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1

Vostanis, P. "Development and Evaluation of a Psychosocial Model for Children Who Experience Trauma from Low and Middle-income Countries." European Psychiatry 41, S1 (2017): S308. http://dx.doi.org/10.1016/j.eurpsy.2017.02.205.

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IntroductionDespite fragmented evidence on individual interventions, good practice and child welfare programmes in low and middle-income countries (LMIC), there is no comprehensive model for early interventions, particularly for children who experience complex trauma.ObjectiveThe objective of the World Awareness for Children in Trauma (WACIT: www.wacit.org) is to develop an evidence-based psychosocial model for vulnerable children in low and middle-income countries with limited or no access to specialist resources.MethodsThe aim of the preliminary evaluation was to establish stakeholders’ view
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2

Palmer, Ian, and Nsanzumuhire Firmin. "Mental health in post-genocide Rwanda." International Psychiatry 8, no. 4 (2011): 86–87. http://dx.doi.org/10.1192/s1749367600002733.

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The children who experienced the genocide against the Tutsi in Rwanda are now in their mid to late 20s. It is almost impossible to comprehend the scale of the terror and destruction of Rwanda's societal infrastructure between 6 April and 16 July 1994. While the world remained inactive, Rwanda, a small impoverished central African state, experienced the murder of about 1 million of its citizens; it also saw the terrorising, humiliation and rape of countless thousands. Although women and children were directly targeted, some actively engaged in atrocities. About 300000 children were murdered, a
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3

Thabet, Abdel Aziz, and Panos Vostanis. "Visit to the Gaza Community Mental Health Programme: training in child mental health." Psychiatric Bulletin 23, no. 5 (1999): 300–302. http://dx.doi.org/10.1192/pb.23.5.300.

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The high prevalence of post-traumatic and other psychiatric disorders in children and adults who have experienced violence and war-related traumas are well documented by research (Thabet & Vostanis, 1998, 1999). So far, there has been less systematic evaluation of treatment interventions or training programmes for staff working with traumatised individuals in war zones. Training initiatives have recently been described in countries such as Rwanda (Brandon, 1998). This paper describes the work of a community mental health programme in the Gaza strip, particularly through a visit by P. V. to
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4

Crowe, Sam. "ndera Mental-health effects of ethnic violence acknowledged in Rwanda." Lancet 350, no. 9089 (1997): 1455. http://dx.doi.org/10.1016/s0140-6736(05)64226-2.

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5

Brandon, Sydney. "Note from Rwanda." Psychiatric Bulletin 22, no. 1 (1998): 50–51. http://dx.doi.org/10.1192/pb.22.1.50.

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6

Korukire, Noel, Laura Bozzi, Gilbert Banamwana, et al. "Climate Change and Mental Health: New Model of Managing Mental Health Illness Resulting From Climate Change Events. Rwanda Perspective." Rwanda Journal of Medicine and Health Sciences 2, no. 1 (2019): 62. http://dx.doi.org/10.4314/rjmhs.v2i1.11.

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7

Gasanganwa, M. C., B. Umubyeyi, and D. Gishoma. "Abstract: Workplace Setting of Mental Health Nursing Program Graduates in Rwanda." Rwanda Journal 2, no. 2 (2015): 79. http://dx.doi.org/10.4314/rj.v2i2.17f.

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8

Mukashema, Immaculée. "Facing Domestic Violence for Mental Health in Rwanda: Opportunities and Challenges." Procedia - Social and Behavioral Sciences 140 (August 2014): 591–98. http://dx.doi.org/10.1016/j.sbspro.2014.04.476.

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9

Betancourt, T., P. Scorza, F. Kanyanganzi, et al. "HIV and Child Mental Health: A Case-Control Study in Rwanda." PEDIATRICS 134, no. 2 (2014): e464-e472. http://dx.doi.org/10.1542/peds.2013-2734.

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10

Munyandamutsa, Naasson, Paul Mahoro Nkubamugisha, Marianne Gex-Fabry, and Ariel Eytan. "Mental and physical health in Rwanda 14 years after the genocide." Social Psychiatry and Psychiatric Epidemiology 47, no. 11 (2012): 1753–61. http://dx.doi.org/10.1007/s00127-012-0494-9.

