Showing posts with label community mental health. Show all posts
Showing posts with label community mental health. Show all posts

Saturday, September 16, 2017

Public Mental Health and Governance in Uganda



We yearn to survive, to feel secure, to find pleasure, and overcome pain from the day of coming into existence. There are specific needs to achieve those goals, such as food, water, medicine, social and professional support, renewable environment resources, and their continuous and anticipated access. Because they are survival, security, social, pleasure needs, we realize the right to access them and the responsibility and duty to work towards their realization. When these rights are not achieved at the moments they are most needed, the individual will be overwhelmed to levels when he or she cannot cope, which subsequently disrupts rational clues of achieving them or even any such hope, belief, and abilities to do so. Without interventions to address rising vulnerability of the individual, the cognitive, emotional, physical, social, spiritual and environmental connections are impaired yet are the ones responsible for his or her existence and achievement of the greatest of that person’s goals. There are specific references given to cases of mental illness that develop –one after the other –leading to total mental breakdown. Each of these cases ought to be addressed in singularity in new environments that accelerate healing, until the point the individual relearns the old environment and develops healthy coping mechanism to live and attain development goals there. This organization suggests th creation of a mental health infrastructure that creates contact with vulnerable groups and boosts their recovery while building their strength of coping and resilience to overcome their obstacles to expressing and obtaining their needs and rights. The infrastructure will be able to spot their unmet needs in some development time and process better the unhealthy mental attachments and images, provide natural means of negotiating access to natural needs and rights, enable such accesses to individuals who show natural effort and negotiation mechanism around challenges to expressing and realizing their needs and rights while using successful individuals to inspire others, until we achieve levels when the individuals can fix own challenges, express desires in most healthy way possible, seek assistance where they are trapped, and become responsible to themselves and society to achieve their aspirations. In doing so, the infrastructure will enable realization of people who are empowered and mentally well –sustainably.
HOW YOU CAN BE INVOLVED
As client
As volunteer
As service activity sponsor
As client sponsor
As fundraiser
As donor/funder
As ambassador
As development partner
As friend
Visit us
Visit our blog www.integratedmhi.blogspot.ug
Visit our facebook page: www.facebook.com/integratedmentalhealthinitiative
HOW YOU CAN REACH US
Telephone: +256774336277 or +256752542504
Email: waiswajacobo@yahoo.co.uk or dishma.imhs@gmail.com

Saturday, March 11, 2017

Call for participation

We are happy to announce our forthcoming Peace and Mental Health seminar. Key speaker will be Dr. Ajao Toyin will be in Uganda from April 4 - 10, 2018. She will conduct lectures and yoga sessions in Kampala and Jinja Cities. She is PhD fellow from University of Pretoria, South Africa. Part of her lecture will be about her PhD thesis.

Ajao's thesis research is in peace journalism. Her thesis title it Citizen journalism and conflict in Africa: The Ushaidi and Kenya Bloggers in Kenya's 2008 Post Election Violence. ‎Her other areas of research interest are conflict transformation, human security, citizen journalism, and gender and sexual rights.‎
  
Below is Ajao involved in Yoga Session
.


Registration fee $50
For booking purposes contact organisers on 
+256774336277
‎‎Or convener by email: info@integratedmhi.org

Saturday, November 6, 2010

ADVERSITY, GOD AND EMOTIONS: A CASE OD MAYUGE DISTRICT

By

Jacob Waiswa
Situation Health Analysis
Dishma Inc.
dishma.imhs@gmail.com

Peace and Conflict Program
Makerere University
jwaiswa@arts.mak.ac.ug


Introduction
Spiritual (in a relationship with God) connections indeed completed the fullest of individual self along with the thinking, emotion systems, and the body. Without spiritual component, individual was simply worthless, he would feel it and everyone will see that from a distance.

Buddhism in Perspective
The spiritual part of our existence is what is beyond any one’s understanding verses man’s quest for it to shape life, and whose intellectual resources are inexhaustible –offering refugee to the restless and, whose relationship is determined by man’s quality of input into the relationship with it.

