Occupational Mental Health Literacy in Zimbabwe's Energy Sector: A Conceptual Review and Research Agenda

Authors

  • Nkosinathi Sibanda Haverst House, Zimbabwe Author
  • Dr Henry Chinhara Haverst House, Zimbabwe Author

Keywords:

mental health literacy; occupational mental health; energy sector; Zimbabwe; measurement validity; cultural concepts of distress; suicide literacy

Abstract

Orientation: Workers in electricity generation, transmission and distribution operate under conditions that the occupational health literature associates with elevated psychosocial risk, yet the psychological dimension of this work has received little attention in Southern Africa.

Research purpose: This review examines whether mental health literacy can presently be measured in Zimbabwe’s energy-sector workforce, and specifies the conditions under which it could be.

Motivation for the study: No study of mental health literacy among Zimbabwean energy-sector workers was located. Before prevalence can be estimated or interventions designed, it is necessary to establish whether available instruments measure what they claim to measure in this population.

Research design, approach and method: A conceptual and narrative review synthesising four adjacent literatures: the mental health literacy construct and its instrumentation; psychosocial risk in male-dominated industries; the Zimbabwean mental health system and its emic measurement tradition; and suicide literacy as a separable domain.

Main findings: The Mental Health Literacy Scale demonstrates strong construct validity and reliability, but content validity is by a wide margin its weakest measurement domain. In the only content validation conducted for this region, all 35 items met the relevance threshold when rated by professional research experts, while only ten did so when rated by frontline clinical workers. The methodological precedent for emic instrument development already exists in Zimbabwe in the form of the Shona Symptom Questionnaire, and has not been extended to the literacy construct.

Practical/managerial implications: Literacy provision without an established and credible disclosure route is unlikely to convert into help-seeking.

Contribution/value-add: The review reframes an awareness question as a measurement question and sets out a sequenced research agenda.

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Author Biography

  • Dr Henry Chinhara, Haverst House, Zimbabwe

    Head of Department in the Faculty of Science Education

References

1. American Psychiatric Association. (2013). *Diagnostic and Statistical Manual of Mental Disorders* (5th ed.). American Psychiatric Publishing.

2. American Psychiatric Association. (2022). *Diagnostic and Statistical Manual of Mental Disorders* (5th ed., text rev.). American Psychiatric Publishing.

3. Battams, S., Roche, A. M., Fischer, J. A., Lee, N. K., Cameron, J., & Kostadinov, V. (2014). Workplace risk factors for anxiety and depression in male-dominated industries: A systematic review. *Health Psychology and Behavioral Medicine*, 2(1), 983–1008. [https://doi.org/10.1080/21642850.2014.954579](https://doi.org/10.1080/21642850.2014.954579)

4. Blommetjies, L., & Deacon, E. (2026). Validation and improvement of the mental health literacy scale to assess undergraduate nursing students in South Africa. *South African Journal of Psychiatry*, 32, a2533. [https://doi.org/10.4102/sajpsychiatry.v32i0.2533](https://doi.org/10.4102/sajpsychiatry.v32i0.2533)

5. Calear, A. L., Batterham, P. J., Trias, A., & Christensen, H. (2022). The Literacy of Suicide Scale: Development, validation, and application. *Crisis*, 43(5), 385–390. [https://doi.org/10.1027/0227-5910/a000798](https://doi.org/10.1027/0227-5910/a000798)

6. Chibanda, D., Bowers, T., Verhey, R., Rusakaniko, S., Abas, M., Weiss, H. A., & Araya, R. (2015). The Friendship Bench programme: A cluster randomised controlled trial of a brief psychological intervention for common mental disorders delivered by lay health workers in Zimbabwe. *International Journal of Mental Health Systems*, 9, 21. [https://doi.org/10.1186/s13033-015-0013-y](https://doi.org/10.1186/s13033-015-0013-y)

7. Chibanda, D., Weiss, H. A., Verhey, R., Simms, V., Munjoma, R., Rusakaniko, S., Chingono, A., Munetsi, E., Bere, T., Manda, E., Abas, M., & Araya, R. (2016). Effect of a primary care–based psychological intervention on symptoms of common mental disorders in Zimbabwe: A randomized clinical trial. *JAMA*, 316(24), 2618–2626. [https://doi.org/10.1001/jama.2016.19102](https://doi.org/10.1001/jama.2016.19102)