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11

Levers, Lisa Lopez, Desire Kamanzi, Donatilla Mukamana, Kirrily Pells, and Dan-Bush Bhusumane. "Addressing Urgent Community Mental Health Needs in Rwanda: Culturally Sensitive Training Interventions." Journal of Psychology in Africa 16, no. 2 (2006): 261–72. http://dx.doi.org/10.1080/14330237.2006.10820130.

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12

Zraly, Maggie, Julia Rubin-Smith, and Theresa Betancourt. "Primary mental health care for survivors of collective sexual violence in Rwanda." Global Public Health 6, no. 3 (2011): 257–70. http://dx.doi.org/10.1080/17441692.2010.493165.

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13

Smith Fawzi, M. C., L. Ng, F. Kanyanganzi, et al. "Mental Health and Antiretroviral Adherence Among Youth Living With HIV in Rwanda." PEDIATRICS 138, no. 4 (2016): e20153235-e20153235. http://dx.doi.org/10.1542/peds.2015-3235.

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14

Carney, Andrew. "Lack of care in Rwanda." British Journal of Psychiatry 165, no. 4 (1994): 556. http://dx.doi.org/10.1192/bjp.165.4.556a.

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15

Baziga, Vedaste, Augustin Gasovya, and Fauste Uwingabire. "Community health workers’ attitude towards people with mental illness: potential challenge of maternal mental health services in a selected health centre, Ruhengeri Hospital in Rwanda." Rwanda Journal of Medicine and Health Sciences 2, no. 3 (2020): 220. http://dx.doi.org/10.4314/rjmhs.v2i3.3.

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16

Robertson, Morag L. "Abuse of human rights in Rwanda." Psychiatric Bulletin 18, no. 9 (1994): 588. http://dx.doi.org/10.1192/pb.18.9.588.

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17

Palmer, Ian. "The stresses of peacekeeping: Rwanda 1994." Psychiatric Bulletin 19, no. 12 (1995): 777–78. http://dx.doi.org/10.1192/pb.19.12.777.

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In August 1994 the British Army mounted its first ever Humanitarian Aid effort. I was the psychiatrist to this endeavour and this is a brief account of the stresses on those intimately involved with the medical aspects of ‘Operation Gabriel’.
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18

Mukashema, Immaculée, and Etienne Mullet. "Unconditional Forgiveness, Reconciliation Sentiment, and Mental Health Among Victims of Genocide in Rwanda." Social Indicators Research 113, no. 1 (2012): 121–32. http://dx.doi.org/10.1007/s11205-012-0085-x.

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19

Jansen, Stefan, Ross White, Jemma Hogwood, et al. "The “treatment gap” in global mental health reconsidered: sociotherapy for collective trauma in Rwanda." European Journal of Psychotraumatology 6, no. 1 (2015): 28706. http://dx.doi.org/10.3402/ejpt.v6.28706.

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20

Mukashema, Immaculee, and Etienne Mullet. "Reconciliation Sentiment Among Victims of Genocide in Rwanda: Conceptualizations, and Relationships with Mental Health." Social Indicators Research 99, no. 1 (2009): 25–39. http://dx.doi.org/10.1007/s11205-009-9563-1.

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21

Obaje, Hawa Iye, Grace Chinelo Okengwu, Jolly Josiah Kenan, et al. "Assessing the knowledge, perceptions, and mental health impact of COVID-19 among students in Rwanda." Journal of Public Mental Health 20, no. 3 (2021): 210–20. http://dx.doi.org/10.1108/jpmh-10-2020-0125.

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Purpose This paper aims to assess the knowledge, perceptions and mental health impact of COVID-19 among students in Rwanda. Design/methodology/approach This paper is a cross-sectional online survey questionnaire. Findings The mean knowledge score among the 375 respondents was 75.14% (SD ± 19.1), with 195 (55.1%) of the respondents scoring below 80%. Students who believed that COVID-19 education was sufficient were more likely to have lower knowledge levels (OR = 1.84, 95% CI = 1.15; 2.94). While most respondents were aware of their vulnerability to the virus, they did not see themselves at ris
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22

Otake, Yuko. "Community Resilience and Long-Term Impacts of Mental Health and Psychosocial Support in Northern Rwanda." Medical Sciences 6, no. 4 (2018): 94. http://dx.doi.org/10.3390/medsci6040094.

