Navigating Complexity with Clarity: Mental Health in Kenya

Guest blog by Lynette Etemesi, IPP ’24

I recently had the incredible opportunity to attend Harvard University’s Implementing Public Policy (IPP) Program. This intensive course brought together policy professionals, change-makers, and thought leaders from around the world, all focused on a singular mission: to create meaningful, lasting impact in our respective fields. As I reflect on my experience, I am completely in awe by how this program not only challenged my assumptions and broadened my perspective but also equipped me with practical tools to navigate the complex world of public policy. 

My Implementation Challenge : The systematic stigma entrenched in Mental Health in Kenya, a major hindrance in effective service delivery and promotion of human rights

Cohort 2024 in classroom with teaching team holding nametags

Cohort 2024 in classroom with teaching team

Fishbone diagram of systematic stigma in mental health in Kenya

Illustration of my fishbone diagram containing my implementation challenge

My implementation challenge is rather complex stemming from the fact that mental health stigma is very prevalent in the African context and hinders effective service delivery. This was rather a handful to unpack but this course helped me identify the pertinent issues via this fishbone diagram and develop a course of action. These blog vividly highlights my experience during this course. 

A Unique Learning Environment 

One of the most striking aspects of the IPP program is the diversity of participants. We hailed from different corners of the globe, representing various sectors such as government, NGOs, IGOs and private enterprises. This diversity enriched our discussions and brought a multitude of perspectives to the table. Working alongside professionals with vastly different experiences reminded me that the best solutions often emerge from a panorama of perspectives. 

The faculty, led by distinguished professors from the Kennedy School, the impeccable two, Salimah and Matt, brought a wealth of expertise and passion. They challenged us to think critically, question our own assumptions, and move beyond conventional approaches to policy implementation. Their real-world experiences and case studies from around the globe added a practical dimension that made every lesson feel immediately applicable. 

Matt Andrews teaching and pointing to the blackboard

Matt taking us through one of the sessions during our residential at Harvard Kennedy School. 

Jessie, Salimah, Karen, and Matt at final dinner at HKS

From left to right, Jessie, Salimah, Karen and Matt during our final dinner at Harvard Kennedy School 

Key Takeaways: Lessons in Leadership and Implementation

Adaptive Leadership in Action: One of the foundational concepts in the program was adaptive leadership. We learned how to distinguish between technical problems, which require straightforward solutions, and adaptive challenges, which are complex and require a shift in values, beliefs, or attitudes. This framework resonated deeply with me, as I realized that some of the most difficult issues I face in my work fall under the latter category. By learning to lead adaptively, I now feel better prepared to guide my team through the inevitable resistance that comes with change. Additionally, I learnt the 4Ps of leadership; perception, process people and projection that are pertinent when it comes to leadership. People and projection stood out most for me because projection is crucial because it shapes how vision, direction and confidence is communicated, proper projections wins over the trust of your team and finally the people are always the epicenter, I learnt that leadership is not about being in charge but taking care of those in your charge. 

Critical & Practical Thinking: The program emphasized that in the world of public policy, rarely is there a single solution to a problem. Instead, issues are embedded in complex systems where factors are interdependent. We practiced mapping out these systems and analyzing the ripple effects of potential policies. This exercise not only honed my analytical skills but also helped me appreciate the importance of looking at problems holistically. 

Experimentation and Iteration: We often think of policy as a one-shot solution but the IPP program underscored that successful policy implementation often requires constant experimentation, learning, and adjustment. The idea of “failing forward” was a powerful reminder that setbacks aren’t signs of failureopportunities to refine our approach. 

Participants throwing paper airplanes during class exercise

One of our sessions at Harvard, highlighting the importance of refining our approaches.

Building Relationships/ Communities for Action: Another key takeaway was the importance of communities for action. Effective policy implementation depends on collaboration and buy-in from a broad group of stakeholders. Learning strategies for engaging these groups, building authority even those with opposing views, was invaluable. I left with a deeper understanding of how to build and sustain coalitions, which I am eager to apply in my work. 

A Personal Transformation 

Beyond the technical skills, the program was also a journey of personal growth. Being surrounded by such talented and dedicated peers was inspiring and, at times, humbling. I found myself pushed to think bigger, work harder, and commit even more deeply to the work I do. Furthermore, my other monumental highlight were the life-long friendships I created, special shout out to my two peer groups with the loveliest human beings; Vuyiswa, Pinky, Hiba, Mensurrh, Lucie Lobna, Susan & Kayla thank you for being the best big sisters I never knew I needed. Jeremy, thank you for the amazing words of encouragement, you are such a light; and to Yermurat, thank you for making our lives lighter and heartier with your impeccable sense of humor. 

To our coordinators, Jessie and Allison and Mannat, our teaching assistant you are stars, thank you for your guidance, hard work and dedication to the program. 

Finally, my time at Harvard made me realize that while the path to impactful policy is challenging, it is also immensely rewarding. 

Jessie and Vuyiswa posing

Jessie and Vuyiswa during the Final Dinner at Campus 

Table of participants at final dinner

The cohort during the Final Dinner at the Campus 

Participants smiling at final dinner on campus

Final Dinner at the Campus 

Group posing on campus with Harvard Kennedy School sign

Group photo right outside the Harvard Kennedy School Campus 

Yermurat, Lynette, Vuyiswa smiling on Harvard tour

From left to right, Yermurat, myself and Vuyiswa during the Harvard Tour 

Moving Forward

As I carry on with my role, I feel empowered to apply what I learned at the IPP program. I am more prepared to navigate the complexities of policy implementation, engage stakeholders thoughtfully, and approach challenges with resilience and adaptability. The tools and insights I gained at Harvard will undoubtedly guide my work in the coming months and years. 

Additionally, I am hoping to keep working and sustaining the friendships and working collaboratively with the HKS IPP Community of 2024. 

For anyone considering the IPP program, I can only say that it is a truly transformative experience. If you’re passionate about driving real change through policy, this program offers both the inspiration and the tools to make it happen. 

Final Thoughts

My time at the IPP program has left a profound impact on me. Not only did it sharpen my skills, but it also reignited my dedication to the work I do every day. I leave this course with a renewed sense of purpose and a powerful network of like-minded professionals who are as committed to change as I am. 

This is a blog series written by the alumni of the Implementing Public Policy Executive Education Program at the Harvard Kennedy School. 42 Participants successfully completed this 6-month hybrid program in November 2024. These are their learning journey stories.