Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
Equitable access to integrated primary mental healthcare for people with severe mental disorders in Ethiopia: a formative study.
Item request has been placed!
×
Item request cannot be made.
×
![loading](/sites/all/modules/hf_eds/images/loading.gif)
Processing Request
- معلومة اضافية
- المصدر:
Publisher: BioMed Central Country of Publication: England NLM ID: 101147692 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-9276 (Electronic) Linking ISSN: 14759276 NLM ISO Abbreviation: Int J Equity Health Subsets: MEDLINE
- بيانات النشر:
Original Publication: [London] : BioMed Central, 2002-
- الموضوع:
- نبذة مختصرة :
Background: The provision of mental healthcare through integration into primary care is expected to improve access to care, but not all population groups may benefit equally. The aim of this study was to inform delivery of a new primary care-based mental health service in rural Ethiopia by identifying potential barriers to equitable access to mental healthcare and strategies to overcome them.
Methods: A qualitative study was conducted as formative work for the PRogramme for Improving Mental healthcarE (PRIME), a project supporting delivery of mental healthcare integrated into primary care in a rural district in south central Ethiopia. In-depth interviews (n = 21) were carried out with stakeholders selected purposively from mental health service users, caregivers, community leaders and healthcare administrators. A focus group discussion (n = 12) was conducted with community health extension workers. Framework analysis was employed using an adapted version of the access framework developed for use in contexts of livelihood insecurity, which considers (1) availability, (2) accessibility and affordability. and (3) acceptability and adequacy dimensions of access.
Results: Primary care-based mental healthcare was considered as a positive development, and would increase availability, accessibility and affordability of treatments. Low levels of community awareness, and general preference for traditional and religious healing were raised as potential challenges to the acceptability of integrated mental healthcare. Participants believed integrated mental healthcare would be comprehensive and of satisfactory quality. However, expectations about the effectiveness of treatment for mental disorders were generally low. Threats to equitable access to mental healthcare were identified for perinatal women, persons with physical disability, those living in extreme poverty and people with severe and persistent mental disability.
Conclusion: Establishing an affordable service within reach, raising awareness and financial support to families from low socioeconomic backgrounds were suggested to improve equitable access to mental healthcare by vulnerable groups including perinatal women and people with disabilities. Innovative approaches, such as telephone consultations with psychiatric nurses based in nearby towns and home outreach need to be developed and evaluated.
- References:
BMC Med Res Methodol. 2013 Mar 13;13:37. (PMID: 23497061)
PLoS Med. 2012 Feb;9(2):e1001178. (PMID: 22389632)
BMC Public Health. 2013 Feb 12;13:130. (PMID: 23402542)
PLoS Med. 2012;9(12):e1001359. (PMID: 23300387)
Arch Womens Ment Health. 2016 Oct;19(5):909-15. (PMID: 27173485)
Schizophr Bull. 2009 May;35(3):646-54. (PMID: 18448478)
BMC Health Serv Res. 2013 Jul 03;13:256. (PMID: 23822155)
Br J Psychiatry. 2016 Jan;208 Suppl 56:s4-12. (PMID: 26447174)
Soc Sci Med. 2001 Dec;53(11):1525-39. (PMID: 11710427)
Lancet. 2008 Nov 8;372(9650):1661-9. (PMID: 18994664)
World Psychiatry. 2010 Oct;9(3):169-76. (PMID: 20975864)
BMC Psychiatry. 2012 Dec 29;12:239. (PMID: 23272796)
Lancet. 2013 Nov 9;382(9904):1575-86. (PMID: 23993280)
Lancet. 2011 Oct 22;378(9801):1502-14. (PMID: 22008425)
Epidemiol Psychiatr Sci. 2017 Feb;26(1):43-52. (PMID: 26961343)
Lancet. 2007 Sep 29;370(9593):1164-74. (PMID: 17804061)
BMC Med Res Methodol. 2013 Sep 18;13:117. (PMID: 24047204)
Psychol Med. 2009 Mar;39(3):475-83. (PMID: 18606050)
PLoS Med. 2007 Oct;4(10):1584-8. (PMID: 17958467)
Acta Psychiatr Scand Suppl. 1999;397:40-7. (PMID: 10470354)
BMC Health Serv Res. 2015 Sep 28;15:429. (PMID: 26416566)
Int J Health Geogr. 2012 May 15;11(1):15. (PMID: 22587023)
Lancet. 2007 Sep 29;370(9593):1153-63. (PMID: 17905168)
Lancet. 2016 Apr 16;387(10028):1672-85. (PMID: 26454360)
Int J Equity Health. 2013 May 14;12:30. (PMID: 23672203)
Int J Equity Health. 2013 Mar 11;12:18. (PMID: 23496984)
- Grant Information:
U19 MH110001 United States MH NIMH NIH HHS
- Contributed Indexing:
Keywords: Access to care; Barriers to access; Ethiopia; Mental health care; Primary care; Psychosis
- الموضوع:
Date Created: 20160728 Date Completed: 20171116 Latest Revision: 20231111
- الموضوع:
20231215
- الرقم المعرف:
PMC4962424
- الرقم المعرف:
10.1186/s12939-016-0410-0
- الرقم المعرف:
27460038
No Comments.