Ideological vs. Instrumental Barriers to Accessing Formal Mental Health care in the Developing World: Focus on South- eastern Nigeria.
| Autor: | Ikwuka, Ugo, Galbraith, Niall, Manktelow, Ken, Chen- Wilson, Josephine, Oyebode, Femi, Muomah, Rosemary C., Igboaka, Anuli |
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| Předmět: |
CONFIDENCE intervals
CONTENT analysis FACTOR analysis HEALTH services accessibility HELP-seeking behavior MENTAL health services QUESTIONNAIRES STATISTICAL sampling SCALE analysis (Psychology) SELF-evaluation SURVEYS MULTIPLE regression analysis SOCIOECONOMIC factors REPEATED measures design CROSS-sectional method HEALTH literacy DATA analysis software DESCRIPTIVE statistics ONE-way analysis of variance |
| Zdroj: | Journal of Health Care for the Poor & Underserved; 2016, Vol. 27 Issue 1, p157-175, 19p |
| Abstrakt: | The striking gaps in formal mental health care in the developing world are largely traceable to Instrumental and Ideological Barriers. Focusing on south- eastern Nigeria, the study aimed to establish the relative weight, significance and determinants of these barriers for prioritised policy interventions. Multistage sampling method was used to select participants (n = 706) to whom questionnaires were administered. Ideological Barriers (cultural and mental health literacy constraints) were more significantly perceived (84.8%) than Instrumental Barriers (systemic and financial impediments) (56.6%). The study demonstrated the primacy of improved knowledge in plugging the gap in conventional mental health care in a region ironically defined more by systemic and material poverty. This is instructive for prioritised policy interventions with an indication that even if facilities and socio- economic status improve, services will likely be underused without greater improvement in people’s conceptualisation of mental illness. It equally underscored the need for cultural competence in mental health service provision. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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