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    Voices from the Youth in Kenya Addressing Mental Health Gaps and Recommendations

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    Author
    Memiah, Peter
    Wagner, Fernando A.
    Kimathi, Robert
    Anyango, Naomi Idah
    Kiogora, Samuel
    Waruinge, Stella
    Kiruthi, Faith
    Mwavua, Shillah
    Kithinji, Celina
    Agache, Jeremiah Okuto
    Mangwana, Wincolyne
    Merci, Niyibeshaho Marie
    Ayuma, Leonidah
    Muhula, Samuel
    Opanga, Yvonne
    Nyambura, Maureen
    Ikahu, Annrita
    Otiso, Lillian
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    Date
    2022-05-01
    Journal
    International Journal of Environmental Research and Public Health
    Publisher
    MDPI AG
    Type
    Article
    
    Metadata
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    See at
    https://doi.org/10.3390/ijerph19095366
    Abstract
    Studies including adolescents and young people (AYP) enhance the relevance of research results, benefit stakeholders, and inform future research. There exists a mental health gap in services for AYP living in low and middle-income countries. This study aims to identify mental health challenges faced by adolescents and young people in Kenya, develop practical recommendations to mitigate these issues, and reduce the mental health burden among this population. We convened an AYP-led meeting that involved 41 participants. The meeting objectives were to (1) identify efforts to support existing national and regional strategic priorities and review goals for addressing mental health needs among AYPs, (2) develop immediate action plans for strengthened mental health services, (3) review and strengthen country-level coordination mechanisms, and (4) identify how participating county experiences can inform mental health services in Kenya. Ministry of Health (MoH) officials from national and county levels, academic experts, and implementing partner agencies involved in mental health services participated in the meeting. The team, including AYP representatives, identified various mental health challenges among the AYA and recommended interventions aimed towards improving their mental health situation in the country. The challenges were clustered into three themes and comprehensively reviewed to establish the precipitating factors to mental health outcomes among AYPs in Kenya and provide recommendations. The themes included (1) legislative, (2) service provider/Ministry of Health, and (3) adolescent/individual-level factors. To bridge the mental health gap in the country and scale up mental health outcomes, the stakeholders recommended interventions within the context of the three clusters. The key suggestions included an increase in insurance financing, acceleration of community health interventions, the establishment of adolescent-friendly spaces, the training of adolescent youth champions, interactive service provision models, implementation of the existing mental health policies and structures, the development of comprehensive assessment tools, well equipped mental health departments in health facilities, the enhancement of telehealth services and digital villages, the mobilization of a functional mental health response team, and the development of a mental health database. © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).
    Sponsors
    University of Maryland, Baltimore County
    Keyword
    adolescents and young people
    digital health
    mental health
    Ministry of Health (MoH)
    participatory research
    Youth Advisory Champions for Health (YACH)
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18816
    ae974a485f413a2113503eed53cd6c53
    10.3390/ijerph19095366
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