Contextualization and adaptation of the child and adolescent mental and behavioural disorders module of the mhGAP-IG in Kilifi and Nairobi counties in Kenya
Bibliographic Data
| ID | 7148980 |
|---|---|
| Authors | Beatrice Mkubwa (0000-0002-2058-3325, Aga Khan University Nairobi, corresponding author), Vibian Angwenyi (0000-0002-7554-6265, Aga Khan University Nairobi), Laura Pacione (0000-0002-6290-7412, World Health Organization - Pakistan), Brenda Nzioka, Brenda Mumbua Nzioka (Aga Khan University Nairobi), Maina John (Aga Khan University Nairobi), Nuru Kibirige (Moving the GoalPosts), Judy Gichuki (0000-0003-2519-6225, Kenya School of Government), Charles R Newton (0000-0002-6999-5507, Kenya Medical Research Institute), Marit Sijbrandij (0000-0001-5430-9810, Vrije Universiteit Amsterdam), A Abubakar (0000-0002-3686-7904, Kenya Medical Research Institute) |
| Year | 2025 |
| Volume | 12 |
| Pages | e92-e92 |
| Publication date | 2025-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Cambridge Prisms Global Mental Health (JOURNAL) |
| Journal identifiers | ISSN: 2054-4251 • E-ISSN: 2054-4251 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/gmh.2025.10049 |
| PMID | 40895821 |
| OpenAlex | W4413035349 |
| Language | EN |
| References cited | 32 |
The Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) was developed by the World Health Organization as a key tool for delivering evidence-based mental healthcare in non-specialized settings. The mhGAP-IG requires contextualization and adaptation to ensure local relevance. However, evidence on adapting the Child and Adolescent Mental Disorders (CMH) module of the mhGAP-IG is limited. This study contextualized and adapted the 2016 mhGAP-IG CMH module through two workshops with local mental health experts and stakeholders, preceded by six in-depth interviews exploring the child and adolescent mental health contexts in Nairobi and Kilifi. Data were analysed in NVivo-Lumivero© software. Interviews with mental health stakeholders revealed significant challenges in both counties, including a shortage of mental health specialists, frequent medication stockouts, stigma and inadequate resources. Key adaptations to the module included using locally acceptable terms (e.g., replacing ‘failure to thrive’ with ‘suboptimal growth’); expanding training to five days; adding the mhGAP-IG Essential Care and Practice module to address culturally sensitive communication in mental healthcare provision; streamlining referral pathways; and incorporating aspects of self-harm/suicide and substance use linked to the CMH module content. Contextualizing the CMH module is crucial for effective implementation, but sustaining impact will require addressing systemic barriers beyond capacity-building
Child and adolescent psychiatry · Contextualization · Linguistics · Mental health · Psychiatry · Child and Adolescent Psychosocial and Emotional Development · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mental Health Treatment and Access · Neuroscience · Philosophy · Psychology
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| Highly cited | No |
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