Ten years of tracking mental health in refugee primary health care settings: an updated analysis of data from UNHCR’s Health Information System (2009–2018)

Fine, Shoshanna L.; Kane, Jeremy C.; Spiegel, Paul B.; Tol, Wietse A.; Ventevogel, Peter

doi:10.1186/s12916-022-02371-8

Table 3 Weighted mean rates of MNS visits per 1000 refugees per month by sex and age group from 2009 to 2018

From: Ten years of tracking mental health in refugee primary health care settings: an updated analysis of data from UNHCR’s Health Information System (2009–2018)

MNS category	Years	Male			Female
		<5 years old	5 and above	Total	<5 years old	5 and above	Total
		Weighted mean visit rate per 1000 per month (weighted SD)^a
Epilepsy/seizures	2009–2010	0.44 (0.86)	0.91 (1.37)	0.83 (1.26)	0.33 (0.71)	0.80 (1.44)	0.72 (1.29)
	2011–2012	0.59 (0.99)	1.53 (1.81)	1.37 (1.64)	0.47 (0.88)	1.24 (1.55)	1.11 (1.42)
	2013–2014	0.48 (0.89)	1.36 (1.62)	1.20 (1.46)	0.45 (0.98)	1.08 (1.25)	0.97 (1.16)
	2015–2016	0.50 (0.96)	1.53 (1.71)	1.34 (1.52)	0.48 (0.93)	1.33 (1.50)	1.19 (1.35)
	2017–2018	0.56 (0.86)	1.44 (1.51)	1.29 (1.36)	0.45 (0.68)	1.28 (1.21)	1.13 (1.09)
Alcohol/substance	2009–2010	0.00 (0.00)	0.06 (0.08)	0.05 (0.07)	0.00 (0.00)	0.01 (0.03)	0.01 (0.02)
	2011–2012	0.003 (0.02)	0.08 (0.14)	0.07 (0.12)	0.001 (0.01)	0.02 (0.04)	0.01 (0.03)
	2013–2014	0.002 (0.03)	0.06 (0.14)	0.05 (0.12)	0.003 (0.05)	0.02 (0.07)	0.02 (0.06)
	2015–2016	0.003 (0.03)	0.14 (0.57)	0.11 (0.45)	0.003 (0.02)	0.06 (0.28)	0.05 (0.23)
	2017–2018	0.002 (0.01)	0.12 (0.28)	0.10 (0.23)	0.004 (0.02)	0.05 (0.17)	0.04 (0.14)
Intellectual disability	2009–2010	0.04 (0.09)	0.07 (0.08)	0.07 (0.08)	0.02 (0.03)	0.04 (0.06)	0.04 (0.06)
	2011–2012	0.11 (0.27)	0.12 (0.17)	0.12 (0.18)	0.06 (0.15)	0.10 (0.21)	0.09 (0.19)
	2013–2014	0.07 (0.29)	0.09 (0.22)	0.09 (0.22)	0.06 (0.25)	0.08 (0.24)	0.08 (0.23)
	2015–2016	0.08 (0.44)	0.12 (0.33)	0.11 (0.30)	0.09 (0.42)	0.10 (0.29)	0.10 (0.26)
	2017–2018	0.10 (0.39)	0.12 (0.26)	0.11 (0.25)	0.09 (0.29)	0.10 (0.21)	0.09 (0.20)
Psychotic disorder	2009–2010	0.01 (0.05)	0.61 (0.65)	0.51 (0.56)	0.01 (0.04)	0.49 (0.60)	0.41 (0.52)
	2011–2012	0.004 (0.01)	1.02 (0.99)	0.84 (0.83)	0.01 (0.02)	0.83 (1.04)	0.69 (0.88)
	2013–2014	0.01 (0.02)	0.80 (0.98)	0.65 (0.83)	0.01 (0.06)	0.66 (0.93)	0.54 (0.78)
	2015–2016	0.01 (0.05)	0.74 (0.89)	0.61 (0.75)	0.01 (0.05)	0.64 (0.85)	0.53 (0.71)
	2017–2018	0.01 (0.02)	0.68 (1.02)	0.56 (0.86)	0.005 (0.02)	0.58 (0.80)	0.48 (0.67)
Emotional disorder	2009–2010	0.02 (0.11)	0.21 (0.27)	0.18 (0.23)	0.01 (0.05)	0.36 (0.59)	0.30 (0.49)
	2011–2012	0.01 (0.06)	0.36 (0.60)	0.30 (0.49)	0.01 (0.05)	0.66 (1.17)	0.55 (0.97)
