02516nas a2200337   4500000000100000008004100001260003400042653005700076653002100133653002800154653001200182653001500194653001200209653002500221653001800246653003900264100001200303700001700315700001200332700001300344700001000357700001200367700001300379700001300392245021500405856009400620300001600714490000700730520141600737022002502153       2023                            d  bOxford University Press (OUP)10aPublic Health, Environmental and Occupational Health10aGeneral Medicine10aHealth (social science)10aAnxiety10aDepression10aLeprosy10aLymphatic filariasis10aMental Health10aNeglected tropical diseases (NTDs)1 aEaton J1 aAfolaranmi T1 aTsaku P1 aNwefoh E1 aOde P1 aBaird T1 aSunday P1 aObindo T00aIntegration 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 perspectives  uhttps://academic.oup.com/inthealth/article-pdf/15/Supplement_3/iii47/54699774/ihad074.pdf  aiii47-iii580 v153 a<p><strong>Background:</strong> 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.</p>

<p><strong>Methods:</strong> 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.</p>

<p><strong>Results:</strong> 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.</p>

<p><strong>Conclusion:</strong> Services should be designed with good understanding of local needs and service user priorities.&nbsp;</p>
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