Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme
Background: Mental illness has been increasingly recognised as a source of morbidity in low- and middle-income countries and significant treatment gaps exist worldwide. Studies have demonstrated the effectiveness of task sharing through community-based treatment models for addressing international m...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2017-11-01
|
| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/1462 |
| _version_ | 1818578030170210304 |
|---|---|
| author | Kristen L. Sessions Lydia Wheeler Arya Shah Deenah Farrell Edwin Agaba Yusufu Kuule Stephen P. Merry |
| author_facet | Kristen L. Sessions Lydia Wheeler Arya Shah Deenah Farrell Edwin Agaba Yusufu Kuule Stephen P. Merry |
| author_sort | Kristen L. Sessions |
| collection | DOAJ |
| description | Background: Mental illness has been increasingly recognised as a source of morbidity in low- and middle-income countries and significant treatment gaps exist worldwide. Studies have demonstrated the effectiveness of task sharing through community-based treatment models for addressing international mental health issues.
Aim: This paper aims to evaluate the perceptions of a wide range of mental health stakeholders in a Ugandan community regarding the benefits and barriers to developing a community-based mental health programme.
Setting: Bwindi Community Hospital (BCH) in south-west Uganda provides services through a team of community health workers to people in the Kanungu District.
Methods: Thematic analysis of 13 semi-structured interviews and 6 focus group discussions involving 54 community members and 13 mental health stakeholders within the BCH catchment area.
Results: Stakeholders perceived benefits to a community-based compared to a hospital-based programme, including improved patient care, lower costs to patients and improved community understanding of mental illness. They also cited barriers including cost, insufficient workforce and a lack of community readiness.Conclusions: Stakeholders express interest in developing community-based mental health programmes, as they feel that it will address mental health needs in the community and improve community awareness of mental illness. However, they also report that cost is a significant barrier to programme development that will have to be addressed prior to being able to successfully establish such programming. Additionally, many community members expressed unique sociocultural beliefs regarding the nature of mental illness and those suffering from a psychiatric disease. |
| first_indexed | 2024-12-16T06:39:19Z |
| format | Article |
| id | doaj.art-724cd3a48073421abcb60af3c2aadd6d |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-12-16T06:39:19Z |
| publishDate | 2017-11-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-724cd3a48073421abcb60af3c2aadd6d2022-12-21T22:40:43ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362017-11-0191e1e710.4102/phcfm.v9i1.1462503Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programmeKristen L. Sessions0Lydia Wheeler1Arya Shah2Deenah Farrell3Edwin Agaba4Yusufu Kuule5Stephen P. Merry6Mayo Clinic School of Medicine, RochesterMayo Clinic School of Medicine, RochesterMayo Clinic School of Medicine, RochesterMayo Clinic School of Medicine, RochesterBwindi Community Hospital, KanunguBwindi Community Hospital, KanunguDepartment of Family Medicine, Mayo Clinic, RochesterBackground: Mental illness has been increasingly recognised as a source of morbidity in low- and middle-income countries and significant treatment gaps exist worldwide. Studies have demonstrated the effectiveness of task sharing through community-based treatment models for addressing international mental health issues. Aim: This paper aims to evaluate the perceptions of a wide range of mental health stakeholders in a Ugandan community regarding the benefits and barriers to developing a community-based mental health programme. Setting: Bwindi Community Hospital (BCH) in south-west Uganda provides services through a team of community health workers to people in the Kanungu District. Methods: Thematic analysis of 13 semi-structured interviews and 6 focus group discussions involving 54 community members and 13 mental health stakeholders within the BCH catchment area. Results: Stakeholders perceived benefits to a community-based compared to a hospital-based programme, including improved patient care, lower costs to patients and improved community understanding of mental illness. They also cited barriers including cost, insufficient workforce and a lack of community readiness.Conclusions: Stakeholders express interest in developing community-based mental health programmes, as they feel that it will address mental health needs in the community and improve community awareness of mental illness. However, they also report that cost is a significant barrier to programme development that will have to be addressed prior to being able to successfully establish such programming. Additionally, many community members expressed unique sociocultural beliefs regarding the nature of mental illness and those suffering from a psychiatric disease.https://phcfm.org/index.php/phcfm/article/view/1462mental healthcommunity mental healthpsychiatryprimary care |
| spellingShingle | Kristen L. Sessions Lydia Wheeler Arya Shah Deenah Farrell Edwin Agaba Yusufu Kuule Stephen P. Merry Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme African Journal of Primary Health Care & Family Medicine mental health community mental health psychiatry primary care |
| title | Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme |
| title_full | Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme |
| title_fullStr | Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme |
| title_full_unstemmed | Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme |
| title_short | Mental illness in Bwindi, Uganda: Understanding stakeholder perceptions of benefits and barriers to developing a community-based mental health programme |
| title_sort | mental illness in bwindi uganda understanding stakeholder perceptions of benefits and barriers to developing a community based mental health programme |
| topic | mental health community mental health psychiatry primary care |
| url | https://phcfm.org/index.php/phcfm/article/view/1462 |
| work_keys_str_mv | AT kristenlsessions mentalillnessinbwindiugandaunderstandingstakeholderperceptionsofbenefitsandbarrierstodevelopingacommunitybasedmentalhealthprogramme AT lydiawheeler mentalillnessinbwindiugandaunderstandingstakeholderperceptionsofbenefitsandbarrierstodevelopingacommunitybasedmentalhealthprogramme AT aryashah mentalillnessinbwindiugandaunderstandingstakeholderperceptionsofbenefitsandbarrierstodevelopingacommunitybasedmentalhealthprogramme AT deenahfarrell mentalillnessinbwindiugandaunderstandingstakeholderperceptionsofbenefitsandbarrierstodevelopingacommunitybasedmentalhealthprogramme AT edwinagaba mentalillnessinbwindiugandaunderstandingstakeholderperceptionsofbenefitsandbarrierstodevelopingacommunitybasedmentalhealthprogramme AT yusufukuule mentalillnessinbwindiugandaunderstandingstakeholderperceptionsofbenefitsandbarrierstodevelopingacommunitybasedmentalhealthprogramme AT stephenpmerry mentalillnessinbwindiugandaunderstandingstakeholderperceptionsofbenefitsandbarrierstodevelopingacommunitybasedmentalhealthprogramme |