Exploring the barriers to mental health service utilization in the Bolgatanga Municipality: the perspectives of family caregivers, service providers, and mental health administrators.

Journal: BMC health services research

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Presbyterian Psychiatric Hospital, Bolgatanga, Ghana. Department of Health Services Policy Planning Management and Economics, School of Public Health, University for Development Studies, Tamale, Ghana. Presbyterian Primary Health Care, Bolgatanga, Ghana. Department of Midwifery, School of Nursing and Midwifery, University of Ghana, Legon, Ghana. Department of Psychiatry, Korle-Bu Teaching Hospital, Accra, Ghana. Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana. aagani@uhas.edu.gh.

Abstract summary 

Mental health service utilization remains a challenge in developing countries, with numerous barriers affecting access to care. Albeit data suggest poor utilization of mental health services in the Bolgatanga Municipality in Ghana, no studies have explored the barriers to the utilization of mental health services. Therefore, this study explored the perspectives of family caregivers, service providers, and mental health service administrators on the barriers to mental health service utilization in the Bolgatanga Municipality, Ghana.A qualitative descriptive design was employed for the study. Nineteen participants were purposively sampled from two hospitals including fifteen family caregivers, two service providers, and two mental health administrators. Data were collected through individual in-depth interviews using a semi-structured interview guide. Audio-recorded interviews were transcribed verbatim and thematically analyzed using NVivo 12 pro software.Five main themes emerged including individual-level barriers, interpersonal barriers, community-level barriers, organizational-level barriers, and policy-level barriers. At the individual level, lack of insight, poor treatment compliance, and financial challenges were prominent barriers. Interpersonal barriers included family pressure influenced by cultural and spiritual beliefs. At the community level, stigma and mental health illiteracy were identified as significant barriers. At the organizational level, barriers encompassed inadequate staffing, limited space, and staff attitudes. Policy-level barriers included the neglect of mental health in policies and the non-inclusion of mental health services in the National Health Insurance Scheme.This study highlights the complexity of barriers to mental health service utilization and underscores the need for a comprehensive approach to address them. Collaborative efforts involving healthcare providers, policymakers, communities, and families are essential to mitigate these barriers. It is imperative to consider these barriers when developing strategies to improve the utilization of mental health services in Ghana.

Authors & Co-authors:  Daliri Aninanya Laari Abagye Dei-Asamoa Afaya

Study Outcome 

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Statistics
Citations :  Keynejad RC, Dua T, Barbui C, Thornicroft G. WHO Mental Health Gap Action Programme (mhGAP) intervention guide: a systematic review of evidence from low and middle-income countries. BMJ Ment Health. 2018;21(1):30–4.
Authors :  6
Identifiers
Doi : 278
SSN : 1472-6963
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Family caregivers;Financial challenges;Mental health service utilization;Service providers
Study Design
Study Approach
Qualitative
Country of Study
Ghana
Publication Country
England