Evidence map›Paper›PMID 31467591›Full record

ArticleInternational journal of culture and mental health2018

Closing the Mental Health Treatment Gap through the Collaboration of Traditional and Western Medicine in Liberia.

Augusta R Herman, Samuel J Pullen, Brittany C L Lange, Nicole Christian-Brathwaite, Melissa Ulloa, Michael Kempeh, Dyujay Karnga, Dorothy Johnson, Benjamin Harris, David C Henderson and 1 more

Abstract read
In one paragraph

Article in International journal of culture and mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Augusta R HermanBoston University School of Public Health, 715 Albany St, Boston, MA 02118, (617) 638-4640.
Samuel J PullenDepartment of Psychiatry and Behavioral Health, St. Luke's Health System, 190 E Bannock St, Boise, ID 83712, (208) 381-2222.
Brittany C L LangeBoston University School of Public Health, 715 Albany St, Boston, MA 02118, (617) 638-4640.
Nicole Christian-BrathwaiteRiverside Community Care, 270 Bridge St #301, Dedham, MA 02026, (781) 329-0909.
Melissa UlloaNew York University Steinhardt School of Culture, Education and Human Development, 82 Washington Square E, New York, NY 10003, (212) 998-4500.
Michael KempehA.M. Dogliotti College of Medicine, University of Liberia, Monrovia, Liberia, College of Medicine, University of Liberia, Monrovia, Liberia, West Africa, +231 88 639 8593.
Dyujay KarngaA.M. Dogliotti College of Medicine, University of Liberia, Monrovia, Liberia, College of Medicine, University of Liberia, Monrovia, Liberia, West Africa, +231 88 639 8593.
Dorothy JohnsonChrist Jubilee International Ministries, 101 Smith St, Lowell, MA 01851, (978) 452-9976.
Benjamin HarrisA.M. Dogliotti College of Medicine, University of Liberia, Monrovia, Liberia, College of Medicine, University of Liberia, Monrovia, Liberia, West Africa, +231 88 639 8593.
David C HendersonDepartment of Psychiatry, Boston Medical Center, Boston University School of Medicine, 720 Harrison Avenue, Suite #1150 Boston, MA 02118, (617) 414-1915.
Christina P C BorbaDepartment of Psychiatry, Boston Medical Center, Boston University School of Medicine, 720 Harrison Avenue, Suite #1150 Boston, MA 02118, (617) 414-1915.

Funding

Epidemiological and socio-cultural landscape of schizophrenia in rural EthiopiaK01MH100428 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BORBA, CHRISTINA PAULA CABRAL · 2014 to 2018
$903k
NIMH NIH HHS K01 MH100428
6 · The paper itself

Abstract

Liberians have experienced significant psychological trauma following fourteen years of violent civil war and the 2014-2015 Ebola epidemic, but there are only two psychiatrists for the entire population. However, many traditional healers commonly treat mental health-related illnesses throughout the country. This paper examines the potential for collaboration between traditional and Western medicine to close the mental health treatment gap in Liberia. We conducted 35 semi-structured qualitative interviews with Liberian traditional healers and utilizers of traditional medicine asking questions about common health problems, treatments, beliefs, and personal preferences. Participants discussed cultural attitudes, beliefs, and structural factors that may influence collaboration between traditional and Western medicine. Healers expressed willingness to collaborate in order to strengthen their skills, though realized Western physicians were hesitant to collaborate. Additionally, Liberians believed in both medical traditions, though preferred Western medicine. Finally, structural factors such as geographic distance and financial barriers made traditional medicine more accessible than Western medicine. Traditional healers and utilizers support collaboration as evidenced by their perceptions of cultural attitudes, beliefs, and structural factors within the Liberian context. With Liberia's overwhelming mental illness burden, collaboration between traditional healers and Western medicine physicians offers a solution to the treatment gap in Liberian mental health care.

Indexed as

collaborationLiberiamental healthtraditional medicinetreatment gap

Identifiers

PMID31467591
PMCPMC6715311

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.