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MENTAL HEALTH IN DEVELOPING COUNTRIES

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ABSTRACT
The purpose of this thesis was to explore more about mental health and mental health nursing plus education in developing countries with more emphasis on Africa. The aim is to find out how mental health teaching can be promoted in developing countries and how to assist people with mental illness, have more productive and autonomous lifestyles since it is ignored. The thesis was carried out using the literature review methodology. The authors used electronic search engines available at the Turku university of applied sciences website (Finna) and other search engines like Academic Search Elite (EBSCO), Cinahl complete, Cumulative Index to Nursing and Allied Health Literature, SAGE publications and E-Library. WHO Software used RefWorks for bibliography and for importing references. The other articles and journals used were the World Health Organisation (WHO 2016), psychiatric-mental health nursing education (PMHNE) programs that mainly focused on Botswana and Nigeria. Mental illness cases are linked to imbalances of neural transmitters in the brain, Traumatic Brain Injury (TBI) in certain parts of the socioeconomic factors like disease, political instability, violence and any other kind of addiction. The results show that there are poorly enacted policies directed towards mental health education by the policy makers in the various African countries. Secondly, the funds that are meant to be invested in the education of mental health in the various countries are not sufficient enough. Because of this, education for nurses is still poor.



TABLE OF CONTENTS
1.INTRODUCTION
2.THEORETICAL FRAMEWORK
2.1.      Mental health
2.2.      Developing country
2.3.Mental health education for nurses
3.PURPOSE AND RESEARCH QUESTIONS
4. RESEARCH METHODOLOGY
4.1.      Literature review
4.2.Database Search
4.3.Exclusion and Inclusion Criteria
4.4. Data Collection
4.5. Data analysis
5. RESULTS
5.1. State of mental health
5.2. Promoting Mental Health teaching
6. ETHICS AND VALIDITY
6.1.Honesty
6.2.Objectivity
6.3.Direct quotations
7. DISCUSSION
8. CONCLUSION

9. REFERENCES 


1. INTRODUCTION
Mental health promotion is frequently overlooked as an integral part of health promotion since its one of the most complex and demanding areas of nursing in developing countries. At least one in three people is thought to suffer some form of mental health problem. (Jenkins ym 2011.) Among most people, mental illness is as a result of the crisis they suffer in life or in the day to day experiences which they can't cope with (Seedat ym 2008). There is quite a wide range of mental health conditions in developing countries, these include:- neuroses, psychoses, psychological and personality disorders, political instabilities effects like after war trauma, eating disorders and substance misuse (Barley ym 2016).
Modern mental health nursing requires a lot of knowledge, experience and competence, in developing countries. Nurses need effective communication skills, a caring and compassionate nature as well as respect for the dignity and safety of others. Even though in developing countries they take dignity as important as possible, it is the opposite for mental health patients in some countries. (Adejumo et al 2001, 223.)
Mental health is generally described as a situation where individuals discover their ability, can perform normal daily tasks in a productive manner, and they are able to make positive changes to the communities they live in and their surroundings (WHO 2001a, 1).
It is of great concern that in practice, mental health promotion is frequently overlooked in health promotion programs especially in developing countries, although the World Health Organisation defines mental health as an integral part of health. It is suggested that more attention should be given to addressing the determinants of mental health in terms of protective and risk factors for both physical and mental conditions among individuals, particularly in developing countries. (WHO 2005.)



2.THEORETICAL FRAMEWORK
2.1Mental health
The World Health Organization (WHO) defines health as “a state of complete physical, mental and social wellbeing and not merely the absence of disease of infirmity” (WHO 2001, 1). The World Health Organisation further defines health promotion as “actions that support people to adopt and maintain healthy lifestyles and which create supportive living conditions or environments for health (WHO 2005).
Mental health is also defined as a state of well-being where an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to contribute to his or her own community (Lal ym 2014).
Other definitions of mental health refer to the individual's subjective feelings of well-being, optimism and mastery, the concepts of ‘resilience’ or the ability to deal with adversity, and the capacity to be able to form and maintain meaningful relationships(Jansen ym 2015).
2.2.Developing countries
A developing country can also be referred to as a Less Developed Country (LDC) or an under developed country. There are a series of definitions for a developing country though there are no agreed criteria used to define the above. This is usually a country with an industrial base that is developing at a gradual rate. The Human Development Index (HDI) is low as is compared to other countries. These countries are usually in the process of transformation from their old traditional lifestyles moving towards the modern lifestyle that began in the 18th and 19th century as a result of the industrial revolution.
A developing country is often characterized by having people with a lower life expectancy rate, the education levels and literacy rates are low, and people’s income levels are very low usually below the poverty line.

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