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Recently, discussions have considered how mental health and psychosocial support (MHPSS) can build upon local resilience in war-affected settings. To contribute to the knowledge in this field, the paper explored the gap between MHPSS and local communities in terms of perceived mental health problems and healing processes, and how the gap could be filled. Qualitative research was conducted in northern Rwanda with 43 participants between 2015 and 2016. Findings revealed how three particular gaps can isolate MHPSS recipients in their local community. First, whereas MHPSS applies bio-psychological
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23

Mukashema, Immaculée, and Etienne Mullet. "Current mental health and reconciliation sentiment of victims of the genocide against Tutsi in Rwanda." Revista de Psicología Social 25, no. 1 (2010): 27–34. http://dx.doi.org/10.1174/021347410790193487.

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24

Ngamije, James, and Callixte Yadufashije. "COVID-19 pandemic against mental health services for genocide survivors during commemoration week in Rwanda." Heliyon 6, no. 10 (2020): e05229. http://dx.doi.org/10.1016/j.heliyon.2020.e05229.

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25

Uwera Kanyamanza, Claudine, and Jean-Luc Brackelaire. "Ménages d'enfants sans parents au Rwanda." Cahiers de psychologie clinique 37, no. 2 (2011): 9. http://dx.doi.org/10.3917/cpc.037.0009.

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26

Uwamaliya, Philomène, and Grahame Smith. "Rehabilitation for Survivors of the 1994 Genocide in Rwanda: What Are the Lessons Learned?" Issues in Mental Health Nursing 38, no. 4 (2017): 361–67. http://dx.doi.org/10.1080/01612840.2017.1280574.

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27

Rooke, O. J. "The refugees of Rwanda seen through the eyes of a psychiatrist." Psychiatric Bulletin 19, no. 12 (1995): 774–76. http://dx.doi.org/10.1192/pb.19.12.774.

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Rwanda was the most densely populated country in Africa. It is two-thirds the size of Switzerland but contained a larger population (9 million people), growing by almost 40% every two years. Few square inches are left uncultivated. The Tutsi people (never more than 14% of the population) are said to have arrived in the 14th century ad, bringing with them a feudal and totalitarian system of government. There was significant intermarriage with the result that today the Hutu and Tutsi people share the same language, cultural beliefs and religions (predominantly Catholic). In reality the terms Hut
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28

Uwitonze, Thérèse, Japhet Niyonsenga, Emmanuel Habumugisha, Ignatiana Mukarusanga, and Jean Mutabaruka. "Parental Family Violence and Mental Health among parents and their offspring in the Southern Province, Rwanda." Rwanda Journal of Medicine and Health Sciences 3, no. 3 (2020): 291–314. http://dx.doi.org/10.4314/rjmhs.v3i3.3.

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Background
 Children who witness violence between parents have an elevated risk of developing mental disorders as well as being victims or perpetrator of family violence (FV) in their future relationships when compared with children from non-violent family.
 Objectives
 To assess links between both parental FV and mental disorders, and mental disorders in their offspring.
 Methods
 One hundred and thirty eight (138) participants dispatched in two categories: spouses/partners (N: 89; 40 Males) and offspring (N: 49; 20 Males) have been recruited from eight District Polic
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29

Verduin, Femke, Geert E. Smid, Tim R. Wind, and Willem F. Scholte. "In search of links between social capital, mental health and sociotherapy: A longitudinal study in Rwanda." Social Science & Medicine 121 (November 2014): 1–9. http://dx.doi.org/10.1016/j.socscimed.2014.09.054.

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30

Eytan, Ariel, Naasson Munyandamutsa, Paul Mahoro Nkubamugisha, and Marianne Gex-Fabry. "Long-term mental health outcome in post-conflict settings: Similarities and differences between Kosovo and Rwanda." International Journal of Social Psychiatry 61, no. 4 (2014): 363–72. http://dx.doi.org/10.1177/0020764014547062.