	2013–2014	0.002 (0.01)	0.26 (0.47)	0.21 (0.38)	0.001 (0.004)	0.49 (0.96)	0.41 (0.82)
	2015–2016	0.003 (0.01)	0.26 (0.53)	0.21 (0.44)	0.002 (0.01)	0.41 (0.98)	0.34 (0.82)
	2017–2018	0.002 (0.01)	0.25 (0.68)	0.21 (0.57)	0.01 (0.02)	0.46 (1.74)	0.38 (1.46)
Somatic complaint	2009–2010	0.003 (0.01)	0.11 (0.17)	0.09 (0.14)	0.004 (0.03)	0.21 (0.41)	0.17 (0.35)
	2011–2012	0.01 (0.03)	0.17 (0.31)	0.14 (0.27)	0.01 (0.04)	0.40 (0.90)	0.33 (0.78)
	2013–2014	0.01 (0.04)	0.14 (0.29)	0.12 (0.24)	0.01 (0.08)	0.31 (0.83)	0.26 (0.71)
	2015–2016	0.01 (0.08)	0.16 (0.36)	0.13 (0.31)	0.02 (0.14)	0.31 (0.97)	0.26 (0.83)
	2017–2018	0.02 (0.07)	0.16 (0.38)	0.13 (0.32)	0.02 (0.08)	0.29 (0.78)	0.24 (0.66)
Other complaint	2009–2010	0.03 (0.07)	0.25 (0.52)	0.21 (0.44)	0.03 (0.06)	0.61 (1.34)	0.52 (1.15)
	2011–2012	0.03 (0.08)	0.17 (0.34)	0.15 (0.29)	0.02 (0.06)	0.39 (0.83)	0.33 (0.71)
	2013–2014	0.02 (0.07)	0.12 (0.28)	0.10 (0.24)	0.01 (0.06)	0.27 (0.97)	0.23 (0.84)
	2015–2016	0.02 (0.11)	0.15 (0.27)	0.13 (0.23)	0.02 (0.09)	0.27 (0.72)	0.23 (0.62)
	2017–2018	0.03 (0.33)	0.25 (0.70)	0.21 (0.60)	0.04 (0.26)	0.45 (1.57)	0.38 (1.33)
Total	2009–2010	0.55 (1.00)	2.22 (2.31)	1.94 (2.06)	0.40 (0.76)	2.51 (3.11)	2.17 (2.73)
	2011–2012	0.75 (1.23)	3.46 (3.42)	2.98 (3.00)	0.58 (1.02)	3.63 (4.09)	3.12 (3.57)
	2013–2014	0.60 (1.13)	2.82 (3.20)	2.42 (2.80)	0.55 (1.24)	2.91 (3.71)	2.50 (3.26)
	2015–2016	0.63 (1.31)	3.08 (3.21)	2.64 (2.77)	0.63 (1.28)	3.13 (3.78)	2.69 (3.29)
	2017–2018	0.72 (1.31)	3.01 (3.43)	2.61 (3.01)	0.62 (1.00)	3.20 (4.25)	2.75 (3.66)

^aRates were first calculated at the camp level. For each camp, the numerator of the rate was the total number of visits in each MNS category within a given 2-year period within each age/sex category. The denominator was the total number of person-time contributed by the camp in the same period, which reflected the camp’s monthly population during the months that the HIS was active within each age/sex category. The resulting rate was multiplied by 1000. Weighted mean rates and standard deviations were calculated within each age/sex category. Weights were calculated as the ratio of a camp’s contributed person-time to all camp’s contributed person-time within the HIS. Therefore, the weights summed to 1. MNS, mental, neurological, and substance use; HIS, health information system; CAR, Central African Republic; DRC, Democratic Republic of Congo

Back to article page

ISSN: 1741-7015

Contact us

Submission enquiries: bmcmedicineeditorial@biomedcentral.com
General enquiries: info@biomedcentral.com

BMC Medicine

Contact us