Mental Health World Conference 2026

Abstract

Background: In rural Kenya, mental health needs of elderly, women in patriarchal cultures and children with disabilities remain invisible  absent from hospital data and policy. Cultural norms, poverty and stigma limit health seeking, leaving many abandoned at home with jiggers, incontinence and psychological distress without access to care.

Methods: From 2024 to 2026 we implemented a community based model in Kitale bi monthly outreach camps, systematic home visits by social workers, hospital based empowerment sessions for women, caregivers and taskshifting. Caregiver consent obtained for documentation; child identities protected via facial blurring. Partnership with Netherlands provided assistive equipment.

Results: Through home visits we identified 66 children with special needs previously unknown to the health system. Comprehensive intervention included full medical workups, addressing malnutrition, contractures, severe jiggers infestation and burn trauma sequelae provision of diapers, mattresses and food for dignity  home based physiotherapy and custom made wheelchairs and strollers. Thirty three children (50percent) were assessed and transitioned to special education remaining 33 receive home based care with caregiver support groups. Among elderly, abandoned individuals with severe jiggers and immobility received dignity-based care  jiggers removal, wound care and companionship  as a psychosocial intervention  an elderly care framework is now in development. Womens empowerment sessions reached over 80 participants per outreach, addressing mental health, rights and wellbeing. Sustainability is strengthened through local county staff and international equipment donations.

Conclusion: Hidden populations become visible through home visits, not hospital records. In resourcelimited settings, diapers, wheelchairs and dignified foot care are mental health interventions that restore social inclusion and hope.