"If I tell you my problems, how will you perceive me?": A qualitative study of mental health knowledge, barriers, and opportunities for care among Kenyan adolescents during COVID-19

Vincent Nyongesa, Department of Psychiatry, University of Nairobi, Nairobi, Kenya.
Joseph Kathono, Department of Preventive and Promotive Health, Nairobi County Government, Nairobi, Kenya.
Shillah Mwavua, Department of Preventive and Promotive Health, Nairobi County Government, Nairobi, Kenya.
Darius Nyamai, Nairobi County Government, Nairobi, Kenya.
Obadia Yator, University of Nairobi Infectious and Tropical Disease (UNITID), University of Nairobi, Nairobi, Kenya.
Ian Kanyanya, Department of Mental Health, Kenyatta National Hospital, Nairobi, Kenya.
Nabila Amin, Mathari National Teaching and Referral Hospital, Nairobi, Kenya.
Simon Njuguna, Mathari National Teaching and Referral Hospital, Nairobi, Kenya.
Jill Ahs, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Brandon Kohrt, Department of Psychiatry and Behavioral Health, Center for Global Mental Health Equity, The George Washington University, Washington, DC, United States of America.
Bruce Chorpita, University of California, Los Angeles, California, United States of America.
Beatrice Madeghe, University of Nairobi Infectious and Tropical Disease (UNITID), University of Nairobi, Nairobi, Kenya.
Priscilla Idele, Data and Analytics Branch United Nations Population Fund (UNFPA), New York, New York, United States of America.
Liliana Carvajal Velez, Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Manasi Kumar, Institute for Excellence in Health Equity, New York University School of Medicine, New York, New York, United States of America.

Document Type

Journal Article

Publication Date

1-1-2025

Journal

PloS one

Volume

20

Issue

5

DOI

10.1371/journal.pone.0323907

Abstract

INTRODUCTION: The majority of the world's adolescents live in low-and middle-income countries (LMICs). However, there is a dearth of knowledge about adolescents' perspectives on mental health and sources of distress there. Therefore, a qualitative study of adolescents' and caregivers' beliefs and experiences related to mental illness was conducted in Nairobi, Kenya. MATERIALS AND METHODS: Six focus group discussions were conducted with 46 participants at two peri-urban settlements in Nairobi from November to December 2020. Using a two-step analytic process, we generated core themes, and the study team reviewed the transcripts and triangulated the themes. RESULTS: Themes include knowledge about mental health and illness, triggers of psychological disturbances, attitudes towards mental illness, practices adopted to strengthen mental health, barriers to strengthening mental health among young people, emerging needs around caregiver mental health and parenting, and community recommendations on interventions. Adolescents had limited knowledge of specific mental illnesses but articulated triggers, stresses, and challenges they face in daily life in an in-depth manner. Caregivers demonstrated a breadth of knowledge and understanding of adolescent mental health. CONCLUSION: Adolescents and their caregivers face tremendous stresses in the Nairobi settlements. Mental health literacy is limited, but adolescents and caregivers are ready to embrace mental health services. Reducing stigma and access to youth-friendly services are crucial to expanding service engagement.

Department

Psychiatry and Behavioral Sciences

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