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31

Kahn, Sarilee, and Myriam Denov. "“We are children like others”: Pathways to mental health and healing for children born of genocidal rape in Rwanda." Transcultural Psychiatry 56, no. 3 (2019): 510–28. http://dx.doi.org/10.1177/1363461519825683.

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Despite the well-documented prevalence of rape as a strategy of war, little is known about the specific psychological consequences to children born of conflict-related sexual violence. The results of data analysis of 7 focus groups and 60 in-depth interviews with children born of genocidal rape in Rwanda indicated that they are carrying the trauma of their own stigmatization and marginalization, are burdened with their mothers' trauma, and, we conclude, symbolize unresolved collective trauma for the society. Analysis also reveals that healing for these young adults requires interpersonal and i
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32

BOLTON, PAUL, RICHARD NEUGEBAUER, and LINCOLN NDOGONI. "PREVALENCE OF DEPRESSION IN RURAL RWANDA BASED ON SYMPTOM AND FUNCTIONAL CRITERIA." Journal of Nervous and Mental Disease 190, no. 9 (2002): 631–37. http://dx.doi.org/10.1097/00005053-200209000-00009.

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33

Bagilishya, D…ogratias. "Mourning and Recovery from Trauma: In Rwanda, Tears Flow Within." Transcultural Psychiatry 37, no. 3 (2000): 337–53. http://dx.doi.org/10.1177/136346150003700304.

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34

Orkand, Susan Carey. "Dance/Movement as Resilience, Unity and Community in Rwanda: Shared Experience over Difference." American Journal of Dance Therapy 42, no. 1 (2020): 5–15. http://dx.doi.org/10.1007/s10465-020-09325-8.

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35

Semrau, Maya, Gail Davey, Ursin Bayisenge, and Kebede Deribe. "High levels of depressive symptoms among people with lower limb lymphoedema in Rwanda: a cross-sectional study." Transactions of The Royal Society of Tropical Medicine and Hygiene 114, no. 12 (2020): 974–82. http://dx.doi.org/10.1093/trstmh/traa139.

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Abstract Background There is a growing body of evidence that mental distress and disorder are common among people with lower limb lymphoedema, although no research has been conducted on this subject in Rwanda. Methods This research was embedded within a mapping study to determine the national prevalence and geographical distribution of podoconiosis in Rwanda. Using a cluster sampling design, adult members of households within 80 randomly selected sectors in all 30 districts of Rwanda were first screened and 1143 patients were diagnosed with either podoconiosis (n=914) or lower limb lymphoedema
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36

Nyirandagijimana, B., J. K. Edwards, E. Venables, et al. "Closing the gap: decentralising mental health care to primary care centres in one rural district of Rwanda." Public Health Action 7, no. 3 (2017): 231–36. http://dx.doi.org/10.5588/pha.16.0130.

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37

Iyamuremye, Jean Damascène, and Petra Brysiewicz. "The development of a model for dealing with secondary traumatic stress in mental health workers in Rwanda." Health SA Gesondheid 20, no. 1 (2015): 59–65. http://dx.doi.org/10.1016/j.hsag.2015.02.006.

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38

Smith, Stephanie L., Molly F. Franke, Christian Rusangwa, et al. "Outcomes of a primary care mental health implementation program in rural Rwanda: A quasi-experimental implementation-effectiveness study." PLOS ONE 15, no. 2 (2020): e0228854. http://dx.doi.org/10.1371/journal.pone.0228854.

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39

Sipsma, H. L., K. L. Falb, T. Willie, et al. "Violence against Congolese refugee women in Rwanda and mental health: a cross-sectional study using latent class analysis." BMJ Open 5, no. 4 (2015): e006299-e006299. http://dx.doi.org/10.1136/bmjopen-2014-006299.

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40

Rugema, Lawrence, Ingrid Mogren, Joseph Ntaganira, and Gunilla Krantz. "Traumatic episodes and mental health effects in young men and women in Rwanda, 17 years after the genocide." BMJ Open 5, no. 6 (2015): e006778. http://dx.doi.org/10.1136/bmjopen-2014-006778.

