Community perceptions of mental illness in rural Uganda: An analysis of existing challenges facing the Bwindi Mental Health Programme

African Journal of Primary Health Care & Family Medicine


 
 
Field Value
 
Title Community perceptions of mental illness in rural Uganda: An analysis of existing challenges facing the Bwindi Mental Health Programme
 
Creator Shah, Arya Wheeler, Lydia Sessions, Kristen Kuule, Yusufu Agaba, Edwin Merry, Stephen P.
 
Subject rural medicine; primary care; education; mental illness; community health mental illness; community mental health; psychiatry; Uganda; low and middle income countries
Description Objectives: To assess community perceptions of mental illness in the Bwindi Community Hospital (BCH) catchment area: to recognise beliefs about the causes and the treatments for mental illness. To provide community data to staff at BCH as they work to develop more effective community mental health programmes.Background: A shortage of mental health providers in Uganda has prompted research into community-based task-sharing models for the provision of mental health services in underserved communities.Methods: Six focus group discussions, with a total of 54 community members (50% male, n = 27; mean age + s.d. [39.9 + 10.9 years]) from the BCH catchment area, were conducted to assess community member and stakeholder perceptions of mental illness and belief in the feasibility of community-based programming. Qualitative study of data through thematic analysis was conducted to assess the presence of commonly occurring perceptions.Results: Qualitative thematic analysis revealed two major themes: (1) belief that any given patient’s metal illness results from either an intrinsic or an extrinsic cause and (2) belief in a need to determine treatment of mental illness based on the believed cause.Conclusion: As BCH designs community-based mental health services, our findings provide support for the need for further education of community members and training of community health workers to address and integrate the above-stated beliefs regarding mental illness.
 
Publisher AOSIS
 
Contributor Mayo Clinic Department of Family Medicine
Date 2017-10-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v9i1.1404
 
Source African Journal of Primary Health Care & Family Medicine; Vol 9, No 1 (2017); 9 pages 2071-2936 2071-2928
 
Language eng
 
Relation https://phcfm.org/index.php/phcfm/article/view/1404/2279 https://phcfm.org/index.php/phcfm/article/view/1404/2278 https://phcfm.org/index.php/phcfm/article/view/1404/2280 https://phcfm.org/index.php/phcfm/article/view/1404/2277
 
Coverage Africa 2015 Community members and mental health stakeholders
Rights Copyright (c) 2017 Arya Shah, Lydia Wheeler, Kristen Sessions, Yusufu Kuule, Edwin Agaba, Stephen P. Merry https://creativecommons.org/licenses/by/4.0