Enlightened - My First Week as Media Officer At Gede Foundation

Like every other person, I have my own opinions on just about everything. A lot of times, I'm convinced that I am correct. However, on May 16th 2016, one of the things I felt strongly about, was turned upside down, topsy turvy, completely annihilated. Turns out, mentally ill people are less likely to get violent than members of the general population. Imagine my surprise. This is only one of many things that happened to me during my first week at Gede. 

As I reported for work on the 16th, I was thrown right into meetings. I found out I was not going to be in the office most of the week. There were events I had to attend in Dutse-Alhaji, Mpape and Mararaba, in Nassarawa State. 

My first concern was the need for safety. Imagine this, I am going into the community (not a hospital), a community where mentally ill people will be walking around with no support and no one to put them in a straitjacket should they become ‘unruly’. Naturally, I was concerned for my safety and that of my colleagues so I asked what measures the Foundation has in place, in case a mentally ill patient ‘loses’ it. This is when I learned the aforementioned lesson. 

This was a shock to me. In truth, the media has escalated this notion because when we see a mentally ill person in movies, they are either fighting with someone, struggling to get away or causing some other type of havoc. Therefore, many of us naturally assume we need protection from mentally ill people. Even though I consider myself informed and less likely to stigmatize, this was me stigmatizing mentally ill people. 

The next day, I went out with a few colleagues to Dutse Day Government School for an HIV/AIDS & Reproductive Health Workshop. Not knowing what my place was, and what to expect exactly, I positioned myself at the front of the classroom and settled in, waiting for the workshop to begin. When it started, I was amazed at how much these kids knew about HIV & AIDS. They did not shy away from difficult questions, they did not seem embarrassed by things I’d have been embarrassed at, at their age. It was very refreshing to see kids for once, not focused on social media and the latest music or fashion trends. There was a short test for them where they performed quite well, not at all what I was expecting. 

After the Duste event, I joined the BasicNeeds team for their very first key informant interviews and monthly meetings with the Community Based Volunteers in their two communities. Before I proceed, the BasicNeeds Project in Nigeria, in line with the BasicNeeds (BN) purpose, seeks to enable people with mental illness or epilepsy (PWMIE) and their families to live and work successfully in their communities by combining health, socioeconomic and community orientated solutions with changes in policy, practice and resource allocation. I was privileged enough to attend one of their events this week. The first person to be interviewed was a local pastor at one of the newer churches in Mpape. The man has prayed for over 10 people, 8 of who are working or earning an income. This was immensely inspiring as the pastor, without even knowing, had helped a lot of people in line with what the BasicNeeds project actually stands for. One of the people he was still helping was enrolled at a local community computer school, while the other was inside the church - chained to a pole. Without a doubt, this sight was unsettling. However, after a moment of reflection and discussions, a few questions were raised, what if the young lady was aimlessly wandering the streets, what if she was violent? Admittedly, the situation was not conducive but what was the alternative?

Community Based Volunteers Monthly Meeting, Mpape.

The other challenge, of course, is that he cannot support everyone because he has many other dependents. The other person that we did an interview with was the person in charge at Mararaba Primary Health Care (PHC). There is a lot that the PHC does not have that is necessary to cater for someone who is mentally ill. They encouraged that instead, the patients visit the Federal Medical Center (FMC). 

It was very refreshing to know that there are scores of people that are willing to assist, they just don’t know how. There are also various cases that the BasicNeeds project does not cover at the moment; these are mental development cases, such as, cerebral palsy, downs syndrome, etc. Mental illness can affect anyone, in fact, after my week at Gede, I want to say almost everyone has some form of mental illness they may be battling with but don’t even know at all. When we think of health, we tend to only think of our physical health, but as the World Health Organization has so often and eloquently put it, there is no health without mental health.

~Zunzika Thole-Okpo

Media Officer

Gede Conducts HIV/AIDS & Reproductive Health Workshop for Secondary School Students  At Dutsen Government Day School, 17th May, 2016.  

Young people are particularly at risk of HIV infection, especially, those who may be sexually active.

Gede’s OVC Programme includes prevention activities that help young people to acquire basic knowledge about their sexuality, as it relates to infectious diseases and which is culturally appropriate. The workshop, aimed at sustaining an intervention (awareness raising) focused on developing ways in which HIV and other sexually-related infections could be prevented among young people. At the workshop, knowledge attitude and practice were assessed among 40 participants from different classes through interactive sessions. In particular, myths and preconceptions regarding sexuality were clarified at various sessions.

During the question and answer session

The Students demonstrated adequate levels of knowledge about HIV transmission, prevention and treatment (although usually rather elementary in nature) and were guided through the various sessions by trained and qualified facilitators. At the end, participants agreed to be more committed in strengthening the already existing anti-AIDS club in the school to be more effective in order to create the necessary impact among all the Students in the school and within local communities.

Students were left with one question: How can I be a change agent? Hopefully, this question will help the students to think, not only about themselves, but about their immediate communities and further. Furthermore, one can only hope that this question will leave them thirsty for more information and spread it as much as they can because "in vain have you acquired knowledge if you have not imparted it to others’ Deuteronomy Rabbah.

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GEDE attends McGill Summer Program

The McGill Summer Program on Social and Cultural Psychiatry is organized by the Institute of Transcultural Psychiatry at McGill University in Montreal, Quebec, Canada to provide the conceptual background for research and clinical work in social and cultural psychiatry to postdoctoral trainees, researches, and clinicians in psychiatry and other mental health disciplines, physicians, psychologists, social workers, and graduate students. On its 22nd year this year, the Summer Program forms part of the training activities of the Montreal WHO Collaborating Centre and is endorsed by the Canadian Academy of Psychiatric Epidemiology.

