Non Hospital Services of Mental Health in Rwanda: Analysis of their Functioning and Challenges

Abstract

Introduction: After the Genocide of 1994, NGOs and other public services supplemented hospitals in the care of mental patients. However, there is little research examining their functioning and challenges. Aims: (1) to present the contribution of nonhospital services in terms of patients treated; (2) to report activities performed by these services; and (3) to assess challenges and remedial solutions. Materials and Methods: A quantitative and qualitative study of 25 staff representing on hospital services of mental health. A questionnaire with open-ended and closed-ended items was used. Percentages and thematic analysis were used for data analysis. Results: Nonhospital services of mental health are mainly local NGOs staffed by psychologists. Genocide Survivors and victims of rape are consulting population. Counselling, sensitization for mental health awareness and advocacy are the main activities organised. Not knowing the importance of mental health and ignorance of mental disorders are the main challenges. Increasing number of staff, and providing incentives and transportation fees are remedial solutions. Discussion: Nonhospital services of mental health play a key role in increasing access and funds for mental health services. Their achievements in Rwanda can serve other countries or regions with similar situation