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41

Rurangirwa, Akashi Andrew, Ingrid Mogren, Joseph Ntaganira, Kaymarlin Govender, and Gunilla Krantz. "Intimate partner violence during pregnancy in relation to non-psychotic mental health disorders in Rwanda: a cross-sectional population-based study." BMJ Open 8, no. 7 (2018): e021807. http://dx.doi.org/10.1136/bmjopen-2018-021807.

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ObjectivesTo investigate the prevalence of non-psychotic mental health disorders (MHDs) and the association between exposure to all forms of intimate partner violence (IPV) during pregnancy and MHDs.DesignCross-sectional population-based study conducted in the Northern Province of Rwanda and Kigali city.Participants and settingsTotally, 921 women who gave birth ≤13 months before being interviewed were included. Simple random sampling was done to select villages, households and participants. Community health workers helped to identify eligible participants and clinical psychologists, nurses or
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42

Nyegue, F., and L. Mlle Fort. "The Enigmatic Psychic Bonds Between Genocidary Survivors and the Torturers Abandoned Children Whom the First Adopt in Rwanda." European Psychiatry 30 (March 2015): 981. http://dx.doi.org/10.1016/s0924-9338(15)30769-0.

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43

Thomas, T., A. Ngirababyeyi, K. Mwaniki, et al. "PMH67 USING REAL WORLD DATA TO PROFILE CURRENT STANDARD OF CARE FOR SCHIZOPHRENIA PATIENTS AT A MENTAL HEALTH HOSPITAL IN RWANDA, AFRICA." Value in Health 22 (May 2019): S238. http://dx.doi.org/10.1016/j.jval.2019.04.1110.

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44

Iyamuremye, J. D. "Abstract: Challenges of Secondary Traumatic Stress in Mental Health Nurses Working in Kigali, Rwanda and Development of Management Strategies." Rwanda Journal 2, no. 2 (2015): 80. http://dx.doi.org/10.4314/rj.v2i2.18f.

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45

Nduwimana, Estella, Sylvere Mukunzi, Lauren C. Ng, Catherine M. Kirk, Justin I. Bizimana, and Theresa S. Betancourt. "Mental Health of Children Living in Foster Families in Rural Rwanda: The Role of HIV and the Family Environment." AIDS and Behavior 21, no. 6 (2016): 1518–29. http://dx.doi.org/10.1007/s10461-016-1482-y.

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46

Denov, Myriam, and Antonio Piolanti. "Mothers of children born of genocidal rape in Rwanda: Implications for mental health, well-being and psycho-social support interventions." Health Care for Women International 40, no. 7-9 (2019): 813–28. http://dx.doi.org/10.1080/07399332.2019.1571593.

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47

Rukabyarwema, Jean Paul, Natalie McCall, Tharcisse Ngambe, Xavier Butoto Kanyembari, and Robert Needlman. "Behavior Problems in Physically Ill Children in Rwanda." Journal of Developmental & Behavioral Pediatrics 40, no. 8 (2019): 642–50. http://dx.doi.org/10.1097/dbp.0000000000000698.

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48

Rieder, Heide, and Thomas Elbert. "The relationship between organized violence, family violence and mental health: findings from a community-based survey in Muhanga, Southern Rwanda." European Journal of Psychotraumatology 4, no. 1 (2013): 21329. http://dx.doi.org/10.3402/ejpt.v4i0.21329.

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49

Schierenbeck, Isabell, Peter Johansson, Lena M. Andersson, Gunilla Krantz, and Joseph Ntaganira. "Collaboration or renunciation? The role of traditional medicine in mental health care in Rwanda and Eastern Cape Province, South Africa." Global Public Health 13, no. 2 (2016): 159–72. http://dx.doi.org/10.1080/17441692.2016.1239269.

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50

Umubyeyi, Aline, Ingrid Mogren, Joseph Ntaganira, and Gunilla Krantz. "Help-seeking behaviours, barriers to care and self-efficacy for seeking mental health care: a population-based study in Rwanda." Social Psychiatry and Psychiatric Epidemiology 51, no. 1 (2015): 81–92. http://dx.doi.org/10.1007/s00127-015-1130-2.

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