                                     

Dr. Cynthia Ticao, Performance Director for Research and Advocacy, is attending two courses and one workshop at the Summer Program: Research Methods in Social and Cultural Psychiatry, the McGill Illness Narrative (MINI), Cultural Psychiatry, and Global Mental Health Research. When she returns to Nigeria in June, Dr. Ticao will share the skills she learned with local researchers and Gede staff.

 

Baseline Situation Assessment Study for Community Mental Health

In order to involve the community and end users fully into the implementation of Gede’s Community Mental Health Project, a number of participatory data collection activities will be conducted for baseline information gathering.

Gede concluded one of these activities through focus group discussions (FDGs) in the two project locations recently.

Participants, including users and carers within Mpape (6) and Mararaba (26), helped in gathering data around questions of health status, treatment, current capacity to work and sources of livelihood. 

From responses received during the FDGs, people are more willing to (or perhaps able to) come out to support cases of epilepsy and drug abuse. As for cases less likely to be manageable in such meeting settings, they were represented by their carers who seem to be genuinely seeking help for them.  Women also seem to be more willing to admit they really have mental health challenges and need help. While substance abuse, especially in Mararaba, seem to be a problem more associated with the young males. Most of the users (and their carers) have sought treatment from the hospitals but usually complement this treatment with traditional and faith based service providers.

Most respondents are unaware of the treatment pathways in Abuja and Nasarawa State and therefore resort in seeking treatment at health facilities far from their homes.

 

The barriers so far created by stigma and discrimination in seeking healthcare from those with mental illness will be reduced through the engagement of users and carers in discussions at different levels of the project.

 

Participants expressed appreciation for the opportunity to share their experiences and burdens. They also promised to play their part in making sure that the project succeeds in improving their situation and creating a better community.

 

Mental illness and young women

Gede Foundation participated and led a technical session on ‘mental illness and young women’ in an event organized by She Leads Africa-a community that helps young African women achieve their professional dreams through workshops and seminars planned across African Countries and in the US.

Fifty eight women in their various careers from Nigeria and other Countries participated and learnt a) the part played by gender in mental illness, b) factors affecting mental illness in women, c) post partum mental illnesses, and, d) post natal depression of mild to moderate severity and the symptoms associated with all the conditions.

Dr Hadiza Audu, a Consultant Psychiatrist from Behavorial Medicine Unit in Karu Hospital (a strong supporter of Gede’s mental health initiative) led this technical session with clinical experiences and some documented publications that were shared.

The event, which took place on May 1 2016, at Jabi Lake Mall in Abuja exposed participants to other health challenges faced by young women and ways in which they could be controlled. The next event is scheduled to hold in June in the US.
Young women are predisposed to conditions that can trigger mental illness and this platform will enable them to know the steps to take as they make informed decisions about their lives.
You can learn more about the She Leads African through https://www.facebook.com/sheleadsafrica

Gede conducts Field Consultations on its Community Mental Health Development Programme

Community based mental health is one of the approaches in which low and middle income countries can adopt to eliminate many barriers in the treatment and care forpeople with mental illness and epilepsy.

As regular readers will know, Gede is currently a BasicNeeds Franchisee and is implementing a project aimed at supporting communities and families to access quality services for mental health conditions through community mental health with hospital support.

One component in the Model is Field Consultation, which will allow all stakeholders to make contributions within the initial phase of the Project.

Two days of activities took place within this week in Mpape and Mararaba communities. Users, Carers and other Stakeholders in these communities met in different groups to discuss ‘my world’, ‘my needs’ and ‘what next?’ –all of which are controlled sessions to address vital points within the groups.

People suffering from mental illnesses and epilepsy (with their Carers) participated actively in the different sessions.

With the enthusiasm that is perceived within the various groups, there is a consensus within participants that the formation of self-help groups will be pivotal in addressing stigma and discrimination that are associated with mental illness and epilepsy.

Watch this space for more update on the Project.

 

GEDE AND mhNOW

Gede has lent its voice to mhNOW (http://www.mhnow.net/) whose formation was recently announced at the World Bank/WHO mental health meetings in Washington DC. mhNOW is the brainchild of Chris Underhill (Founder of BasicNeeds) and Moltreyee Sinha (based at the Global Development Incubator) and seeks to make a genuine difference to people living with mental illness through –

VISION
All people have access to mental health support, are accepted in their communities, and are able to live fulfilling lives
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MISSION
mhNow mobilizes community leaders across sectors to scale up holistic and effective approaches for mental health
Our goal is to create and employ tools on a global level that can be adopted and replicated by local city leaders so that they are able to bring best practices in mental health to their own communities.
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GUIDING PRINCIPLES
• Evidence-based solutions to dramatically improve mental health already exist but require proactive promotion
• Community leadership can be mobilized to create the link between vulnerable population and mental health support networks
• Action happens at local level
• Cross-sectoral approaches that integrate economic, socio-cultural and human elements to address root causes and build healthy communities
• Entrepreneurs are the engines for impact and can lead to large-scale sustainable change when connected and supported by the public and private sectors


Gede is delighted to be part of this forward thinking and innovative organisation and is especially excited about the prospect of engaging leaders across the spectrum in order to leverage their capacities for the benefit of those living with mental illness in Nigeria