GCRF_NF178 Mobile Arts for Peace (MAP) at home: online psychosocial support through the arts in Rwanda

在COVID-19封锁期间，卢旺达政府采取了严格措施，以防止外出。这种流行病造成的限制增加了基于性别的暴力、少女怀孕和辍学的风险。先前的研究报告称，估计有26.1%的人口患有与创伤后应激障碍相关的症状（Munyandamutsa et al. 2009）;而最近的研究报告了类似的患病率（RMHS，2018），种族灭绝幸存者组织报告说，在封锁期间精神痛苦增加。不断恶化的经济状况对青年人的心理健康构成重大风险，如果发生新一波大流行病，这种风险可能会进一步加深。具体而言，在卢旺达，目前没有采取任何举措在家中提供心理社会支持（包括为需要更多专家干预的人建立转诊系统），也没有在正规和非正规教育机构（即学校和社区团体）之间建立双向沟通和协同作用，以便在保持社交距离期间进行学习和建立社交网络。MAP在国内通过互动式在线平台、参与式艺术研讨会以及卢旺达五个省的年轻人、教育工作者、文化艺术家和心理社会工作者之间的交流，研究在卢旺达提供心理健康支持和社区参与的潜力：鲁瓦马加纳区（东部省）;鲁巴武区（西部省）;吉昆比区（北部省）;胡耶区（南部省）;和基库基鲁区（基加利省）。MAP在国内将研究预防，应对和认识心理健康和促进心理健康的青年，家庭和社区成员通过创新的艺术为基础，文化知情的方法，响应参与者的需求。家庭MAP将通过开发心理社会模块、在线和参与式研讨会（根据COVID-19指导和社交距离措施）以及整合心理社会工作者，提供有关如何接触、吸引和装备年轻人和照顾者的心理社会健康工具的知识。MAP将与社区心理健康提供者Uyisenga Ni Imanzi，研究组织研究与和平对话研究所（IRDP），国家文化组织卢旺达艺术理事会，以及政府心理健康提供者卢旺达生物医学中心/心理健康部门和国家康复服务合作，共同设计，实施和传播从地方到国家的研究。教科文组织作为一个项目合作伙伴，协调国家与国际青年政策和心理健康政策的执行。该项目将回答以下与COVID-19相关的研究问题：* 如何将基于艺术的方法转化为在线平台，以提高心理社会健康？*从提供促进心理社会健康的在线艺术课程中可以学到什么经验教训，特别是在建立应对未来疫情或危机的复原力（个人和系统）方面？MAP在国内如何推动卢旺达心理健康提供和响应服务的设计和交付的数字创新？

During COVID-19 lockdown the Rwandan government initiated strict measures to prevent movement outside the home. Restrictions due to the pandemic increased risks of gender-based violence, teenage pregnancy and school drop-out. Previous studies reported that 26.1% of the population were estimated to have symptoms related to posttraumatic stress disorder (Munyandamutsa et al. 2009); whereas recent studies have reported similar prevalence (RMHS, 2018) and genocide survivor organizations have reported an increase in mental distress during the lockdown. Deteriorating economic conditions pose a significant risk to young people's mental health, which could be further entrenched should further waves of the pandemic occur. Specifically, within Rwanda, there are no current initiatives to provide psychosocial support at home (including referral systems for those in need of more specialist intervention) or building two-way communication and synergies between formal and informal education structures (i.e. schools and community-based groups) to enable learning and social networking during social distancing. MAP at home examines the potential for providing mental health support and community engagement in Rwanda through interactive online platforms, participatory arts workshops, and communications between young people, educators, cultural artists and psychosocial workers across the five provinces of Rwanda: Rwamagana District (Eastern Province); Rubavu District (Western Province); Gicumbi District (Northern Province); Huye District (Southern Province); and Kicukiru District (Kigali Province). MAP at home will research the prevention of, response to and awareness of mental health and promotion of psychosocial well-being among youth, families, and community members through an innovative arts-based, culturally-informed approach, responsive to the needs of participants. MAP at home will generate knowledge on how to reach, engage and equip young people and caregivers with tools for psychosocial wellbeing through the development of a psychosocial module, online and participatory workshops (subject to COVID-19 guidance and social distancing measures), and integration of psychosocial workers. MAP will partner with community-based mental health provider Uyisenga Ni Imanzi, research organisation Institute of Research and Dialogue for Peace (IRDP), national cultural organisation Rwanda Arts Council, and government mental health providers Rwanda Biomedical Centre/Mental Health Division and National Rehabilitation Services to coproduce the design, implementation and dissemination of research from a local to national level. UNESCO serves as a project partner to align national to international policy implementation concerning youth policy and mental health. The project will respond to the following research questions in relation to COVID-19:*How can arts-based approaches be translated to online platforms to enhance psychosocial well-being?*What lessons can be learnt from the provision of online arts programmes for psychosocial well-being, especially regarding building resilience (individual and systemic) against future outbreaks or crises?*How might MAP at home advance digital innovation in the design and delivery of mental health provision and response services in Rwanda?