Presenting Author(s) Names: Jadah Johnson, Jordan Li, and Susan Poon
Co-Author(s) Names: Dr. Suzanne Black, Dr. E. Charles, Dr. R. Grimminck, Dr. K. Hauli, Dr. K. Fitch, Dr. R. Watterson, Dr. K. Williams, Dr. Roy Turner, Dr. S. Mohan, and Dr. M. Mwita
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Patel, V., Chisholm, D., Parikh, R., Charlson, F., Degenhardt, L., Dua, T., Ferrari, A., Hyman, S., Laxminarayan, R., Leevin, C., Lund, C., Medina, M., Petersen, I., Scott, J., Shidhaye, R., Vijayakumar, L., Thornicroft, G., & Whiteford, H. (2014). Addressing the burden of mental, neurological and substance use disorders: key messages form disease control priorities, 3r edition. Lancet, 387(10028), 1672-1685.
PLOS Medicine Editors (2013). The Paradox of Mental Health: Over-Treatment and Under- Recognition. PLoS Medicine, 10(5), e1001456.doi:10.1371/journal.pmed.1001456
Background: A psychiatry curriculum was developed for medical students in Mwanza, Tanzania. The two-weeks of teaching was a mixture of didactic lectures, small groups, and review sessions. The intervention was developed based on pedagogy from Canadian undergraduate curriculum, with input from Tanzanian faculty. A process evaluation was done to determine best practices. Study Objectives: 1.) To understand the advantages and barriers to implementation; 2.) To measure the level of satisfaction by those who participated; and 3.) To explore what skills and knowledge are needed for mental health practice. Methods: This study was a cross-sectional design using qualitative and quantitative data collection. Focus groups and surveys were collected from medical students. Stakeholder interviews were collected from faculty. Qualitative data was analyzed using thematic analysis and quantitative using descriptive and frequency distribution. Results: Students appreciated the friendly teacher-student relationship and diverse engaging teaching methods such as small groups and audiovisual materials. Suggestions included increasing review and audiovisual material, cultural and clinical relevance, and culturally acceptable methods of asking questions. Survey results pointed to ways to improve education delivery. Stakeholders identified stigma and poor understanding of the etiology of mental health disorders as huge barriers for the treatment of patients. Discussion: Studies show there is poor knowledge of mental illness and under-prioritization within the health care system which is consistent with themes expressed. Consistent with the literature, both education and exposure reduces stigma. Conclusion: Continued quality improvement is needed to ensure interventions are effective at increasing knowledge and reducing stigma.