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Vol. 1 · Issue 3 · 2025 Sep 30, 2025 Articles

Toward an Integrated Mental Health Approach in Nigeria A Scoping Review of Policies, Strategies, and Interventions

IU
Ibrahim Usman Corresponding Maastricht University i.usman@maastrichtuniversity.nl Nigeria
RR
Ruiter R.A.C Maastricht University Netherlands
SD
Schaafsma Dilana Fontys University of Applied Sciences Netherlands
Pages66-76 PublishedSep 30, 2025 LicenseOpen Access
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Vol. 1 No. 3 (2025)
VOL 1 · NO 3 · 2025 View issue

Abstract

Background: Functional impairment caused by mental illness, known as psychosocial disability, significantly impacts the quality of life and socioeconomic well-being of individuals, particularly in Nigeria, where mental health challenges are escalating. Objective: This study aims to conduct a literature review on the intersectionality of mental illness and sexual and reproductive health (SRH) in Nigeria, focusing on the policies, strategies, and interventions that affect access to SRH services for individuals with mental illness. Methods: A systematic literature review was conducted using academic databases like PubMed, Google Scholar, and the WHO library. We used specific keywords related to mental health and SRH access in Nigeria. We included peer-reviewed articles, government reports, and credible publications relevant to our research.  Results: Our findings show significant gaps in health policies and service delivery. Cultural beliefs and legal frameworks negatively impact access to SRH services for individuals with mental illness. Despite policies promoting inclusivity, barriers such as insufficient government funding, poor agency coordination, and societal stigma continue to exist. Conclusions: To improve access to essential health services in Nigeria, we need comprehensive policy reforms and targeted interventions that address the needs of marginalized populations.

