Khama Chibwana, Mark Hoelterhoff, Paul Kawale, Cristóbal Guerra, Charles Marley, Action Amos, Paul Mekani, Susannah Johnston, Alinafe Chibwana, Emily P. Taylor, Clara Calia, Corinne Reid
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Exploring Professional and Carer Stakeholder Conceptualizations of Child and Adolescent Mental Health in Malawi Using a Contextual Co-Design Methodology: The Interplay of Pathology, the Supernatural, and a Pathway to Healing
In Malawi, there is a high prevalence of mental disorders in children and adolescents. However, access to specialized care is scarce due to a lack of public policies, resources, and cultural factors. In this context, the aim of this research is to understand how child and adolescent mental health is conceptualized by key stakeholders in Malawi. The participants were 117 stakeholders (59 female and 58 male) involved with children’s mental health from different roles. They participated in workshops, focus groups, and open interviews. The data were processed following the steps of thematic analysis. The results show agreement between the different stakeholders in conceptualizations of child and adolescent mental health in Malawi, where symptoms and signs are not necessarily related to the Western vision, as well as the interaction between natural and supernatural sources in the genesis of mental disorders. Likewise, a pattern of help-seeking is described in which traditional healers stand out over hospitals. Finally, the results allow us to highlight the suggestions made by practitioners, policymakers, community leaders, and academics to improve access to and provision of mental health for children and adolescents in Malawi.
期刊介绍:
Journal of Cross-Cultural Psychology publishes papers that focus on the interrelationships between culture and psychological processes. Submitted manuscripts may report results from either cross-cultural comparative research or results from other types of research concerning the ways in which culture (and related concepts such as ethnicity) affect the thinking and behavior of individuals as well as how individual thought and behavior define and reflect aspects of culture. Review papers and innovative reformulations of cross-cultural theory will also be considered. Studies reporting data from within a single nation should focus on cross-cultural perspective. Empirical studies must be described in sufficient detail to be potentially replicable.