The good working relationship with it involves nature and quality of messages we gather in to our minds, and substances into our bodies during our interaction with the environment; and the rewards to that are fruits of good life around oneself.

The spiritual part completely provides freedom of choice to connect to it or get disconnected from it. To some, the ego assumes control and lightly shaped by the thinking system, or left bear to cause certain behaviors. To others, logic determines social processes and individual or group destiny. The orientation to spirituality also has its intensities.

While in the communities we come from there are people who substitute reasoning or logic to inherited philosophies about the quest for God, truthfulness their God, values formed around them, and comparisons developed to edge out existing ones and justify supremacy over them.

In the same vein we have people who subjected newly found or inherited belief systems to logical tests that caters for universal laws of love for all beings, universal law of kindness to all, universal law of truthfulness, universal law of diversity, and universal law of fairness to all –where if the test is positive then a given teaching or more of them can be conceived. If negative, then such a teaching (s) falls out squarely.

But we cannot forget the moderates, usually very interesting characters. They are appreciative of different religious elements that reflect realism of life, not otherwise. To them the humanity is the biggest asset, rather than ideology.

Diverse ideologies only made life here on Earth very interesting and brought out uniqueness of individual beings for self-reflection, sharing and learning one or two beneficial practices from them all.

Pan-Africanism and Buddhism
Very interesting to note also regards Buddha's background and principles of thought traced in the Black people in India known as Dravidians –another connection to Africa. They inherited India's older Black civilization known as the Harappan civilization, which existed from around 4,000 BCE and was the contemporary of Nubia prior to the first Egyptian dynasty.

In the centuries that followed, the Dravidians of India experienced a cultural and religious invasion from the north (circa 1,500 B.C.) by Indo-Europeans who called themselves Aryans (Nijel BPG, 1999.

In 520 A.D., a monk named Bodhidharma left southern India for China to re-define and spread the teachings of the counter religion to Hinduism called Buddhism. Buddhism was a religion founded on the teachings of Siddhartha Gautama who taught the Four Noble Truths to enlightenment. While often portrayed as Asian, the Buddha was a Black man.

Today, we awake to the facts that Buddha's tightly curled knots of hair, and elongated ear lobes are unmistakable African cultural traditions (Nijel BPG, 1999). African traditional religion continues to play a leading role in healing ways.

A study carried out in eleven (11) Districts in eastern Uganda, 90% of people mental health-related problems preferred healers to health centers as the first point of contact –though there were no cases of patients cured confirmed. 59.3% sought religious leaders, 0.6% went to traditional healers while 2.3% visited modern health units (Nafula, 2007).

However, the trust and satisfaction between patients and traditional healers was enough to cause relief and hope that are essential elements of healing. In light of the popular traditional healing approach, Kigozi, F. in a report by Nafula (2007) observed, “…highly educated contacted traditional healers.”

Conflicts as usually are a routine, crop up only to motivate Africans to choose appropriate ways to live fulfilling lives. Availing options with accompanying information was relevant to that effect –from which to experience and, ultimately, make right decisions.

In a true Pan-African spirit, Prof. Murindwa, R. (2010) said, “Buddha was an African, Buddhism started in Africa, and so it is worth celebrating.”

Religiosity and Buddhism
Religion precisely organizes people towards attainment of spiritual expectations as pathways to achievement of life goals. Therefore, there must be a kind of relationship with the Divine (spirituality) –bound by a covenant (or set of rules) in order to realize one’s goal in life.

Many Buddhists writers and practitioners believe their practices are beyond religion.

“Christian definition of religion practically excludes Buddhism. Unfortunately, English language is not a spiritual language and many words do not do; just the Pali language words like Dhamma, Buddha sasana and so on... I think, a philosophical point of view is more inclusive.”
Ven. Bhante Buddharakkita,
The African Buddhist Monk.

Unfortunately, it turns into competition and hostility for fame among mainstream religious traditions –leading to violence and loss of religious importance. Buddhism uniquely argues that happiness is for all –regardless of race, ideology and background (Goenka 2007).

