Youth-led co-production of mental health promotion in Pakistan

Intergenerational influences

Bibliographic Data

ID22944058
AuthorsPanos Vostanis (0000-0001-9217-0805, Department of School of Media, Communication and Sociology, University of Leicester, University Road , Leicester LE1 7RH , UK, corresponding author), Sajida Hassan (Icon for Child and Adult Nurturing (ICAN) , Empire Square 501, Sharfabad, Karachi 75400 , Pakistan), Shabbih Fatima (0000-0002-8908-1278), Syeda Zeenat Fatima (Icon for Child and Adult Nurturing (ICAN) , Empire Square 501, Sharfabad, Karachi 75400 , Pakistan), Michelle O’reilly (0000-0003-1978-6405, Department of School of Media, Communication and Sociology, University of Leicester, University Road , Leicester LE1 7RH , UK)
Year2024
Volume39
Issue1
Publication date2024-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/daae010
PMID38381915
OpenAlexW4392005940
LanguageEN
Citations received1
References cited42

Youth with mental health needs face barriers in seeking and accessing help, especially in resource-constrained settings in Majority World Countries. Community engagement is thus important for mental health promotion, particularly in addressing stigma. Engagement can be enhanced by involving peer educators and by relating to intergenerational experiences in the sociocultural context of the community. The aim of this study was to explore how intergenerational experiences and perspectives can inform the co-production of youth-led mental health promotion in a Majority World Country, Pakistan. We recruited 11 families (one grandmother, mother and granddaughter in each family) as advisers from two disadvantaged areas of Karachi, and 14 peer educators. Training for peer educators included seminars, experiential activities, three participatory workshops with family advisers and supervision. A sub-sample of family advisers and peer educators attended four focus groups, and peer educators completed reflective diaries following each activity. Data were integrated and subjected to thematic codebook analysis. The three themes related to enabling and hindering factors towards co-production of mental health promotion, incorporation of intergenerational resilience and cascading knowledge to communities. The findings highlighted potential benefits of youth-led mental health promotion that contextualizes intergenerational experiences for those communities. Peer educator roles should be supported by training, and mental health promotion should be integrated within local service systems.

Context (archaeology) · Disadvantaged · Health promotion · Medical education · Mental health · Political science · Politics · Promotion (chess) · Psychiatry · Public health · Qualitative research · Sociology · Thematic analysis · Family and Patient Care in Intensive Care Units · Family Caregiving in Mental Illness · Medicine · Mental Health and Patient Involvement · Nursing · Psychology