, including asylum seekers with traumatic experiences pre- and post-migration. This study aimed to clarify how…
Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria
Background: Between 2013 and 2022, Nigeria did not meet globally defined targets for pneumonia control, despite some scale-up of vaccinations, oxygen and antibiotics. A deliberate focus on community-based programs is needed to improve coverage of protective, preventive and treatment interventions. We therefore aimed to describe caregiver knowledge and care seeking behaviour for childhood pneumonia, in a high child mortality setting in Nigeria, to…
Challenges and opportunities in coproduction
Coproduction is widely recognised as essential to the development of effective and sustainable complex health interventions. Through involving potential end users in the design of interventions, coproduction provides a means of challenging power relations and ensuring the intervention being implemented accurately reflects lived experiences. Yet, how do we ensure that coproduction delivers on this promise? What methods or techniques can we use to …
A latent class analysis of young women’s co-occurring health risks in urban informal settlements in Durban, South Africa
In South Africa, substance use, violence, and HIV risk disproportionately affect young poor Black women. Few studies have explicitly measured the co-occurrence of these health risks or the impact on mental health and wellbeing for this population. To this aim, we use a person-centred approach to explore the clustering of health risks among young Black women from urban informal settlements in Durban, South Africa, enrolled in an intervention trial…
Psychology (31 obras) · Mental health (29 obras) · Psychiatry (28 obras) · Sociology (28 obras) · Medicine (25 obras) · Political science (24 obras) · Qualitative research (15 obras) · Migration, Health and Trauma (14 obras) · Environmental health (13 obras) · Mental Health Treatment and Access (13 obras)