Michelle Kermode
Biographic Data
| ID | 222376 |
|---|---|
| NAME | Michelle Kermode |
| GIVEN NAMES | Michelle |
| FAMILY NAME | Kermode |
| SIGNATURE | KERMODE M |
| AFFILIATIONS | The University of Melbourne |
| ORCID | 0000-0003-4219-6024 |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 16 |
| AUTHOR COUNT | 28 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 3 |
Improving Social Inclusion for Young People Affected by Mental Illness in Uttarakhand, India
Promoting social inclusion for young people affected by psycho-social disability in India – a realist evaluation of a pilot intervention
India has 600 million young people, more than any other country in the world. Mental illness is the leading burden of disease for young people, and those affected experience restrictions in social participation that compromise recovery. The aim of this study was to assess the impact of a peer-led, community-based, participatory group intervention on social inclusion and mental health among 142 young people affected by psycho-social disability (PS…
Social inclusion and exclusion of people with mental illness in Timor-Leste
These findings highlight the need to combat social exclusion of people with mental illness and their families by harnessing local Timorese sociocultural strengths. Such an approach could centre around people with mental illness and their families to: increase population mental health awareness; bolster rights-based and culturally-grounded mental health services; and promote inclusive and accessible services and systems across sectors
Adapting the 2015 Mother–Baby Friendly Birth Facility Guidelines for Semi-nomadic Pastoralist Communities in Laikipia and Samburu Counties of Kenya
The final decision is with the patient’
In Indonesia fertility has plateaued for more than a decade. Over the same period Indonesian women have increasingly accessed contraception via the private sector. Our qualitative inquiry into the contraceptive preferences of middle class women in urban Yogyakarta revealed limited interest in and intent to use biomedical and hormonal contraceptive methods. Women’s justifications for their contraceptive choices were complex and manifold: most had …
Are people-centred mental health services acceptable and feasible in Timor-Leste? A qualitative study
People-centred mental healthcare is an influential concept for health system strengthening and sustainable development that has been developed and promoted primarily in Western contexts. It characterizes service users, families and communities as active participants in health system development. However, we have limited understanding of how well people-centred mental healthcare aligns with the multiplicity of peoples, cultures, languages and cont…
An asymmetric burden
Caring for a family member with a psycho-social disability can be both rewarding and burdensome. This study analyses the experiences of caregivers of people with psychosocial disabilities (PPSDs) in rural communities in North India using relational gender theory. In-depth interviews with 18 female and male caregivers of PPSDs probed the social, emotional and health impacts of their caregiving role. Nine themes were identified that were grouped un…
Moralising Rhetoric and Imperfect Realities
Exclusive breastfeeding is embedded in National Health Law and Regulation in Indonesia and is vigorously promoted by health workers, breastfeeding counsellors and religious leaders. This article explores the transformation of state legislation into breastfeeding promotions that are imbued with moralising assumptions directed at expectant women, new mothers and their partners. Drawing on an 18-month ethnographic study, the rhetoric of breastfeedin…
Walking Together
Strengthening community mental health competence-A realist informed case study from Dehradun, North India
Few accounts exist of programmes in low- and middle-income countries seeking to strengthen community knowledge and skills in mental health. This case study uses a realist lens to explore how a mental health project in a context with few mental health services, strengthened community mental health competence by increasing community knowledge, creating safer social spaces and engaging partnerships for action. We used predominantly qualitative metho…
Social Distance and Community Attitudes Towards People with Psycho-Social Disabilities in Uttarakhand, India
Documenting a long-term development model in the slums of Delhi
BACKGROUND: Achieving development outcomes requires the inclusion of marginalised populations that have the least opportunity to participate in and benefit from development. Slum dwellers often see little of the 'urban advantage', suffering more from infectious diseases, increasing food costs, poor access to education and health care, inadequate water and sanitation, and informal employment. A recent Cochrane Review of the impact of slum upgradin…
