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Mental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia
Mental health services are advocated to move from specialized care to more integrated and accessible primary care settings. The integration of mental health into primary health services is expanding in Ethiopia. However, there is a lack of research on the perspectives of health professionals on ment...
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Published in: | PloS one 2022-11, Vol.17 (11), p.e0278106 |
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creator | Mekonen, Tesfa Chan, Gary C K Belete, Tilahun Menberu, Melak Davidson, Lily Hides, Leanne Leung, Janni |
description | Mental health services are advocated to move from specialized care to more integrated and accessible primary care settings. The integration of mental health into primary health services is expanding in Ethiopia. However, there is a lack of research on the perspectives of health professionals on mental health services in Ethiopia. This study aimed to explore the perspectives, views, and experiences of health professionals regarding mental health services and the help-seeking behavior of people with mental illness in Northwest Ethiopia.
This qualitative study included sixteen health professionals. The participants were interviewed using a semi-structured interview guide. Interviews were conducted in Amharic and translated into English. We analyzed the data using reflexive thematic analysis.
Five key themes were generated from the interview data: (1) Avoidance of mental healthcare; (2) Low literacy about mental illness; (3) Stigma as a hindrance to accessing mental health services; (4) The role of culture and religion in mental health services; and (5) Lack of government concern about mental health services.
This study identified important factors related to mental health services in Northwest Ethiopia, from the perspectives of health professionals. Our findings highlighted that the government health agenda needs to prioritize mental health services. The role of religious and cultural healing places in the help-seeking pathway should be given due consideration to ensure success in mental health services provision and utilization. |
doi_str_mv | 10.1371/journal.pone.0278106 |
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This qualitative study included sixteen health professionals. The participants were interviewed using a semi-structured interview guide. Interviews were conducted in Amharic and translated into English. We analyzed the data using reflexive thematic analysis.
Five key themes were generated from the interview data: (1) Avoidance of mental healthcare; (2) Low literacy about mental illness; (3) Stigma as a hindrance to accessing mental health services; (4) The role of culture and religion in mental health services; and (5) Lack of government concern about mental health services.
This study identified important factors related to mental health services in Northwest Ethiopia, from the perspectives of health professionals. Our findings highlighted that the government health agenda needs to prioritize mental health services. The role of religious and cultural healing places in the help-seeking pathway should be given due consideration to ensure success in mental health services provision and utilization.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0278106</identifier><identifier>PMID: 36441695</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Care and treatment ; Diagnosis ; Ethical aspects ; Ethiopia ; Health care ; Health facilities ; Health Personnel ; Health services ; Health services utilization ; Humans ; Illnesses ; Medical personnel ; Medicine and Health Sciences ; Mental depression ; Mental disorders ; Mental Disorders - therapy ; Mental health ; Mental Health Services ; Mental illness ; Mentally ill ; People and Places ; Primary care ; Psychiatric services ; Psychiatric-mental health nursing ; Qualitative Research ; Social aspects ; Social Sciences</subject><ispartof>PloS one, 2022-11, Vol.17 (11), p.e0278106</ispartof><rights>Copyright: © 2022 Mekonen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Mekonen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Mekonen et al 2022 Mekonen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-93aa35f5b870f89cbe95bfb256e08526b3a640878c75d8f2c9936a3b6ffaa8c53</citedby><cites>FETCH-LOGICAL-c692t-93aa35f5b870f89cbe95bfb256e08526b3a640878c75d8f2c9936a3b6ffaa8c53</cites><orcidid>0000-0002-3188-0173</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2740840595/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2740840595?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36441695$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Petkari, Eleni</contributor><creatorcontrib>Mekonen, Tesfa</creatorcontrib><creatorcontrib>Chan, Gary C K</creatorcontrib><creatorcontrib>Belete, Tilahun</creatorcontrib><creatorcontrib>Menberu, Melak</creatorcontrib><creatorcontrib>Davidson, Lily</creatorcontrib><creatorcontrib>Hides, Leanne</creatorcontrib><creatorcontrib>Leung, Janni</creatorcontrib><title>Mental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Mental health services are advocated to move from specialized care to more integrated and accessible primary care settings. The integration of mental health into primary health services is expanding in Ethiopia. However, there is a lack of research on the perspectives of health professionals on mental health services in Ethiopia. This study aimed to explore the perspectives, views, and experiences of health professionals regarding mental health services and the help-seeking behavior of people with mental illness in Northwest Ethiopia.
This qualitative study included sixteen health professionals. The participants were interviewed using a semi-structured interview guide. Interviews were conducted in Amharic and translated into English. We analyzed the data using reflexive thematic analysis.
Five key themes were generated from the interview data: (1) Avoidance of mental healthcare; (2) Low literacy about mental illness; (3) Stigma as a hindrance to accessing mental health services; (4) The role of culture and religion in mental health services; and (5) Lack of government concern about mental health services.
This study identified important factors related to mental health services in Northwest Ethiopia, from the perspectives of health professionals. Our findings highlighted that the government health agenda needs to prioritize mental health services. 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on perspectives of health professionals in Northwest Ethiopia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2022-11-28</date><risdate>2022</risdate><volume>17</volume><issue>11</issue><spage>e0278106</spage><pages>e0278106-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Mental health services are advocated to move from specialized care to more integrated and accessible primary care settings. The integration of mental health into primary health services is expanding in Ethiopia. However, there is a lack of research on the perspectives of health professionals on mental health services in Ethiopia. This study aimed to explore the perspectives, views, and experiences of health professionals regarding mental health services and the help-seeking behavior of people with mental illness in Northwest Ethiopia.
This qualitative study included sixteen health professionals. The participants were interviewed using a semi-structured interview guide. Interviews were conducted in Amharic and translated into English. We analyzed the data using reflexive thematic analysis.
Five key themes were generated from the interview data: (1) Avoidance of mental healthcare; (2) Low literacy about mental illness; (3) Stigma as a hindrance to accessing mental health services; (4) The role of culture and religion in mental health services; and (5) Lack of government concern about mental health services.
This study identified important factors related to mental health services in Northwest Ethiopia, from the perspectives of health professionals. Our findings highlighted that the government health agenda needs to prioritize mental health services. The role of religious and cultural healing places in the help-seeking pathway should be given due consideration to ensure success in mental health services provision and utilization.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>36441695</pmid><doi>10.1371/journal.pone.0278106</doi><tpages>e0278106</tpages><orcidid>https://orcid.org/0000-0002-3188-0173</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Diagnosis Ethical aspects Ethiopia Health care Health facilities Health Personnel Health services Health services utilization Humans Illnesses Medical personnel Medicine and Health Sciences Mental depression Mental disorders Mental Disorders - therapy Mental health Mental Health Services Mental illness Mentally ill People and Places Primary care Psychiatric services Psychiatric-mental health nursing Qualitative Research Social aspects Social Sciences |
title | Mental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia |
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