Negative Oneself and Healing
Healing is real and complete if the individual does not have negative conflicts (adversity) in the mind or defeating perceptions about life (or body). Positive actions and perceptions of life build positive spirit and vise-versa while negative actions detached individual from positive spirit (God) [good emotional feelings about oneself, life and others] for negative spirit (Satan) which reinforced negative thought, emotions and actions (anti-social behaviors and other associated psychological problems).

Optimism is associated with variety of positive benefits that includes, lowering production of stress hormone –cartisol, bettering body function and reducing risk of chronic diseases. During the practice of VMT, optimism (believing without doubt and faith) about and in life, and love for everything as nature, or for every human and animals rather than divisions of them are constituent principle to healing.

Tuning the mind changed body’s biochemistry accordingly (the structure and function of cellular components such as proteins, carbohydrates, lipids, nucleic acids and other bimolecular).

The negative oneself (feelings of anger, guilt, depression, fear) simply shrunk the life cells and compromised the immune system.

Spirituality and Emotions
Man’s failure to adopt and master nature dictates his downfall –helplessly. His decision to hand over management tools to the Divine is only a reflection of failure that came back to taunt him. Yet God as noted therein had no role to play in man’s failures and self-extinction –if he (man) chooses to.

Spirituality in Uganda (or Africa)
The African Traditions strongly believe in spirits. It is believed that spirits live among us for the good of people or the worse –depending on the nature of relationships with such spirits. If the relationship is bad, when spirits are not appeased, when the certain details of the covenant in the relationship are broken, when individuals or sections of society use them to attack and inflict pain on others.

In modern faiths, it is believed that bad spirits came from underground under the command of Satan (Lucifer) –who because of to God was thrown down to the Earth. He continued to live his ways and making numbers of followers to his side.

He is believed to be the cause of suffering and misery to man that can only be remedied through reading holy books, attending church services and extra fellowships. Christians specifically believe Jesus solely affords the task of successfully disposing demons from those possessed by them.

He is believed to be the cause of suffering and misery to man that can only be remedied through reading holy books, attending church services and extra fellowships. Christians specifically believe Jesus solely affordable the task of successfully disposing demons from those possessed by them.

If the relationship is bad, when spirits are not appeased, when the certain details of the covenant in the relationship are broken, when individuals or sections of society use them to attack and inflict pain on others normal life functioning is will be affected.

With broken spiritual life, individuals will have broken hearts and broken relationships, unless interventions are made as soon as possible. In African Tradition Religion, there exist experts in exorcism, who with ease freed their clients from evil spirits using both verbal and herbal means. Through the years, there were attempts to dislodge it with the mass penetration of western religious movement.

In the end both western and African got married leading to the Africanisation of foreign religious movement –a practice still live up to now. In the end both western and African got married leading to the Africanisation of foreign religious movement –a practice still live up to now.

The Mayuge Case
The entry in a Mayuge community began with the encounter of strong beliefs in traditional religion characterized by spiritual consultations by locals for revenge purposes, malicious damage and hurting others. While in defense of planned attacks, opponents too hired traditional religious Practitioners perceived to be of stronger influence over spirits for their ability to dispel them off or kind of detain them.

There were interesting beliefs like “if a dead body on transit usually by bicycle or motorcycle passed-by, one should make sure it does not get into contact with it” in such narrow village paths. It was seen as a taboo that came with curses.

While if a car got stuck in the mad with a dead body on it, that was perceived to be the reason for the car failing to move through the mad, clay, rural soils. The remedy was to slaughter a hen, to be able to appease the spirit of the dead to let the car move.

Prior mindset of the new entrant was threatened by new cultures that strongly advocated misplacement of intellectual abilities or reasoning for the new found beliefs. Even without subscribing to them, there was often moments when he met some fear –especially with the need to go for either long call or short call. But he moved on with it, side by side with belief system.

Now in a new setting X had first a dream: as he was walking along a street towards a junction (that was figured to be a place of his birth and growth), with people selling Ffene and Charcoal, he suddenly saw a high speeding bicycle with three (3) plastic containers on either sides and a wrapped dead body along the bicycle’s length. On noticing it, X jumped off the road for safety.