Undiagnosed HIV among people who inject drugs in Manipur, India
Manipur is a geographically isolated state of India characterised by a high HIV prevalence among people who inject drugs (PWID). A low-to-moderate lifetime rate of HIV testing has been documented amongst PWID in Manipur. Little is known about the extent of undiagnosed HIV in this setting and whether uptake of HIV testing (and knowledge of a positive diagnosis) leads HIV-positive PWID to change their risk behaviours. The cross-sectional data (n = …
Under the banyan tree - exclusion and inclusion of people with mental disorders in rural North India
These findings underline the urgent need for initiatives that increase mental health literacy, access to services and social inclusion of PWMD in North India, and highlight the possibilities of using human rights frameworks in situations of physical and economic violence. The findings also highlight the urgent need to reduce stigma and take actions in policy and at all levels in society to increase inclusion of people with mental distress and dis…
Male-to-male sex among men who inject drugs in Delhi, India
Falling through the cracks
BACKGROUND: HIV risks for women who inject drugs and those who engage in sex work are well documented. Women who are dependent on non-injecting drugs and alcohol are also likely to have increased vulnerability to HIV infection, but until they actually inject drugs or engage in sex work, are unlikely to come to the attention of HIV prevention programs. METHODS: We undertook a qualitative study involving nine focus group discussions (FGDs) and 27 k…
Exposure to HIV prevention programmes associated with improved condom use and uptake of HIV testing by female sex workers in Nagaland, Northeast India
We found evidence of an increase in condom use and HIV testing, and a strong and consistent association between programme exposure and condom use and HIV testing indicating that NGO HIV prevention programmes have been making a substantial contribution to HIV prevention among FSWs in Dimapur. However, there was no evidence of improved coverage of HIV prevention services, and there is a clear need to expand the reach of services in order for them t…
Meeting the needs of women who use drugs and alcohol in North-east India – a challenge for HIV prevention services
The expressed health and other service needs of women who use drugs and alcohol in Manipur and Nagaland do not match the services currently provided by HIV prevention NGOs, and this may, in part, account for the relatively poor uptake of these services by women. Strategies and activities that can be implemented by NGOs to strengthen their reach to vulnerable women are identified. However, many of these women's needs are beyond the scope of servic…
Factors associated with history of drug use among female sex workers (FSW) in a high HIV prevalence state of India
Drug-using FSWs were more vulnerable to STIs including HIV compared to their non-drug using peers. Several important factors associated with being an FSW who uses drugs were identified in this study and this knowledge can be used to plan more effectively targeted harm reduction strategies and programs
HIV risk behaviours among injecting drug users in Northeast India following scale-up of a targeted HIV prevention programme
Despite district-level differences, the results from this BTS study indicate that exposure to HIV prevention services, predominately delivered in this region by NGOs, is associated with a reduced likelihood of engaging in HIV risk behaviours. IDUs using HIV prevention services are more likely to engage in safe injecting and sexual practices, and effort is required to sustain / increase opportunities for IDUs to access these services. These outcom…
Pathways to sex-work in Nagaland, India
There are an estimated 1800-3500 sex-workers in Dimapur, the commercial capital of Nagaland, which is the second-highest HIV prevalence state in India. The HIV prevalence among these sex-workers has increased from 4.4% in 2004 to 16.4% in 2006, highlighting their vulnerability. The aim of this study was to contribute to understanding of the pathways to sex-work for women in Nagaland in order to inform the development of effective HIV prevention s…
Community Beliefs About Causes and Risks for Mental Disorders
Background: Explanations for mental disorders in India can be influenced by biomedicine, systems of traditional medicine and supernatural beliefs. Community beliefs about causes of mental distress influence help-seeking behaviours. This study aimed to assess local knowledge and understanding of causes and risks for mental disorders in a rural area of Maharashtra, and to assess the prevalence of possible common mental disorders. Methods: A cross-s…
Injecting drug use and HIV in northeast India