8. Chiobvu, D., Onifade, H., Javangwe, G., & Sami, M. (2025). Examining the effects of mental health literacy on stigma: Study of Zimbabwe Prisons and Correctional Service (ZPCS). *BJPsych International*, 22(4), 104–112. [https://doi.org/10.1192/bji.2025.11](https://doi.org/10.1192/bji.2025.11)

9. Cork, C., Kaiser, B. N., & White, R. G. (2019). The integration of idioms of distress into mental health assessments and interventions: A systematic review. *Global Mental Health*, 6, e7. [https://doi.org/10.1017/gmh.2019.5](https://doi.org/10.1017/gmh.2019.5)

10. ElKhalil, R., AlMekkawi, M., O'Connor, M., Masuadi, E., Sherif, M., Belfakir, M., Ahmed, L. A., AlRifai, R. H., Bayoumi, R., & Elbarazi, I. (2024). Measurement properties of the Mental Health Literacy Scale (MHLS): A systematic review. *Asian Journal of Psychiatry*, 101, 104214. [https://doi.org/10.1016/j.ajp.2024.104214](https://doi.org/10.1016/j.ajp.2024.104214)

11. ElKhalil, R., Masuadi, E., Bayoumi, R., AlMekkawi, M., Ahmed, L. A., Al-Rifai, R. H., & Elbarazi, I. (2025). Content validity of the Mental Health Literacy Scale for perinatal use based on expert and patient input. *Scientific Reports*, 15, 32759. [https://doi.org/10.1038/s41598-025-17964-5](https://doi.org/10.1038/s41598-025-17964-5)

12. Eneojo, N. I. F., Adamu, V. E., & Arafat, S. M. Y. (2026). Suicide literacy in The Gambia. *Discover Mental Health*, 6(1), 150. [https://doi.org/10.1007/s44192-026-00503-7](https://doi.org/10.1007/s44192-026-00503-7)

13. Hoosain, M., Mayet-Hoosain, N., & Plastow, N. A. (2023). Workplace-based interventions for mental health in Africa: A scoping review. *International Journal of Environmental Research and Public Health*, 20(10), 5863. [https://doi.org/10.3390/ijerph20105863](https://doi.org/10.3390/ijerph20105863)

14. Jorm, A. F. (2000). Mental health literacy: Public knowledge and beliefs about mental disorders. *British Journal of Psychiatry*, 177(5), 396–401. [https://doi.org/10.1192/bjp.177.5.396](https://doi.org/10.1192/bjp.177.5.396)

15. Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. *American Psychologist*, 67(3), 231–243. [https://doi.org/10.1037/a0025957](https://doi.org/10.1037/a0025957)

16. Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997). "Mental health literacy": A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. *Medical Journal of Australia*, 166(4), 182–186. [https://doi.org/10.5694/j.1326-5377.1997.tb140071.x](https://doi.org/10.5694/j.1326-5377.1997.tb140071.x)

17. Kohrt, B. A., Rasmussen, A., Kaiser, B. N., Haroz, E. E., Maharjan, S. M., Mutamba, B. B., de Jong, J. T. V. M., & Hinton, D. E. (2014). Cultural concepts of distress and psychiatric disorders: Literature review and research recommendations for global mental health epidemiology. *International Journal of Epidemiology*, 43(2), 365–406. [https://doi.org/10.1093/ije/dyt227](https://doi.org/10.1093/ije/dyt227)

18. Korhonen, J., Axelin, A., Grobler, G., & Lahti, M. (2019). Content validation of Mental Health Literacy Scale (MHLS) for primary health care workers in South Africa and Zambia — a heterogeneous expert panel method. *Global Health Action*, 12(1), 1668215. [https://doi.org/10.1080/16549716.2019.1668215](https://doi.org/10.1080/16549716.2019.1668215)

19. Korhonen, J., Axelin, A., Katajisto, J., & Lahti, M. (2022). Construct validity and internal consistency of the revised Mental Health Literacy Scale in South African and Zambian contexts. *Nursing Open*, 9(2), 966–977. [https://doi.org/10.1002/nop2.1132](https://doi.org/10.1002/nop2.1132)

