Returnees, Health Workers Join Hands to Improve Psychosocial Well-being in Nigeria

COVID-19 continues to put a strain on public health systems, as well as on the livelihoods and purchasing power of people around the world. But as the pandemic shows no signs of abating, the impact on the mental health of the most vulnerable –including migrants returned to their communities– becomes more visible.


Benin City – As part of the response to address this challenge, from 16 to 19 November, the International Organization for Migration (IOM) hosted in Benin City, Edo State, a series of modules to train 20 returnees in a community-based approach to psychosocial reintegration. 

Under the EU-IOM Joint Initiative for Migrant Protection and Reintegration, IOM conducted in May a COVID-19 assessment to measure the impact of the pandemic on returnees in various countries in West and Central Africa. Among 518 people surveyed, 63 per cent reported that their emotional wellbeing had deteriorated since the outbreak of COVID-19, including 90 per cent of respondents from Edo and Delta States. 

The impact of the pandemic adds a layer of vulnerability to returnees, some of whom had already started rebuilding their lives, and who were experiencing high levels of psychosocial distress or severe disorders, both pre-existing or due to potentially traumatic life events along their journey. 
Yet, many areas with high numbers of returnees may lack specialized mental health care and psychosocial services and have a limited number of professional staff such as psychiatrists and psychologists.

The training conducted in Benin City aims to build a mentorship network and create supportive relationships between two peers with similar experiences, such as a newly arrived returnee and a mentor from the same location or a group of peers within a community.
Returnees with experience in community engagement, or those with specific backgrounds such as social workers or teachers, have been selected as mentors. They can help new arrivals navigate the difficulties of the return and reduce the social barriers to reintegration by providing emotional support, helping solve practical problems and sharing information about services that provide mental health and psychosocial support in the country.
“This training will help me use my own story to be able to support Nigerians who have just returned because they need someone to confide in. As a mentor, I should be able to listen to them and advise them, and tell them that they should not give up on life,” said Kenan Osagie, a returnee and one of the female participants. 
The initiative followed a four-day training (10-13/11) for primary healthcare professionals on the management and treatment of mental disorders. The training was conducted in coordination with the Nigerian Federal Ministry of Health.
This instruction was based on the Mental Health Gap Action Programme (MHGAP), a protocol developed by the World Health Organization (WHO), as well as on additional IOM tools and international guidelines to identify and respond to mental disorders, which were adapted to the Nigerian context. The training sessions delved into migration and mental health with a focus on the return journey, as well as an overview of MHGAP’s principles of care, depression, suicide and self-harm, psychoses, epilepsy, alcohol, and substance abuse.
The event gathered 20  participants from primary healthcare centers from the localities in Edo State, the main place of origin of Nigerian returnees. 

“This marks a key step in strengthening the national mental health care system in Nigeria,” said the lead trainer, Dr. Funke Ogunderu, IOM Nigeria MHPSS Senior Project Assistant. “As a pilot project, this training will help reduce the gap for migrants and their communities gaining access to mental healthcare and psychosocial support,” she added. 
Mental Health and Psychosocial Support (MHPSS) is a fundamental part of sustainable reintegration. It aims at protecting and enhancing migrants’ psychosocial wellbeing, as well as at supporting people with pre-existing and emerging mental disorders.   
Strengthening the mental healthcare system and enhancing the skills of returnees to provide community-based psychosocial support signal IOM’s holistic approach to MHPSS in Nigeria. The mentoring project and training for primary healthcare workers are funded by the European Union under the EU-IOM Joint Initiative for Migrant Protection and Reintegration.

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