The northeast Indian states of Manipur and Nagaland are characterized by longstanding and sometimes violent civil insurgence, tribalism and religious conservatism. A number of conflicts are being played out in these two states between insurgent groups and the Indian military, rival insurgent groups and different tribal groups. This has a profound effect on the daily lives of individuals and communities, and development within the region. The prob…
Some peace of mind
This pilot intervention study demonstrated that a participatory approach to mental health promotion can have a positive impact on the lives of vulnerable women, and the potential to contribute to HIV prevention. Further investigation is warranted
A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
BACKGROUND: Manipur and Nagaland, in the north-east of India, are classified as high prevalence states for HIV, and intravenous drug use is an important route of transmission. Most injecting drug users (IDUs) are men, an estimated 40% are married, and death rates have been high in the last five years, consequently the number of widows of IDUs has increased. Many of these widows and their children are HIV-infected and experience poor health, discr…
Strengthening community mental health competence-A realist informed case study from Dehradun, North India
Few accounts exist of programmes in low- and middle-income countries seeking to strengthen community knowledge and skills in mental health. This case study uses a realist lens to explore how a mental health project in a context with few mental health services, strengthened community mental health competence by increasing community knowledge, creating safer social spaces and engaging partnerships for action. We used predominantly qualitative metho…
Are people-centred mental health services acceptable and feasible in Timor-Leste? A qualitative study
People-centred mental healthcare is an influential concept for health system strengthening and sustainable development that has been developed and promoted primarily in Western contexts. It characterizes service users, families and communities as active participants in health system development. However, we have limited understanding of how well people-centred mental healthcare aligns with the multiplicity of peoples, cultures, languages and cont…
An asymmetric burden
Caring for a family member with a psycho-social disability can be both rewarding and burdensome. This study analyses the experiences of caregivers of people with psychosocial disabilities (PPSDs) in rural communities in North India using relational gender theory. In-depth interviews with 18 female and male caregivers of PPSDs probed the social, emotional and health impacts of their caregiving role. Nine themes were identified that were grouped un…
Social Distance and Community Attitudes Towards People with Psycho-Social Disabilities in Uttarakhand, India
Improving Social Inclusion for Young People Affected by Mental Illness in Uttarakhand, India
Moralising Rhetoric and Imperfect Realities
Exclusive breastfeeding is embedded in National Health Law and Regulation in Indonesia and is vigorously promoted by health workers, breastfeeding counsellors and religious leaders. This article explores the transformation of state legislation into breastfeeding promotions that are imbued with moralising assumptions directed at expectant women, new mothers and their partners. Drawing on an 18-month ethnographic study, the rhetoric of breastfeedin…
Injecting drug use and HIV in northeast India
The northeast Indian states of Manipur and Nagaland are characterized by longstanding and sometimes violent civil insurgence, tribalism and religious conservatism. A number of conflicts are being played out in these two states between insurgent groups and the Indian military, rival insurgent groups and different tribal groups. This has a profound effect on the daily lives of individuals and communities, and development within the region. The prob…
Introducing retractable needles into needle and syringe programmes
A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
BACKGROUND: Manipur and Nagaland, in the north-east of India, are classified as high prevalence states for HIV, and intravenous drug use is an important route of transmission. Most injecting drug users (IDUs) are men, an estimated 40% are married, and death rates have been high in the last five years, consequently the number of widows of IDUs has increased. Many of these widows and their children are HIV-infected and experience poor health, discr…
Vulnerable but feeling safe
HIV prevalence is increasing in China. The proportion of infection attributable to heterosexual sex in China is also on the rise. The scale of internal migration for work is likely to be one of the factors contributing to these changing patterns, but little is known about HIV-related knowledge, perceptions and risk behaviours of China's migrant workers. This study aimed to investigate HIV-related knowledge, attitudes and risk behaviours of male r…