He narrated the whole story and one of them (very born-again) exclaimed, “You need prayers now!” to which X resisted. Several nights after, fear began to grow to the level when X’s courage only allowed him to enter the dark house and lay on his bed. But later in the night X could not sleep.

Every time he naturally closed his eyes, suddenly he felt lots of pressure in on himself as he breathed out. The past began informing him that that was a spirit sitting on him –trying to choke him and squeeze his chest to suffocation, where only calling out for the name of Jesus Christ was the remedy accompanied by resilient holding of the choking pressure (evil spirits). About three (3) calls of Jesus name were enough to cause relief in X.

But in doing so, X only won battles rather than the war. Fear eventually succeed and began to overwhelm X. Week in and week out he was not having enough rest; in fact, not all resting. As a result his day time was full of exhaustion and burnouts, refusing tasks and feeling very lazy.

X’s life suddenly changed throughout his one and half month there. When he returned to Kampala, where the environment was different, he began reclaiming his past scientific models to explain different events in life.

Six (6) to twelve (12) months after, he felt much better, and then one year to two years, he looks back laughing at it all. From X’s story we find change as strange regardless of who we are; whether highly educated, knowledgeable on the subject or naturalists, it will take on anyone for the better or worst.

Lessons
There is greater environment influence on life: both negatively and positive –depending on the nature and strength of it or such influences. Having opposing mindset yet positive, rational and realistic (PRR) to new negatively emerging experiences, became foundation for recovery.

It was important to connect such a person to an environment he once believed to be inspiring and positively rewarding to elicit images that strongly opposed the current interpretations of the environment yet PRR and foster recovery.

Unfortunately, the negative, unrealistic and irrational held their place in the subconscious until another opportunity arose to elicit them forward to the conscious, and the behavioral flames.

Exposure to different sets of ideologies was good for right decision making in times of confusion about life. It will be one of such ideologies that might be the Jesus during healing process.

Situation Health Analysis
If a particular faith is assumed to be toxic, steps have to be taken to analyze and assess it, and have all information revealed to affected party –so that when all go bad in future, he or she can remember the wrong part of it for the better, instead of sticking to one damaging without alternative.

It would not be easy to facilitate such a persons healing unless you new him or her very well –which information is rarely accurately revealed –regarding past religious associations.

It is also pertinent of individuals to choose what is constructive them in the rightfulness of their conscience and wellness of others to avoid generation of undue guilt and fear –which can change shapes from once perceived as irrational to rational and verse versa.

The effects cut across personalities and expertise –whether general in the army, president, professor of psychiatry or anything. It is a matter of time, space and opportunity.

Environment and Individual Effects

Held values are those that were responsible for person’s wellness and formed from past experiences. New values are those met in new environments that begin to consciously and unconsciously challenge old values –causing an intra crisis with the individual.
Desensitization is the process when an individual gradually loses his previous doctrines that affected his way of life.

Behavior change is another gradual process when individual begins to behave or develops an orientation as that of the new found community that instills toxic characteristics like fear, anxiety, and loss of personal self, nightmares, panic attacks and diminished productivity.

New values that caused instability within individual could only be changed by guided shift back to old environment that worked for the unstable individual. The same explanation can be applied to old instability-causing values to guided behavioral change program in new environment with positively rewarding stimuli.

Conclusion
The same explanation can be applied to old instability-causing values to guided behavioral change program in new environment with positively rewarding stimuli. So, let’s adopt diversity and analysis of various existing and emerging faiths if we are to e able to help victims of them.

We should not just look on as old and new faiths emerge; we should follow them up and influence policy –in order to protect our people and support healing processes. We need to not only have individual values formed and pursued to reach the destiny of wisdom, peace and happiness but firm, understood ethical and moral operating –and behavioral standards for the various spiritual groups.

We need to not only have individual values formed and pursued to reach the destiny of wisdom, peace and happiness but firm, understood ethical and moral operating –and behavioral standards for the various spiritual groups.































