Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-04T03:55:12.801Z Has data issue: false hasContentIssue false

Participation of psychiatric nurses in public and private mental healthcare in Kenya

Published online by Cambridge University Press:  02 January 2018

Victoria Pattison de Menil
Affiliation:
London School of Economics and Political Science, London, UK, email v.p.de-menil@lse.ac.uk
Martin Knapp
Affiliation:
Personal Social Services Research Unit, London School of Economics and Political Science, London, UK, email m.knapp@lse.ac.uk
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

We studied the rate of participation of psychiatric nurses in mental healthcare in Kenya. A simple questionnaire was delivered to 50 nurses attending a mental health meeting of the National Nursing Alliance of Kenya in April 2012. Of the 40 nurses with psychiatric nursing qualifications, 19 worked specifically as psychiatric nurses; among those employed as general nurses, half their case-loads were mental health patients. Ten per cent of psychiatric nurses had run a private clinic (75% of them general clinics) and 15% were doing private locum work alongside salaried employment. Kenya would need to increase the number of psychiatric nurses 20-fold in order to achieve an internationally recommended ratio (for low-income countries) of 12 psychiatric nurses per 100 000. It appears psychiatric nurses are migrating internally to nursing positions in other areas of healthcare, aggravating the ‘brain drain’ in mental health.

Type
Special Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 2015

References

Barnes, J., O'Hanlon, B., Feeley, F. III, et al (2010) Private Health Sector Assessment in Kenya. World Bank.Google Scholar
Chetty, D. & Hoque, M. (2013) Effectiveness of a nurse facilitated cognitive group intervention among mild to moderately depressed women in KwaZulu-Natal, South Africa. African Journal of Psychiatry, 16, 2934.Google Scholar
Jenkins, R., Kydd, R., Mullen, P., et al (2010a) International migration of doctors, and its impact on availability of psychiatrists in low and middle income countries. PLoS One, 5(2), e9049.Google Scholar
Jenkins, R., Kiima, D., Njenga, F., et al (2010b) Integration of mental health into primary care in Kenya. World Psychiatry, 9, 118120.CrossRefGoogle ScholarPubMed
Jenkins, R., Othieno, C., Okeyo, S., et al (2013) Short structured general mental health in service training programme in Kenya improves patient health and social outcomes but not detection of mental health problems – a pragmatic cluster randomised controlled trial. International Journal of Mental Health Systems, 7, 25.Google Scholar
Kakuma, R., Minas, H., van Ginneken, N., et al (2011) Human resources for mental health care: current situation and strategies for action. Lancet, 378, 16541663.Google Scholar
Kiima, D. & Jenkins, R. (2010) Mental health policy in Kenya – an integrated approach to scaling up equitable care for poor populations. International Journal of Mental Health Systems, 4(19), 18.CrossRefGoogle ScholarPubMed
Kohn, R., Saxena, S., Levav, I., et al (2004) The treatment gap in mental health care. Bulletin of the World Health Organization, 82, 858866.Google Scholar
Padmanathan, P. & Newell, J. N. (2012) Retention factors affecting migrant psychiatrists from low- and middle-income countries. International Psychiatry, 9, 1315.Google Scholar
Rakuom, C. (2010) Nursing Human Resources in Kenya: Case Study. International Centre for Human Resources in Nursing & Florence Nightingale International Foundation.Google Scholar
World Health Organization (2011) Mental Health Atlas 2011. WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.