Strengthening mental health systems in Zambia
Abstract Background Studies in mental health care for low resource settings indicate that providing services at primary care level would significantly improve provision and utilisation of mental health services. Challenges related to inadequate funding were noted as significant barriers to service p...
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Online Access: | http://link.springer.com/article/10.1186/s13033-020-00360-z |
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doaj-d2d6416b0a224d80a599dde610ca54382020-11-25T02:55:08ZengBMCInternational Journal of Mental Health Systems1752-44582020-04-011411910.1186/s13033-020-00360-zStrengthening mental health systems in ZambiaMargarate Nzala Munakampe0Department of Health Policy and Management, School of Public Health, University of ZambiaAbstract Background Studies in mental health care for low resource settings indicate that providing services at primary care level would significantly improve provision and utilisation of mental health services. Challenges related to inadequate funding were noted as significant barriers to service provision, with the contribution of low knowledge of mental health conditions and stigma in the community. This study aimed to explore the barriers to the use of mental health services in Zambia, suggesting health systems thinking approaches to solving these challenges. Methods Primary data were collected through individual interviews from 12 participants; primary caregivers, health workers from public health institutions that treat mental health conditions and policymakers and implementers. The digitally recorded responses were transcribed and analysed using thematic analysis. Results Key barriers to care included inadequate funding, few human resources, poor infrastructure and stigma. Barriers to care at policy, facility and individual or community level could be alleviated by strengthening the mental health system. Engagement of community health workers and increasing efforts to sensitise the community about mental health would prove beneficial. Conclusions Strengthening the community health systems for mental health could improve access and increase utilisation of services.http://link.springer.com/article/10.1186/s13033-020-00360-zMental healthMental health systemsMental health servicesBarriers to service use |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Margarate Nzala Munakampe |
spellingShingle |
Margarate Nzala Munakampe Strengthening mental health systems in Zambia International Journal of Mental Health Systems Mental health Mental health systems Mental health services Barriers to service use |
author_facet |
Margarate Nzala Munakampe |
author_sort |
Margarate Nzala Munakampe |
title |
Strengthening mental health systems in Zambia |
title_short |
Strengthening mental health systems in Zambia |
title_full |
Strengthening mental health systems in Zambia |
title_fullStr |
Strengthening mental health systems in Zambia |
title_full_unstemmed |
Strengthening mental health systems in Zambia |
title_sort |
strengthening mental health systems in zambia |
publisher |
BMC |
series |
International Journal of Mental Health Systems |
issn |
1752-4458 |
publishDate |
2020-04-01 |
description |
Abstract Background Studies in mental health care for low resource settings indicate that providing services at primary care level would significantly improve provision and utilisation of mental health services. Challenges related to inadequate funding were noted as significant barriers to service provision, with the contribution of low knowledge of mental health conditions and stigma in the community. This study aimed to explore the barriers to the use of mental health services in Zambia, suggesting health systems thinking approaches to solving these challenges. Methods Primary data were collected through individual interviews from 12 participants; primary caregivers, health workers from public health institutions that treat mental health conditions and policymakers and implementers. The digitally recorded responses were transcribed and analysed using thematic analysis. Results Key barriers to care included inadequate funding, few human resources, poor infrastructure and stigma. Barriers to care at policy, facility and individual or community level could be alleviated by strengthening the mental health system. Engagement of community health workers and increasing efforts to sensitise the community about mental health would prove beneficial. Conclusions Strengthening the community health systems for mental health could improve access and increase utilisation of services. |
topic |
Mental health Mental health systems Mental health services Barriers to service use |
url |
http://link.springer.com/article/10.1186/s13033-020-00360-z |
work_keys_str_mv |
AT margaratenzalamunakampe strengtheningmentalhealthsystemsinzambia |
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