Misunderstood and underappreciated: a critical review of mental health advocacy and activism in low- and middle-income countries.

IF 2.9 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Health policy and planning Pub Date : 2024-05-15 DOI:10.1093/heapol/czae016
Alma Ionescu, Jenevieve Mannell, Megan Vaughan, Rochelle Burgess
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Abstract

Mental health advocacy and activism have been highlighted as important in the effort towards creating environments for better mental health. However, relevant research in low- and middle-income country settings remains limited and lacks critical exploration. We seek to contribute to filling this gap by exploring driving factors behind mental health advocacy and activism efforts in low- and middle-income country settings. This review uses a critically informed thematic analysis employing conceptual frameworks of productive power to analyse peer-reviewed articles on mental health advocacy or activism over the last 20 years. We suggest that the current body of research is marred by superficial explorations of activism and advocacy, partly due to a lack of cohesion around definitions. Based on our findings, we suggest a conceptual framework to guide deeper explorations of mental health advocacy and activism. This framework identifies 'legitimacy', 'context' and 'timing' as the main dimensions to consider in understanding activism and advocacy efforts. The fact that they remain misunderstood and underappreciated creates missed opportunities for meaningful inclusion of lived experience in policy decisions and limits our understanding of how communities envision and enact change.

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被误解和低估:对中低收入国家心理健康宣传和行动主义的批判性回顾。
心理健康宣传和行动主义被强调为努力创造更好的心理健康环境的重要因素。然而,在中低收入国家(LMIC)环境中开展的相关研究仍然有限,缺乏批判性的探索。我们试图通过探讨中低收入国家心理健康倡导和行动主义背后的驱动因素来填补这一空白。本综述采用批判性的主题分析法,使用生产性力量的概念框架,分析了过去二十年中同行评议的有关心理健康倡导或行动主义的文章。我们认为,对行动主义和倡导的肤浅探讨损害了当前的研究成果,部分原因在于定义缺乏一致性。基于我们的研究结果,我们提出了一个概念框架来指导对心理健康倡导和行动主义的深入探讨。该框架将合法性、背景和时机确定为理解行动主义和倡导工作的主要维度。事实上,这些因素仍然被误解和低估,从而错失了将生活经验有意义地纳入政策决策的机会,也限制了我们对社区如何设想和实施变革的理解。
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来源期刊
Health policy and planning
Health policy and planning 医学-卫生保健
CiteScore
6.00
自引率
3.10%
发文量
98
审稿时长
6 months
期刊介绍: Health Policy and Planning publishes health policy and systems research focusing on low- and middle-income countries. Our journal provides an international forum for publishing original and high-quality research that addresses questions pertinent to policy-makers, public health researchers and practitioners. Health Policy and Planning is published 10 times a year.
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