Common mental disorders among those attending primary health clinics and traditional healers in urban Tanzania
- 1 October 2003
- journal article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 183 (4), 349-355
- https://doi.org/10.1192/bjp.183.4.349
Abstract
Background Traditional healers provide a popular and accessible service across the African continent. Little is known of the characteristics or mental health status of those using these services. Aims To determine and compare the prevalence of common mental disorder among, and the characteristics of, those attending primary health care clinics (PHCs) and traditional healer centres (THCs) in Dar-es-Salaam. Method The Clinical Interview Schedule – Revised was used to determine the prevalence of mental disorders in 178 patients from PHCs and 176 from THCs, aged 16–65 years. Results The prevalence of common mental disorders among THC patients (48%) was double that of PHC patients (24%). Being older, Christian, better educated, and divorced, separated or widowed were independently associated with THC attendance. None of these factors explained the excess of mental disorder among THC attenders. Conclusions The high prevalence of mental disorders among THC attenders may reflect the failure of primary health care services adequately to detect and treat these common and disabling disorders. Traditional healers should be involved in planning comprehensive mental health care.Keywords
This publication has 24 references indexed in Scilit:
- The Clinical Interview Schedule – Sinhala version: validation in a community setting in Sri LankaInternational Journal of Methods in Psychiatric Research, 2002
- Poverty, psychological disorder and disability in primary care attenders in Goa, IndiaThe British Journal of Psychiatry, 1998
- Africa South of the Sahara: A Geographical InterpretationThe Geographical Journal, 1997
- The phenomenology and explanatory models of common mental disorder: a study in primary care in Harare, ZimbabwePsychological Medicine, 1995
- Prevalence and treatment of mental disorders and epilepsy in ZanzibarActa Psychiatrica Scandinavica, 1990
- Can collaborative programs between biomedical and African indigenous health practitioners succeed?Social Science & Medicine, 1988
- Psychiatric morbidity and psychosocial background in an outpatient population of a general hospital in western EthiopiaActa Psychiatrica Scandinavica, 1985
- Therapy Managing in BotswanaAustralian & New Zealand Journal of Psychiatry, 1985
- The Frequency of Psychiatric Disorders among Patients Attending Semi-Urban and Rural General Out-Patient Clinics in KenyaThe British Journal of Psychiatry, 1983
- The Prevalence and Clinical Presentation of Psychiatric Illness in a Rural Setting in KenyaThe British Journal of Psychiatry, 1979