Keywords

References

  1. World Health Organization. (2019). Mental disorders affect one in four people. Geneva: WHO.
  2. Retrieved from http://www.who.int/whr/2001/media_centre/press_release/en/
  3. Starrs, A. (2015). A Lancet Commission on sexual and reproductive health and rights: Going
  4. beyond the Sustainable Development Goals. The Lancet, 386(9999), 1111–1112.
  5. Chandra, P. S., & Chand, P. (2018). Towards a new era for mental health. The Lancet,
  6. (10157), 1495–1497. https://doi.org/10.1016/S0140-6736(18)32354-1
  7. Federal Ministry of Health (FMOH). (2016). Guidelines for the participation of people with
  8. disabilities in research and access to sexual and reproductive health services in Nigeria. Abuja:
  9. FMOH. Retrieved from www.fmoh.gov.ng
  10. Heron, M. (2019). Deaths: Leading causes for 2017. National Vital Statistics Reports.
  11. Hyattsville, MD: National Center for Health Statistics. Retrieved from
  12. http://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm
  13. Ngui, E. M., Khasakhala, L., Ndetei, D., & Roberts, L. W. (2010). Mental disorders, health
  14. inequalities and ethics: A global perspective. International Review of Psychiatry, 22, 235–244.
  15. Onyemelukwe, C. (2016). Stigma and mental health in Nigeria: Some suggestions for law
  16. reforms. Journal of Law, Policy and Globalization, 55, 63–68.
  17. Suleiman, D. E. (2017). Mental health disorders in Nigeria: A highly neglected disease. Annals of
  18. Nigerian Medicine, 10, 47–48.
  19. Akinkuotu, E. (2018, November 13). 30% of Nigerians suffer mental illness—FG. The Punch.
  20. Retrieved from https://www.punchng.com/30-of-nigerians-suffer-mental-illness-fg/
  21. World Health Organization & Nigerian Ministry of Health. (2006). WHO-AIMS report on mental
  22. health system in Nigeria. Ibadan: WHO and Ministry of Health. Retrieved from
  23. https://www.who.int/mental_health/evidence/nigeria_who_aims_report.pdf
  24. Abdulmalik, J., Kola, L., & Gureje, O. (2016). Mental health system governance in Nigeria:
  25. Challenges, opportunities and strategies for improvement. Global Mental Health (Camb), 3.
  26. Abdulmalik, J., Olayiwola, S., Docrat, S., Lund, C., Chisholm, D., & Gureje, O. (2019).
  27. Sustaining financial mechanisms for strengthening mental health systems in Nigeria.
  28. International Journal of Mental Health Systems, 13, 38.
  29. https://doi.org/10.1186/s13033-019-0270-5
  30. Federal Ministry of Health (FMOH). (2014). National policy for mental health service delivery.
  31. Abuja: FMOH. Retrieved from www.fmoh.gov.ng
  32. World Health Organization. (2017). Key issues in the implementation of sexual and reproductive
  33. health program. Geneva: WHO. Retrieved from
  34. https://www.who.int/reproductivehealth/topics/linkages/en/
  35. Levesque, J. F., & Sutherland, K. (2017). What role does performance information play in
  36. securing improvement in healthcare? A conceptual framework for levers of change. BMJ Open,
  37. (8), 1–9. https://doi.org/10.1136/bmjopen-2017-017026
  38. Anyanwu, J. I., Ezegbe, B. N., & Eskay, M. (2013). Family planning in Nigeria: A myth or
  39. reality? Journal of Education and Practice, 4(15), 108–114.
  40. Abiodun, O., Olu-Abiodun, O., Ani, F., & Sotunsa, O. (2016). Sexual and reproductive health
  41. service utilization among communities in rural areas in Nigeria. Journal of AIDS and Clinical
  42. Research, 7(6).
  43. Akanni, I., Uche, C., & Isiugo-Abanihe, U. (2014). Demographic dynamics and development in
  44. Nigeria. African Population Studies, 24(1).
  45. Hodson, N., & Bewley, S. (2017). Social exclusion and human rights at the intersection of HIV
  46. and severe mental illness. The Lancet Psychiatry, 4(12), 898–899.
  47. Bakare, M. O., Agomoh, A. O., Ebigbo, P. O., Onyeama, G. M., Eaton, J., & Onwukwe, J. U.
  48. (2009). Co-morbid disorders and sexual risk behavior in Nigerian adolescents with bipolar
  49. disorder. International Archives of Medicine, 2(1), 1–5.
  50. Armatas, V. (2014). Mental retardation: Definitions, etiology. Journal of Sport and Health
  51. Research, 1(2), 112.
  52. Sheikh, T. W., Adekeye, O., Olisah, V. O., & Mohammed, A. (2015). Stigmatization of mental
  53. illness among employees of a northern Nigerian university. Nigerian Medical Journal, 56,
  54. –248.
  55. Ubaka, C. M., Chikezie, C. M., Amorha, K. C., & Ukwe, C. V. (2018). Health professionals'
  56. stigma towards the psychiatric ill in Nigeria. Ethiope Journal of Health Sciences, 28, 483–494.
  57. Armiyau, A. Y. (2015). A review of stigma and mental illness in Nigeria. Journal of Clinical
  58. Case Reports, 5(1), 1–3.
  59. Okpalauwaeke, U., Mela, M., & Oji, C. (2017). Knowledge of and attitude to mental illness in
  60. Nigeria: A scoping review. Integrated Journal of Global Health, 1, 1–14.
  61. Zexin, M. (2017). How the media cover mental illness: A review. Health Education, 117,
  62. –109.
  63. Coker, A. O., Coker, O. O., Alonge, A., & Kanmodi, K. (2018). Nurses' knowledge and attitudes
  64. towards the mentally ill in Lagos, South-Western Nigeria. International Journal of Advanced
  65. Community Medicine, 1, 15–21.
  66. Erubami, A. J. (2019). Economic fluctuations and newspaper advertising expenditures during and
  67. after the Nigerian economic recession. Journal of Management Sciences, 17, 37–51.
  68. Asher, L., Patel, V., & De Silva, M. J. (2017). Community-based psychosocial interventions for
  69. people with schizophrenia in low and middle-income countries: Systematic review and
