Mental Health Research Training for Improved Health Outcomes in Kenya- An Overview Presenter: Muthoni Mathai Snr Lecturer Dept of Psychiatry SOM/CHS/ UON.

Mental Health Research Training for

Improved Health Outcomes in Kenya- An

Overview Presenter: Muthoni Mathai

Snr Lecturer Dept of Psychiatry SOM/CHS/ UONDate: 13.10.2014

University of Nairobi ISO 9001:2008 1 Certified

http://www.uonbi.ac.ke

Objective

• The objective of this presentation is to:• Welcome you to this Workshop• Give an overview of the of mental health- linked project• Outline the goals and expectations of the workshop

Introduction

• The Mental health research training project is linked to PRIME-K a Medical Education Partnership Initiative Project of the CHS/UON• It is a funded by the National Institute of Mental Health (NIMH), a

Component funding Organization of the National Institute of Health (NIH USA) • It is a Collaboration between University of Nairobi and University of

Washington • 3rd year of implementation

Background Information

• MEPI• PRIME-K

MEPI

MEPI funding

• NIH funded project to non-US medical schools in Africa partnering with US institutions

College of Health Sciences/UON was one of the recipients of the grant (2010) with University of Washington and University of Maryland as partners

Grantees

PRIME- K

• The MEPI Kenya project- PaRtnership for Innovative Medical Education in Kenya (PRIME- K) • Objective: “Strengthening Medical Education for Improved Health

Outcomes in Kenya”.• PI – Prof J. Kiarie (dept Of Obs/Gyn)• http://www.uonbi.ac.ke/projects/pimek/

Background

• Mission: To Improve Health of Kenyans Through Research and Training

Decentralized Partner Institutions

Mbagathi District Hospital

Garissa Provincial General Hospital

Naivasha District Hospital

Coast Provincial General Hospital

Kisii General Hospital

Nyeri Provincial General Hospital

Kakamega Provincial General Hospital

Machakos District Hospital

KituiDistrict Hospital

KaratinaDistrict Hospital

BusiaDistrict Hospital

Medical students- Karatina

Medical students- Kitui

Linked Awards

Follow-up funding opportunities from NIH brought on board 2 more projects• Maternal and Newborn Child Health- MNCH• Mental health Linked award

Mental health research training project• A collaboration between

University of Nairobi and University of Washington

Implementing Schools• School of Medicine (dept of

Psychiatry)• School of Public Health• School of nursing• School of Pharmacy

Collaborating institutions/organisations• MOH- division of Mental health (former)• KNH- Department of mental health PSC/GBVRC/ Youth clinic/CCC• Mathari mental Hospital• NACADA- National Authority for the Campaign against Alcohol and

Drug Abuse• KEMRI• Kenyatta University• Maside Muliro University• SAPTA (Support for Addictions Prevention and Treatment in Africa)

Director of MH at project WS

Organisational structure

Overall objective of project

• Build mental health research capacity in Kenya in order to improve both psychiatric and general health outcomes

Specific Objectives- AIM 1

• AIM 1: Improve mental health research capacity at UON by training faculty- Multidisciplinary

• AIM 2: Training postgraduates in mental health research- multidisciplinary and mentored • Extending to health workers in decentralized sites in year 3

• AIM 3: Establish a mental health research resource centre based at UON and supported by UON and UW faculty

Implementation method

• UON in collaboration with UW organised:1. A two-week grant writing and research methods training workshop

at UON- 1st workshop - 2013- February and 2nd October2. An ongoing face to face and online (email and Skype) research

mentoring3. Seed funding for conducting mental health research4. Membership in an ongoing collaborative thematic research group

Mental health Workshop

Thematic areas

The project has been working on 3 priority areas based on identified mental health needs• Gender based violence/PTSD• Maternal Mental Health and Child Outcomes• Substance use disorders and HIV

Substance abuse and HIV group

• Faculty of UON and UW, students of UON, SAPTA, KNH CCC• Proposal: The outcomes of

“Steps to Healthy Living intervention on patients on ART with AUD• To be Submitted to NIH/NIDA

Gender based violence and Psychotrauma• Base- GBVRC KNH• Faculty of UON and UW & Students- Cl Psychology, Mmed Psych,

MPH• Proposals- Primary intervention in IPV- to be submitted for funding by

SVRI• Proposal- to evaluate services offered at the GBVRC and developing

an intervention- patient tracking to improve uptake and follow-up

Maternal mental health and child health outcomes• Faculty of UON and UW • Also working with department of Paediatrics/ needs support from

Obs/gyn• Students- Cl. Psychology, Mmed Psych & MPH• Proposal- Interpersonal therapy (IPT) and 'Promoting First

relationships' training for intervention in maternal depression• School Mental Health- proposals sent to Grand Challenges Canada

Mental health research support and resource centre • A mental health resource centre has been set up at the department

of Mental Health at KNH. • 5 computers have been procured for the facility, internet, e-learning

materials, books etc

• A fulltime research coordinator to run the centre- George Khamati• A fulltime manager for the project is stationed at the centre- Anne

Mbwayo

Opening of resource centre- October 2013

Summary

We are offering• Collaboration and Support in Mental health research- CHS and at

decentralized sites• Competencies in research methods• Multidisciplinary/ trans-disciplinary• Mentoring and Seed grants for PG students in MH research at CHS• Mentoring and funding small research projects at the decentralized sites• Collaboration in projects that have a psychosocial component• Work with PRIME-K AIM 3 to support research in Mental health at the

decentralized sites

Participants goals and expectations

Workshop goals and expectations

• Strengthening collaboration with Major stakeholders in mental health:• Child health, Maternal Health and Non communicable Diseases• Extend the relevance of research beyond the University settings to

involve Health Workers in the counties- Decentralized PRIME-K sites• Collect baseline data on Mental health priority Areas in Kenya-

multisite study• Each of the participants or groups- will leave this place on Saturday

having written a sound proposal that can go to ethics

Participants Mental health workshop

Acknowledgements

• All members of MH-Linked project UON and UW• Co-PI Deepa Rao (UW)• UON Co- investigators: Margaret Makanyengo, Manasi Kumar, Mary Kuria, Anne Obondo, Violet Kimani, Beatrice Amugune,

David Bukusi, Mirriam Wagoro • UW Co-investigators: Jurgen Unutzer, Ann Vander Stoep, Debra Kaysen, Dennis Donovan, • Prof Kiarie , Prof Machoki and the PRIME- K Team • All the postgraduate students of CHS who have been working with us in this project• Funding / Support: Funding for this work came from the National Institute of Mental Health (NIMH)through award number

4R25MH099132.

• Vision: A world-class university committed to scholarly excellence

The University of Nairobi

University of Nairobi ISO 9001:2008 34 Certified http://www.uonbi.ac.ke