Empowerment of women and mental health promotion
While it is essential that affordable, accessible, appropriate treatments and systems of referral and care are available for people with mental illness in developing country settings, the promotion of mental health by addressing its determinants is another potential strategy for reducing the burden of mental illness for individuals and communities in these settings
Some peace of mind
This pilot intervention study demonstrated that a participatory approach to mental health promotion can have a positive impact on the lives of vulnerable women, and the potential to contribute to HIV prevention. Further investigation is warranted
Pathways to sex-work in Nagaland, India
There are an estimated 1800-3500 sex-workers in Dimapur, the commercial capital of Nagaland, which is the second-highest HIV prevalence state in India. The HIV prevalence among these sex-workers has increased from 4.4% in 2004 to 16.4% in 2006, highlighting their vulnerability. The aim of this study was to contribute to understanding of the pathways to sex-work for women in Nagaland in order to inform the development of effective HIV prevention s…
Community Beliefs About Causes and Risks for Mental Disorders
Background: Explanations for mental disorders in India can be influenced by biomedicine, systems of traditional medicine and supernatural beliefs. Community beliefs about causes of mental distress influence help-seeking behaviours. This study aimed to assess local knowledge and understanding of causes and risks for mental disorders in a rural area of Maharashtra, and to assess the prevalence of possible common mental disorders. Methods: A cross-s…
Injecting drug use and HIV in northeast India
The northeast Indian states of Manipur and Nagaland are characterized by longstanding and sometimes violent civil insurgence, tribalism and religious conservatism. A number of conflicts are being played out in these two states between insurgent groups and the Indian military, rival insurgent groups and different tribal groups. This has a profound effect on the daily lives of individuals and communities, and development within the region. The prob…
HIV risk behaviours among injecting drug users in Northeast India following scale-up of a targeted HIV prevention programme
Despite district-level differences, the results from this BTS study indicate that exposure to HIV prevention services, predominately delivered in this region by NGOs, is associated with a reduced likelihood of engaging in HIV risk behaviours. IDUs using HIV prevention services are more likely to engage in safe injecting and sexual practices, and effort is required to sustain / increase opportunities for IDUs to access these services. These outcom…
Meeting the needs of women who use drugs and alcohol in North-east India – a challenge for HIV prevention services
The expressed health and other service needs of women who use drugs and alcohol in Manipur and Nagaland do not match the services currently provided by HIV prevention NGOs, and this may, in part, account for the relatively poor uptake of these services by women. Strategies and activities that can be implemented by NGOs to strengthen their reach to vulnerable women are identified. However, many of these women's needs are beyond the scope of servic…
Factors associated with history of drug use among female sex workers (FSW) in a high HIV prevalence state of India
Drug-using FSWs were more vulnerable to STIs including HIV compared to their non-drug using peers. Several important factors associated with being an FSW who uses drugs were identified in this study and this knowledge can be used to plan more effectively targeted harm reduction strategies and programs
Falling through the cracks
BACKGROUND: HIV risks for women who inject drugs and those who engage in sex work are well documented. Women who are dependent on non-injecting drugs and alcohol are also likely to have increased vulnerability to HIV infection, but until they actually inject drugs or engage in sex work, are unlikely to come to the attention of HIV prevention programs. METHODS: We undertook a qualitative study involving nine focus group discussions (FGDs) and 27 k…
Exposure to HIV prevention programmes associated with improved condom use and uptake of HIV testing by female sex workers in Nagaland, Northeast India
We found evidence of an increase in condom use and HIV testing, and a strong and consistent association between programme exposure and condom use and HIV testing indicating that NGO HIV prevention programmes have been making a substantial contribution to HIV prevention among FSWs in Dimapur. However, there was no evidence of improved coverage of HIV prevention services, and there is a clear need to expand the reach of services in order for them t…
