Evidence map›Paper›PMID 41706802›Full record

ArticlePloS one2026

Mapping potential community resources and care pathways for earlier identification and recovery-oriented intervention for people with psychosis in Addis Ababa, Ethiopia.

Mekonnen Tsehay, Teshome Shibre Kelkile, Wubalem Fekadu, Alex Cohen, Eleni Misganaw, Charlotte Hanlon

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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mekonnen TsehayDepartment of Psychiatry and WHO Collaborating Centre for Mental Health Research and Capacity-Building, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.ORCID 0000-0002-7652-5212
Teshome Shibre KelkileDepartment of Psychiatry and WHO Collaborating Centre for Mental Health Research and Capacity-Building, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Wubalem FekaduDepartment of Psychiatry and WHO Collaborating Centre for Mental Health Research and Capacity-Building, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.ORCID 0000-0001-7418-4955
Alex CohenDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Eleni MisganawMental Health Service Users Association, Addis Ababa Ethiopia.
Charlotte HanlonDepartment of Psychiatry and WHO Collaborating Centre for Mental Health Research and Capacity-Building, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Funding

Wellcome Trust 222154/Z20/Z
6 · The paper itself

Abstract

backgroundThere is a pressing need to reduce the long duration of untreated illness and improve care and outcomes for people with psychosis in Ethiopia. This study aimed to map community resources that have the potential to be leveraged to achieve earlier and more recovery-oriented interventions for people with psychosis in Addis Ababa, Ethiopia.

methodA strength-based resource mapping exercise was undertaken in two sub-cities, covering an estimated population of half a million people. We identified the types of resources to be mapped, based on their importance for multi-sectoral care in mental health: healthcare facilities, religious organisations, traditional and faith healers, non-governmental organisations (NGOs), and social/community organisations. The lead investigator traversed the study sites to gather information on community resources, recorded the Global Positioning System (GPS) coordinates of the resources, and consulted with key informants. The information obtained was complemented by a participatory Theory of Change workshop attended by 30 stakeholders.

resultsWe identified 124 health facilities, of which only 16 health centres and nine hospitals currently provide mental health services. We identified three registered traditional healers, 38 religious organisations, 104 non-governmental organisations, and other charitable/community-based organisations. In addition, three health facilities, six holy water religious healing sites, and four traditional healers were identified as out-of-site resources that were popular and frequently visited by people living in the sub-cities. The two sub-cities also had six feeding centres each providing meals for 1000 people in need. There were extensive networks of social organisations and community-based associations. Existing care pathways are complex but commonly include traditional and religious healing sites as places of first contact.

conclusionsWe identified important available resources that provide a wealth of opportunities for improving the early identification and outcomes of people with psychosis.

Indexed as

Health ResourcesMental Health ServicesPsychotic DisordersCitiesCommunity ParticipationEarly DiagnosisEthiopiaFaith HealingFemaleHumansMaleStakeholder ParticipationTraditional Medicine Practitioners

Identifiers

PMID41706802
PMCPMC12915982

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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.