  70. meta-analysis. BMC Psychiatry, 17(1), 355. https://doi.org/10.1186/s12888-017-1516-7
  71. United Nations Population Fund (UNFPA). (2009). Promoting sexual and reproductive health for
  72. persons with disabilities: Guidance note. Retrieved from
  73. https://www.unfpa.org/publications/promoting-sexual-and-reproductive-health-persons-disabilitie
  74. s
  75. United Nations Population Fund (UNFPA). (2018). Guidelines for providing rights-based and
  76. gender-sensitive sexual and reproductive health services to persons with disabilities. Retrieved
  77. from
  78. https://www.unfpa.org/sites/default/files/resource-pdf/Guidelines_Providing_Rights-Based_and_
  79. Gender-Sensitive_Sexual_and_Reproductive_Health_Services_to_Persons_with_Disabilities.pdf
  80. Armatas, V. (2016). Mental health disparities in Nigeria: An overview. International Review of
  81. Psychiatry, 28(4), 420–427.
  82. Mavuso, S. S., & Maharaj, P. (2015). Access to sexual and reproductive health services:
  83. Experiences and perspectives of persons with disabilities in Durban, South Africa. Agenda,
  84. (2), 122–133. https://doi.org/10.1080/10130950.2015.1010588
  85. Babatunde, O. (2015). Family planning as a critical component of sustainable global
  86. development in Nigeria. Global Health Action, 8, 30086. https://doi.org/10.3402/gha.v8.30086
  87. Brooks, H., & Whitley, R. (2014). Media coverage and perceptions of mental illness: An
  88. international perspective. Global Public Health, 9(7), 883–898.
  89. Federal Republic of Nigeria. (2018). Country report June 2018. Retrieved from www.fgn.gov.ng
  90. Amusat, N. (2011). Disability care in Nigeria: The need for professional advocacy. African
  91. Journal of Physiotherapy and Rehabilitation Science, 1(1), 30–36.
  92. Ogbimi, A. O., Osunkeye, O., & Ogu, A. (2017). Public awareness of mental health services in
  93. Nigeria. Abuja: Mental Health Foundation.
  94. Armatas, V. (2014). Mental retardation: Definitions, etiology. Journal of Sport and Health
  95. Research, 1(2), 112.
  96. Brooke-Sumner, C. (2012). Perceptions of psychosocial disability amongst psychiatric service
  97. users and caregivers in South Africa. Journal of Psychiatric Nursing, 1–10.
  98. Ebuenyi, I. D., Syurina, E. V., Bunders, J. F. G., & Regeer, B. J. (2018). Barriers to and
  99. facilitators of employment for people with psychiatric disabilities in Africa: A scoping review.
  100. Global Health Action, 11(1). https://doi.org/10.1080/16549716.2018.1463658
  101. Carmichael, V., Adamson, G., Sitter, K. C., & Whitley, R. (2019). Media coverage of mental
  102. illness: A comparison of citizen journalism vs. professional journalism portrayals. Journal of
  103. Mental Health, 28, 520–526.
  104. Hunt, X., Carew, M. T., Braathen, S. H., Swartz, L., & Rohleder, P. (2017). The sexual and
  105. reproductive rights and benefits derived from sexual and reproductive health services of people
  106. with disabilities in South Africa: Beliefs of non-disabled people. Agenda, 8080(May).
  107. Iliyasu, Z., Abubakar, I. S., & Aliyu, M. H. (2015). Health and human rights village in Northern
  108. Nigeria. BMC International Health and Human Rights, 15, 1–6.
  109. Jack-Ide, I. O., & Uys, L. R. (2013). Barriers to mental health services utilization in the Niger
  110. Delta region of Nigeria: Service users’ perspectives. Pan African Medical Journal, 14, 159.
  111. https://doi.org/10.11604/pamj.2013.14.159.2427
  112. Ngui, E. M., Khasakhala, L., Ndetei, D., & Roberts, L. W. (2010). Mental disorders, health
  113. inequalities and ethics: A global perspective. International Review of Psychiatry, 22, 235–244.
  114. Obayi, P. M., Anorue, L. I., & Onyebuchi, C. A. (2016). Demystifying content and data analysis
  115. in social science research. Enugu: Madonna Printing and Publishing House.
  116. Bakare, M. O., Agomoh, A. O., Ebigbo, P. O., Onyeama, G. M., Eaton, J., & Onwukwe, J. U.
  117. (2009). Co-morbid disorders and sexual risk behavior in Nigerian adolescents with bipolar
  118. disorder. International Archives of Medicine, 2(1), 1–5.
  119. Coker, A. O., Coker, O. O., Alonge, A., & Kanmodi, K. (2018). Nurses' knowledge and attitudes
  120. towards the mentally ill in Lagos, South-Western Nigeria. International Journal of Advanced
  121. Community Medicine, 1, 15–21.
  122. Federal Ministry of Health (FMOH). (2006). National Reproductive Health Strategy 2005–2017.
  123. Abuja: FMOH. Retrieved from www.fmoh.gov.ng
  124. Federal Ministry of Health (FMOH). (2014). Nigeria Family Planning Blueprint (Scale-Up
  125. Plan). Abuja: FMOH. Retrieved from
  126. https://www.healthpolicyproject.com/ns/docs/CIP_Nigeria.pdf
  127. National Population Commission (NPC). (2016). Implications and Challenges of Overpopulation
  128. in Nigeria. Retrieved from
  129. ghdx.healthdata.org/organizations/national-population-commission-Nigeria
  130. National Population Commission (NPC). (2007). Census, population and development review.
  131. Population and Development Review, 33(2), 206–210. Retrieved from
  132. http://www.population.gov.ng/index.php/about-npc
  133. Babatunde, O. (2015). Family planning as a critical component of sustainable global
  134. development in Nigeria. Global Health Action, 8, 30086. https://doi.org/10.3402/gha.v8.30086
  135. Federal Ministry of Health (FMOH). (2015). Lessons on Family Planning Accountability
  136. Programming Action 2020 Program.

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