Monday, October 19, 2009

INJUSTICE AS A MULTI-FACETED EVIL, DOES IT HAVE A REMEDY OR PART OF SATANIC FORCES THAT MUST BE FOUGHT SPIRITUALLY?

For long injustice has been a talk of the day by liberators advocates and change agents to justify their actions and amass support, win international sympathy and as part of the covenant between the oppressed and them. Indeed, it created a bond between the oppressed and those providing them with a voice.

We now see it in many other forms, not just in the political sense, but in economic, cultural, religious and work environment or in common actions -whilst relating with others (people). They can all have serious emotional implication -as “pain” and depression -leading to civil disorder.

People, from their different cultures and backgrounds may want to show off pride and arrogance -because of who they are -in relation to superior socio-political and socio-cultural positions. Sooner than later, such turns out to be a socially toxic and it becomes hard for people -as a whole to relate, to have some thing in common to nurture and be the focal point for interactions and relationship building.

It can interesting and fun, for example, if individuals start using we-phrase -instead of i -while expressing happiness and pride. It, on other hand can be challenging if the i-phrase is the rule. If they express anger, disaster would ensue. They think the world is theirs only. Nothing could ever bring happiness to them -both.

It was surprising, for example, to see that among the people -who had visited Africa, one of them was a black American, obsessed by racial concerns. She had them imported and became her focus throughout her time here in Uganda.

If one listened carefully to the views expressed, it would seem unrealistic to continue relating with arrogant and life-threatening racists back in the United States -some of whom come to Africa. Fortunately or unfortunately, social inequalities and/or racism were never on the project menu this person had come to work on in Africa.

Had it been the focus of her work here, the would have aroused unjustifiable anti-racial or racial feelings against foreign visitors in a country like Uganda -where people only read about them -with no room to confirm whether they were just tales and a kind of fictions that led to meaningless murders, arrests and some racist doctors transmitting new diseases rather than helping cure them.

Most eye-brow raising was the notion that before visitors come to Africa, they do prior role-play about how to relate with Africans -usually different from how they do it with African Americans and in Diaspora. And, much so that despite Barrack Obama being American president, no improvements yet can be seen there in regards to racism and the long-term mental health implication.

It is such preserved acts that continue to make leaders like Fidel Castrol of Cuba, Chavez of Venezuela, Gadaffi of Lybia and Ahmadinejab of Iran other communist leaders heroes in the eyes of many. They question a failed policeman trying to poke into the justice system of other people.

We are living in the world -where conditions for violence stand -with never initiatives to mute or control it. Instead, focus is put on arrests that are made for unjust judicial systems to handle -where truth is taken for untrue, yes for no, the innocent taken for criminals and vice versa, promoting rich man's injustices against the permanently oppressed poor and taking criminals for no criminals. That questions whoever is custodian to international moral standards and her policing intentions of others.

Imagine those claiming to provide justice being the one's perpetrating injustice. How then will crime ever be eliminated in the world -if true criminals are never taken as deserved -as murder and termination of life continues to be cherished -to head-hit even the innocent. What a mistake!

The experience of Uganda;s policing system, alone, has left civilians only in trust of mob justice -which is swift action for counter-action. A poor man or women will remain a victim -for criminals and the rich-man's judicial system. A rich man will nurse a case from the time of filing to that of either dismissal or conviction -while a poor man will chose to bow out because of the costs implication. With money, even manipulations of evidence until acquittal will be done.

The love for money is killing professionalism even for the best priest in town. Because no body trust who, the president or Kaihura could take over the judiciary as it has planned for Kampala. This is so because problem-cases have tended to be most managed when the concerned heads of the forces coerces institutions to act -accordingly.

The words for the oppressed as left behind by liberation movements remain that “the future is bright for them and encourages them to appreciate themselves and continue struggling so that their grand children live in a better world.” Their cherished beliefs could be held, negotiated for an ultimate change.

And that “there would be a time from the entire belief of pacifism after spreading far and wide the universe would be one.” Hope such did not been an end to the world, but meant that life on earth could be meaningful -through changes coming from the struggles of the oppressed. This would mean the silent breaking their silence, the docile showing enthusiasm, the enthusiasts rising to the occasion and taking up platforms to assert and express their rights.

