Dr Dickens Akena



Dr Dickens Akena, Makerere University, Uganda

Visual Instruments for Mental Health in Africa: The VIMESA project.

Dr Akena DickensDr. Dickens Akena is a psychiatrist and lecturer at Makerere University, Kampala, Uganda.  Dr. Akena graduated with a PhD in Psychiatry from the University of Cape Town, South Africa in 2013.  During his PhD studies, Dr. Akena developed a visual scale comprised of pictures that can be used to detect depression in persons with low literacy.

Depression is increasingly being recognized as a significant and largely neglected condition in Africa.  It is rarely identified and treated among patients in health facilities.  The reasons often cited are huge patient numbers and medical staff shortages.  Conventional tools for assessing depression involve a good level of patient literacy.  But this is challenging in Africa, where one-third of patients may be illiterate.
Simple to implement visual scales may be one innovation that could help improve case detection of depression in low literacy settings. Compared to letter based instruments visual scales could be self-administered by patients or trained lay health care workers irrespective of their literacy, leading to improvement in case detection of depression.

For this project, Dr. Akena will learn new methods in the area of psychometrics, and apply this knowledge to develop multiple scales for detection of mental illnesses in persons with low literacy in Africa.  Dr. Akena will be mentored and supervised by Professor Dan Stein and Prof John Joska who are based at the University of Cape Town in South Africa, and Professor Eugene Kinyanda at the Medical Research Council / Uganda Virus Research Institute Research Unit on AIDS, in Entebbe, Uganda.

Dr. Akena chose advisors and mentors who are distinguished mental health researchers with established track records in the African continent.  The host institutions will provide the necessary research support structures that Dr. Akena needs to achieve his goal of becoming an independent research scientist. While at the University of Cape Town, Dr. Akena will attend proposal writing workshops at the clinical research Centre, as well as seminars and lecture series at the Centre for Higher Education Development at the host institution.

Furthermore, the AREF fellowship offers Dr. Akena the opportunity to develop a proposal that will examine the accuracy of visual scales in diverse populations in Africa. In the long-term, the impact of using visual scales on clinical outcomes will be assessed, as well as means of effectively integrating visual scales for routine use in primary health care settings.