{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:37:23Z","timestamp":1790620643341,"version":"4.1.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"Supplement_3","license":[{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Coalition for Operational Research","award":["NTD-SC #214D"],"award-info":[{"award-number":["NTD-SC #214D"]}]},{"name":"UK Foreign, Commonwealth and Development Office"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Mental health care is now recognised as essential for people affected by NTDs, but accessible services are rare. This paper presents results of a prevalence study for depression and anxiety among people living with leprosy and lymphatic filariasis, and collation of user perspectives on needs and priorities for a new service.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Prevalence of mental conditions was carried out with 141 people living with leprosy and lymphatic filariasis and matched controls. Those who screened positive for depression or anxiety were interviewed in a qualitative study to understand their experiences of living with the conditions, and what their priorities would be for services and support. Results contributed to the process of developing a contextually adapted collaborative care model for implementation in the primary care system in Nigeria, using a Theory of Change approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We found high rates of depression, anxiety, and reduced wellbeing, with strong correlation across measures. The qualitative study revealed experiences of stigma and exclusion, and concern for financial and economic needs, and a desire for provision of free services and support for livelihoods.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Services should be designed with good understanding of local needs and service user priorities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Contexte<\/jats:title>\n                  <jats:p>Les soins de sant\u00e9 mentale sont d\u00e9sormais reconnus comme essentiels pour les personnes touch\u00e9es par les MTN, mais les services accessibles sont rares. Cet article pr\u00e9sente les r\u00e9sultats d'une \u00e9tude de pr\u00e9valence de la d\u00e9pression et de l'anxi\u00e9t\u00e9 chez les personnes vivant avec la l\u00e8pre et la filariose lymphatique, ainsi que la collecte des points de vue des utilisateurs sur les besoins et les priorit\u00e9s d'un nouveau service.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>M\u00e9thodes utilis\u00e9es<\/jats:title>\n                  <jats:p>Une \u00e9tude de pr\u00e9valence des troubles mentaux a \u00e9t\u00e9 men\u00e9e aupr\u00e8s de 141 personnes vivant avec la l\u00e8pre et la filariose lymphatique et de t\u00e9moins appari\u00e9s. Celles qui ont \u00e9t\u00e9 d\u00e9pist\u00e9es positives pour la d\u00e9pression ou l'anxi\u00e9t\u00e9 ont \u00e9t\u00e9 interrog\u00e9es dans le cadre d'une \u00e9tude qualitative afin de comprendre leur exp\u00e9rience de la vie avec ces maladies et leurs priorit\u00e9s en mati\u00e8re de services et de soutien. Les r\u00e9sultats ont contribu\u00e9 au processus d'\u00e9laboration d'un mod\u00e8le de soins collaboratifs adapt\u00e9 au contexte et destin\u00e9 \u00e0 \u00eatre mis en \u0153uvre dans le syst\u00e8me de soins primaires au Nigeria, \u00e0 l'aide d'une approche fond\u00e9e sur la th\u00e9orie du changement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>R\u00e9sultats<\/jats:title>\n                  <jats:p>Nous avons constat\u00e9 des taux \u00e9lev\u00e9s de d\u00e9pression, d'anxi\u00e9t\u00e9 et de diminution du bien-\u00eatre, avec une forte corr\u00e9lation entre les mesures. L'\u00e9tude qualitative a r\u00e9v\u00e9l\u00e9 des exp\u00e9riences de stigmatisation et d'exclusion, des pr\u00e9occupations concernant les besoins financiers et \u00e9conomiques, ainsi qu'un d\u00e9sir de services gratuits et de soutien aux moyens de subsistance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Les services doivent \u00eatre con\u00e7us en tenant compte des besoins locaux et des priorit\u00e9s des utilisateurs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Antecedentes<\/jats:title>\n                  <jats:p>Actualmente se reconoce que la atenci\u00f3n de salud mental es esencial para las personas afectadas por ETD, pero los servicios accesibles son escasos. los servicios accesibles son escasos. Este documento presenta los resultados de un estudio de prevalencia de depresi\u00f3n y ansiedad entre las personas que viven con lepra y filariasis linf\u00e1tica, y las perspectivas de los usuarios sobre las necesidades y prioridades de un nuevo servicio.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>M\u00e9todos<\/jats:title>\n                  <jats:p>Se realiz\u00f3 un estudio de prevalencia de trastornos mentales con 141 personas que viv\u00edan con lepra y filariasis linf\u00e1tica y controles emparejados. Los que dieron positivo en depresi\u00f3n o ansiedad fueron entrevistados en un estudio cualitativo para conocer sus de vivir con estas enfermedades y cu\u00e1les ser\u00edan sus prioridades en cuanto a servicios y apoyo. servicios y apoyo. Los resultados contribuyeron al proceso de desarrollo de un modelo de atenci\u00f3n para su aplicaci\u00f3n en el sistema de atenci\u00f3n primaria de Nigeria, utilizando un enfoque basado en la Teor\u00eda del Cambio.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Resultados<\/jats:title>\n                  <jats:p>Encontramos altas tasas de depresi\u00f3n, ansiedad y reducci\u00f3n del bienestar, con una fuerte correlaci\u00f3n entre las medidas. correlaci\u00f3n entre las medidas. El estudio cualitativo revel\u00f3 experiencias de estigmatizaci\u00f3n y de estigmatizaci\u00f3n y exclusi\u00f3n, preocupaci\u00f3n por las necesidades financieras y servicios gratuitos y apoyo a los medios de subsistencia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusi\u00f3n<\/jats:title>\n                  <jats:p>Los servicios deben dise\u00f1arse teniendo en cuenta las necesidades locales y las prioridades de los usuarios de los usuarios.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/inthealth\/ihad074","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T20:51:58Z","timestamp":1703105518000},"page":"iii47-iii58","source":"Crossref","is-referenced-by-count":14,"title":["Integration of services for Neglected Tropical Diseases and mental health in Nigeria: development of a practical model informed by international recommendations, contextual factors and service-user 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