Evidence map›Paper›PMID 38029442›Full record

ReviewBJPsych international2023

Pathways to care for psychosis in Malawi.

Demoubly Kokota, Robert C Stewart, Chiwoza Bandawe, Genesis Chorwe-Sungani, Olive Liwimbi, Charles Masulani Mwale, Kazione Kulisewa, Michael Udedi, Saulos Gondwe, Anthony Sefasi and 3 more

Abstract readReview
In one paragraph

Review in BJPsych international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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

13 authors.

Demoubly KokotaPostdoctoral Fellow, Division of Psychiatry, University of Edinburgh, Edinburgh, UK. Email: dkokota@gmail.com.
Robert C StewartSenior Clinical Research Fellow, Division of Psychiatry, University of Edinburgh, Scotland.
Chiwoza BandaweProfessor of Clinical Psychology, Department of Psychiatry and Mental Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Genesis Chorwe-SunganiAssociate Professor, Mental Health Nursing, Department of Psychiatry and Mental Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Olive LiwimbiConsultant Psychiatrist, Zomba Mental Hospital, Zomba, Malawi.
Charles Masulani MwaleDirector of Services, Saint John of God Hospitaller Services, Mzuzu, Malawi.
Kazione KulisewaConsultant Psychiatrist, Department of Psychiatry and Mental Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Michael UdediMental Health Desk Officer, NCDs & Mental Health Unit, Ministry of Health, Lilongwe, Malawi.ORCID https://orcid.org/0000-0001-8769-4313
Saulos GondweConsultant Psychiatrist, Saint John of God Hospitaller Services, Lilongwe, Malawi.
Anthony SefasiHead Mental Health Nursing, Department of Psychiatry and Mental Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Richard BandaMental Health Clinical Officer, Saint John of God Hospitaller Services, Mzuzu, Malawi.
Thandiwe MkandawireClinical Social Worker, Mental Health Users and Carers Association, Blantyre, Malawi.
Stephen M LawrieProfessor of Psychiatry, Division of Psychiatry, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-2444-5675

Funding

Medical Research Council MR/S035818/1Wellcome Trust
6 · The paper itself

Abstract

People with psychosis in Malawi have very limited access to timely assessment and evidence-based care, leading to a long duration of untreated psychosis and persistent disability. Most people with psychosis in the country consult traditional or religious healers. Stigmatising attitudes are common and services have limited capacity, particularly in rural areas. This paper, focusing on pathways to care for psychosis in Malawi, is based on the Wellcome Trust Psychosis Flagship Report on the Landscape of Mental Health Services for Psychosis in Malawi. Its purpose is to inform Psychosis Recovery Orientation in Malawi by Improving Services and Engagement (PROMISE), a longitudinal study that aims to build on existing services to develop sustainable psychosis detection systems and management pathways to promote recovery.

Indexed as

community mental health teamsmental health servicesPsychotic disorders/schizophreniatraditional healerstranscultural psychiatry

Identifiers

PMID38029442
PMCPMC10659844

What OpenQuestion holds

Textmetadata
LicenceCC BY-ND
Read underepoch 390

Registered trials

None linked

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.