Shibre mental health research in ethiopia

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<ul><li> 1. Conducting Mental Health Researches in Africa: Challenges and opportunitiesExperience from Ethiopia<br />Teshome Shibre <br />Department of Psychiatry, School of Medicine, College of Health Sciences, AAU and Zewditu Memorial Hospital, FMoH<br /></li></ul> <p> 2. Presentation outline<br />Brief background about mental health researches in Ethiopia<br />Challenges of conducting MH research<br />Opportunities to conduct MH research in low income countries, Ethiopian experience <br /> 3. Top 10subject areas published in biomedical journals (Shibre 2009, unpublished)<br /> 4. MH researches before 1990 <br />Clinical and community based studies, instrument validation studies (R. Giel, F. Kortman, F. Workneh)<br />Suicide and DSH studies (,L. Jacobsson, A. Bekrey)<br />Suicide (A. Alem, Kebede, Desta, Araya)<br />Studies among Children and adolescents (Tafari)<br /> 5. Transition<br /> 6. Advance in Mental Health Research after 1990<br />Internal &amp; External collaboration for research and capacity building<br />International grants (SMRI, SIDA/SARCE)<br />TAAPP collaboration<br />Epidemiological studies<br />External grant<br />Validation of research tools<br />SRQ , CIDI, DICA, IPDE, SCAN, SF-36<br />Use of innovative case detection methods (e.g. KI)<br /> 7. Focus of post-1990 researches<br />Butajira Study<br />Psychotic disorders (Schizophrenia and other psychotic disorders, and bipolar disorder)<br />Suicide <br />Epilepsy<br />Alcohol and Khat<br />Focus on special population<br />Disorders in children<br />Depression<br /> 8. Focus of the Butajira study<br />Prevalence of priority disorders including maternal depression both in Butajira and other population groups <br />Course and outcome of priority disorders<br />Impact of priority disorders<br />Studies on special(population )<br /> 9. Reports on priority disorders: prevalence<br />-Tadesse B, Kebede D, Tegegne T, Alem A. Childhood behavioural disorders in Ambo district, Western Ethiopia. I. Prevalence estimates. Acta Psychiatrica Scandinavica 1999; 100:92-97 <br /> 10. Service utlisation data<br />For those with schizophrenia and bipolar disorder: proportion who have ever received psychiatric treatment is &lt; 10%<br />(Kebede et al 2003; Negash et al 2005)<br />For those with some depressive symptoms: proportion who attend for general medical attention because of these symptoms: ~40%-80% (Fekadu et al 2007 and 2008)<br /> 11. Impact of disorders<br /></p> <ul><li>Described course and outcome (Kebede 2003, Alem 2009) </li></ul> <p> 12. High level of unemployed and unmarried among those with schizophrenia 13. Level of general day to day disability very high 14. High level of stigmaperceived by family (Shibre et al 2003) and perceived by patients(Assefa et al 2010, unpublished) 15. High level of family burden (Shibre et al 2003) 16. High level of economic burden (Zergaw et al 2009)</p>


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