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Equitable access to integrated primary mental healthcare for people with severe mental disorders in Ethiopia: a formative study


, : Equitable access to integrated primary mental healthcare for people with severe mental disorders in Ethiopia: a formative study. International Journal for Equity in Health 15(1): 121-121

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. 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. 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. 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.

US$19.90

PMID: 27460038

DOI: 10.1186/s12939-016-0410-0


Other references

Ing, O.Penheimanram, P.W.; Evans, G., 1965: Right Iliac Fossa Pain In Young Women; With Appendix On The Cornell Medical Index Health Questionnaire. British Medical Journal 2(5454): 149-151

Su, B.Yu-Jih.; Lai, H-Ming.; Chen, C-Jen.; Chen, Y-Chou.; Chiu, C-Kai.; Lin, K-Ming.; Yu, S-Fu.; Cheng, T-Tsai., 2007: Ischemia heart disease and greater waist circumference are risk factors of renal function deterioration in male gout patients. We examined the incidence of renal function deterioration (RFD) in a population of male gout patients and to identify associated risk factors. Subjects who had been regularly followed up for more than 2 years and had visited Chang Gung Memorial Ho...

Sidlo, Pawel O., 1996: Introdukcja bobrow Castor fiber L., 1758 jako metoda renaturalizacji i powstrzymywania degradacji ukladow ekologicznych. Przeglad Przyrodniczy 7(3-4): 207-214

Cole, F.R., 1964: Surgical Therapy For The Treatment Of Duodenal Ulcer. An Analysis And Comparison Of The Combined Operation With Segmental Excision And Billroth Ii. American Journal of Gastroenterology 41: 646-650

Morgan, C.C.; M.C.rtney, A.M.; Donoghue, M.T.A.; Loughran, N.B.; Spillane, C.; Teeling, E.C.; O'Connell, M.J., 2014: Molecular adaptation of telomere associated genes in mammals. Placental mammals display a huge range of life history traits, including size, longevity, metabolic rate and germ line generation time. Although a number of general trends have been proposed between these traits, there are exceptions that warrant...

Parker M.T.; Kier A.B., 1986: In vitro measurement of neutrophil chemotaxis in nzb nzw f 1 mice. Laboratory Animal Science 36(5): 589

Verma, B.L., 1987: Zoosporic fungi in wheat fields of Kumaun Himalaya. A total of 17 species belonging to 5 genera of zoosporic fungi was isolated from diseased seeds, seedling roots and soils of wheat from sites in Kumaun Himalaya, India. The max. number of species was recorded for altitudinal zone A (350-600 m) and...

Reuterman N.A.; Durbin M.J., 1988: Inter generational views of delinquency causation a consideration in program effectiveness. Views of delinquency causation have implications for rehabilitation and prevention programs. Similarities and differences in the views of adolescents and their parents regarding delinquency causation were studied using a sample of high school stud...

Vanzulli, A.; DelMaschio, A.; Paesano, P.; Braggion, F.; Livieri, C.; Angeli, E.; Tomasi, G.; Gatti, C.; Severi, F.; Chiumello, G., 1992: Testicular masses in association with adrenogenital syndrome: US findings. Adrenogenital syndrome (AGS) is the result of inborn enzymatic defects in the synthesis of steroid hormones. The production of cortisol is deficient and that of adrenocorticotropic hormone is increased. Sometimes male patients have clinically dete...

Gimenez-Bascunana, A.; Bermejo-Lopez, J.; Moreno-Requena, J.; Montes-Clavero, C.; Acosta-Ortega, J.; Nieto-Olivares, A., 1994: Evaluation and clinical significance of gastric dysplasia: A histological follow-up study. To evaluate the clinical and prognostic significance of gastric dysplasia, we have carried out a study on 59 patients with histologic data obtained in a sequential way. The initial diagnosis was mild dysplasia in 24 patients, moderate in 18 cases...