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Friday, June 19 • 10:30am - 12:00pm
Community Based Resilience - Srividya Iyer, Kathleen Giles

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Community Based Resilience:

Abstract #91
A Community-Driven Youth Mental Healthcare Project In Kashmir, India
Presenter: Srividya Iyer
This presentation outlines a community-driven youth mental healthcare project in Kashmir, India. The Kashmir conflict, simmering since India’s postcolonial partition, has intensified since 1989. In addition to socioeconomic devastation and displacement, this conflict has precipitated a 30-fold increase in the anecdotally observed incidence of mental illness. The situation is exacerbated by the virtual absence of state-provided mental healthcare and the Kashmir valley’s geopolitical isolation. On the credit side of the equation are the adversity-forged resilience of Kashmir’s people; the density of their familial and communal networks; their generally high levels of education; and the growth of geography-defying telecommunication technologies in India. Our Grand Challenges Canada project uses these strengths to provide mental healthcare to youths (aged 14-30) in Kashmir’s Ganderbal district. The project earned its social licence through early engagement with culturally significant leaders (village elders, imams, etc.). Its innovative, low-cost model entails training lay community mental health workers to identify needs, provide basic services and promote awareness. Geographical barriers are surmounted by using a vehicle-mounted mobile clinic and inexpensive telecommunication technologies for training and consultations. Using extant sociocultural resources and resiliencies to minimize costs and maximize impact, the project thus provides much-needed primary mental healthcare to an underserved population.

Abstract #148
Community Engagement To Identify Community Resilience Policy Options: Deliberative Polling In Uganda: A Case for Bududa And Butalejja Districts
Presenter:  Kathleen Giles Co-presenters: Bazeyo William, Fishkin James, Roy William Mayega, Lynn Atuyambe, Julius Ssentongo
Background: Multiple people in Uganda are increasingly at risk for adverse climate events with Albertine, Teso and Mt.Elgon regions reporting a high risk. There are recurrent climatic events that have rendered the same damage to livelihoods and infrastructure despite predictability, millions of aid in response and attempts at mitigation which implies wide-scale lack of resilience and negative coping. Objective: To determine whether community opinions on key policy options (Land management, Resettlement management and Population pressure) can change when better informed about policy. Methodology: Using a Deliberative Polling® approach a random representative sample was selected and a baseline opinion poll on selected policy issues conducted in Bududa and Butalejja districts. The same sample was invited to a facilitated deliberation on these policy issues and thereafter, a post deliberation opinion poll conducted. Policy options were rated on an ordinal scale ranging from zero (Unimportant) to ten (Extremely important) and statistical differences in means tested using t-test.Results: Fifteen of 36 policy options changed with deliberation and changes were in the direction of increased support for policy optionsConclusion: Community opinions about policy can change with sufficient participatory dialogue and policy process can be greatly enhanced by employing a bottom-up approach. 


Srividya Iyer

Srividya Iyer is an Assistant Professor in the Department of Psychiatry at McGill University. She is the Coordinator of the Prevention and Early Intervention Program for Psychosis at the Douglas Mental Health University Institute and plays a leadership role in ACCESS-Canada, a newly... Read More →


Lynn Atuyambe

Assoc Prof at Makerere University Lynn Atuyambe, Ph.D., (Public Health Sciences International Health) teaches at the Makerere University School of Public Health-Department of Community Health and Behavioural Sciences. He obtained his doctorate from Karolinska Institutet in Stockholm... Read More →

James Fishkin

Center for Deliberative Democracy, Stanford University
Prof. at Stanford University Fishkin received his BA degree and Ph.D. in Political Science from Yale University. He holds a second Ph.D. in Philosophy from Cambridge University, United Kingdom. He is the current director of Stanford's Center for Deliberative Democracy.
avatar for Roy William Mayega

Roy William Mayega

Dr. Roy William Mayega is a Lecturer at the department of Epidemiology and Biostatistics, Makerere University School of Public Health, Uganda and is currently the Deputy CoP at RAN. He holds a basic degree in Medicine and an MPH from Makerere. He has a PhD Medical Science from Karolinska... Read More →
avatar for Julius Ssentongo

Julius Ssentongo

Program Coordinator, Makerere University School of Public Health-ResilientAfrica Network (RAN)
Dr. Julius Ssentongo is a Research Fellow at the ResilientAfrica Network (RAN) at Makerere University School of Public Health. His current research focuses on examining the resilience of communities that are contending with the effects of climate change and chronic conflict. He primarily... Read More →

Bazeyo William

Assoc Prof at Makerere University Dr. William Bazeyo is an Associate Professor of Occupational Medicine at Makerere University College of Health Sciences, School of Public Health and is currently the Dean of the School. He received an MBCHB from Makerere University and M.Med in... Read More →

Friday June 19, 2015 10:30am - 12:00pm EDT
Frazee Room NAB 2nd Floor, King's College

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