20. Korhonen, J., Axelin, A., Stein, D. J., Seedat, S., Mwape, L., Jansen, R., Groen, G., Grobler, G., JörnsPresentati, A., Katajisto, J., & Lahti, M. (2022). Mental health literacy among primary healthcare workers in South Africa and Zambia. *Brain and Behavior*, 12, e2807. [https://doi.org/10.1002/brb3.2807](https://doi.org/10.1002/brb3.2807)

21. Kutcher, S., Wei, Y., & Coniglio, C. (2016). Mental health literacy: Past, present, and future. *Canadian Journal of Psychiatry*, 61(3), 154–158. [https://doi.org/10.1177/0706743715616609](https://doi.org/10.1177/0706743715616609)

22. Lee, N. K., Roche, A., Duraisingam, V., Fischer, J. A., & Cameron, J. (2014). Effective interventions for mental health in male-dominated workplaces. *Mental Health Review Journal*, 19(4), 237–250. [https://doi.org/10.1108/MHRJ-09-2014-0034](https://doi.org/10.1108/MHRJ-09-2014-0034)

23. Mokkink, L. B., Terwee, C. B., Patrick, D. L., Alonso, J., Stratford, P. W., Knol, D. L., Bouter, L. M., & de Vet, H. C. W. (2010). The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. *Journal of Clinical Epidemiology*, 63(7), 737–745. [https://doi.org/10.1016/j.jclinepi.2010.02.006](https://doi.org/10.1016/j.jclinepi.2010.02.006)

24. O'Connor, M., & Casey, L. (2015). The Mental Health Literacy Scale (MHLS): A new scale-based measure of mental health literacy. *Psychiatry Research*, 229, 511–516. [https://doi.org/10.1016/j.psychres.2015.05.064](https://doi.org/10.1016/j.psychres.2015.05.064)

25. Patel, V., Simunyu, E., & Gwanzura, F. (1995). Kufungisisa (thinking too much): A Shona idiom for non-psychotic mental illness. *Central African Journal of Medicine*, 41(7), 209–215.

26. Patel, V., Simunyu, E., Gwanzura, F., Lewis, G., & Mann, A. (1997). The Shona Symptom Questionnaire: The development of an indigenous measure of common mental disorders in Harare. *Acta Psychiatrica Scandinavica*, 95(6), 469–475. [https://doi.org/10.1111/j.1600-0447.1997.tb10134.x](https://doi.org/10.1111/j.1600-0447.1997.tb10134.x)

27. Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. *Research in Nursing & Health*, 29(5), 489–497. [https://doi.org/10.1002/nur.20147](https://doi.org/10.1002/nur.20147)

28. Roche, E., Richardson, N., Sweeney, J., & O'Donnell, S. (2024). Workplace interventions targeting mental health literacy, stigma, help-seeking, and help-offering in male-dominated industries: A systematic review. *American Journal of Men's Health*, 18(2). [https://doi.org/10.1177/15579883241236223](https://doi.org/10.1177/15579883241236223)

29. Schilling, L. S., Dixon, J. K., Knafl, K. A., Grey, M., Ives, B., & Lynn, M. R. (2007). Determining content validity of a self-report instrument for adolescents using a heterogeneous expert panel. *Nursing Research*, 56(5), 361–366. [https://doi.org/10.1097/01.NNR.0000289505.30037.91](https://doi.org/10.1097/01.NNR.0000289505.30037.91)

30. Terwee, C. B., Prinsen, C. A. C., Chiarotto, A., Westerman, M. J., Patrick, D. L., Alonso, J., Bouter, L. M., de Vet, H. C. W., & Mokkink, L. B. (2018). COSMIN methodology for evaluating the content validity of patient-reported outcome measures: A Delphi study. *Quality of Life Research*, 27(5), 1159–1170. [https://doi.org/10.1007/s11136-018-1829-0](https://doi.org/10.1007/s11136-018-1829-0)

31. World Health Organization. (2020). *WHO Special Initiative for Mental Health: Zimbabwe Country Report*. World Health Organization.

32. World Health Organization. (2022). *WHO Guidelines on Mental Health at Work*. World Health Organization.

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Published

2026-09-22

How to Cite

Occupational Mental Health Literacy in Zimbabwe’s Energy Sector: A Conceptual Review and Research Agenda. (2026). Journal of Advanced Multidisciplinary Studies (JAMS), Page 46-69. https://jamsjournal.org/JAMS/article/view/482

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