Undiagnosed HIV among people who inject drugs in Manipur, India
Manipur is a geographically isolated state of India characterised by a high HIV prevalence among people who inject drugs (PWID). A low-to-moderate lifetime rate of HIV testing has been documented amongst PWID in Manipur. Little is known about the extent of undiagnosed HIV in this setting and whether uptake of HIV testing (and knowledge of a positive diagnosis) leads HIV-positive PWID to change their risk behaviours. The cross-sectional data (n = …
Under the banyan tree - exclusion and inclusion of people with mental disorders in rural North India
These findings underline the urgent need for initiatives that increase mental health literacy, access to services and social inclusion of PWMD in North India, and highlight the possibilities of using human rights frameworks in situations of physical and economic violence. The findings also highlight the urgent need to reduce stigma and take actions in policy and at all levels in society to increase inclusion of people with mental distress and dis…
Male-to-male sex among men who inject drugs in Delhi, India
Documenting a long-term development model in the slums of Delhi
BACKGROUND: Achieving development outcomes requires the inclusion of marginalised populations that have the least opportunity to participate in and benefit from development. Slum dwellers often see little of the 'urban advantage', suffering more from infectious diseases, increasing food costs, poor access to education and health care, inadequate water and sanitation, and informal employment. A recent Cochrane Review of the impact of slum upgradin…
Walking Together
Strengthening community mental health competence-A realist informed case study from Dehradun, North India
Few accounts exist of programmes in low- and middle-income countries seeking to strengthen community knowledge and skills in mental health. This case study uses a realist lens to explore how a mental health project in a context with few mental health services, strengthened community mental health competence by increasing community knowledge, creating safer social spaces and engaging partnerships for action. We used predominantly qualitative metho…
Social Distance and Community Attitudes Towards People with Psycho-Social Disabilities in Uttarakhand, India
Moralising Rhetoric and Imperfect Realities
Exclusive breastfeeding is embedded in National Health Law and Regulation in Indonesia and is vigorously promoted by health workers, breastfeeding counsellors and religious leaders. This article explores the transformation of state legislation into breastfeeding promotions that are imbued with moralising assumptions directed at expectant women, new mothers and their partners. Drawing on an 18-month ethnographic study, the rhetoric of breastfeedin…
Promoting social inclusion for young people affected by psycho-social disability in India – a realist evaluation of a pilot intervention
India has 600 million young people, more than any other country in the world. Mental illness is the leading burden of disease for young people, and those affected experience restrictions in social participation that compromise recovery. The aim of this study was to assess the impact of a peer-led, community-based, participatory group intervention on social inclusion and mental health among 142 young people affected by psycho-social disability (PS…
Social inclusion and exclusion of people with mental illness in Timor-Leste
These findings highlight the need to combat social exclusion of people with mental illness and their families by harnessing local Timorese sociocultural strengths. Such an approach could centre around people with mental illness and their families to: increase population mental health awareness; bolster rights-based and culturally-grounded mental health services; and promote inclusive and accessible services and systems across sectors
Adapting the 2015 Mother–Baby Friendly Birth Facility Guidelines for Semi-nomadic Pastoralist Communities in Laikipia and Samburu Counties of Kenya
The final decision is with the patient’
In Indonesia fertility has plateaued for more than a decade. Over the same period Indonesian women have increasingly accessed contraception via the private sector. Our qualitative inquiry into the contraceptive preferences of middle class women in urban Yogyakarta revealed limited interest in and intent to use biomedical and hormonal contraceptive methods. Women’s justifications for their contraceptive choices were complex and manifold: most had …
Medicine (27 works) · Psychiatry (17 works) · Environmental health (16 works) · Public health (15 works) · Nursing (13 works) · Family medicine (12 works) · HIV, Drug Use, Sexual Risk (12 works) · Mental health (12 works) · HIV/AIDS Research and Interventions (11 works) · Psychology (11 works)