An individual too can commit injustice against himself or herself, when all done negatively affects his or her belief system or set standards of behavior -in relation to expected social norms. Some end up committing suicide or creating dangerous scenes for society to scrutinize, warn, accept or exit them.

In fact, at this level, affected individuals actions tantamount to mental illnesses -something that is never nice to experience. It is then real and true to say that -when research indicates increased increased cases of mental illnesses, the social, economic, religious and social systems must be questioned.

One mental health worker at Jinja psychiatric ward lamented about how some faith-based institutions and churches are nurturing the mentally-ill and escalating their condition for reasons best understood by them. When asked about whether a mental health facility could be erected at such notorious churches, he declined -saying he would be endangering his life, unless sanctioned by government. They would take him for a saboteur send by a rivaling pastors to spy. It could be very credible if such institutions collaborated with mental-health or medical facility as past of their ministry.

Makerere University, for intense, having realized their weakness of never publishing research online by opting to maintain paper-work technology then, now has a well established information technology (IT) department famed in Eastern and Central Africa, it can do massive online research-work publication -with considerable amount of money going into it. Makerere University could make it mandatory for every academic to publish a paper at least once in three months and monthly for its students.

This would encourage vigor in teaching and its quality -while innovations and inventions demanded from every faculty once a year -where those who cannot fun their research in addition to what students pay, can either do collaborative research with other reputable institutions using local resources or apply for grants that are usually available annually. Capacity building for all staff too could be called for -in ensuring that success of that exercise.

Perhaps the other department not helpful enough is public relations. It could have come out to explain issues like one to do with lecturers salaries which never ends, whether staff have been transformed into interns or volunteers and for what reasons -instead of keeping every one guessing and wondering about the hell there or whether it is office politics and dangerous games against each other (staff and administration).

Could it be the credit crunch factor? May be so, but the managers of the national economy say Uganda as been immune to it. The nation, thus, needs explanation about what is of concern to public. And the Chancellor ought to be on the ground to clear the air -since with time his vice may be paralyzed by most influential juniors -too strong to talk to or deal with. His direct scrutiny could help the vice-chancellors put right amount of pressure on them to deliver -without fear or favor for immediate juniors.

Otherwise, as alumnus it is never nice reading negative stories about an institution everyone is proud of. The institutions itself needs justice rather than be a punching bag for every Tom and Dick. But it is also very possible that Makunika, can be what even at our time we did not experience or feel apart from stories that it was once the “Harvard of Africa.”

To bring justice to our faces and the right social image, we ought to review our values in line with right community expectations. It is these we must practice, be role-model for and negotiate for -where they are lacking -while we drop what never works for us.

In all we will need guard against scenarios where those called leaders go down -having never dealt with common injustices in society or themselves where corrupt, undemocratic and a central cause for immorality, unethical ways -leading to a threat of social structural break down.

Individuals -who can perform better could be let to play their role in social transformation measurable upon excellent talent, ability, experience, and skills -rather than be fought and eliminated in favor of the nepotism, bribes and sexual pleasures.

And be open to agents with values that add value to already existing common values -while giving a right to people or individual to exercise sectorial views -so long as they are not harmful to the existence of himself or others. They must be those that work for the common good of everyone (community).

As that is done the merit management group must be tasked with ensuring right institutional or country's culture at play -for the desired results at the end of a set time, instead of craziness about preserving office-life -rather than performance. And in-fighting for power or influence and trying to terminate others for their special qualities or for selfish interests, must be got rid of -first by scrapping all involved.

The business of saying, “as freedom is to public service jobs, business is to private sector ones” is a culture that would stop. It should not be a scenario where a worker continues to earn monthly when, basically, he or she was merely reading newspapers, signing checks, taking coffee, surfing pornography and making phone calls. Business must for both private and public sector.

Jacob Waiswa
Situation Health Analysis
www.situationhealthanalysis.blogspot.com

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