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- Title
Ideological vs. Instrumental Barriers to Accessing Formal Mental Health care in the Developing World: Focus on South- eastern Nigeria.
- Authors
Ikwuka, Ugo; Galbraith, Niall; Manktelow, Ken; Chen- Wilson, Josephine; Oyebode, Femi; Muomah, Rosemary C.; Igboaka, Anuli
- Abstract
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.
- Subjects
NIGERIA; 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
- Publication
Journal of Health Care for the Poor & Underserved, 2016, Vol 27, Issue 1, p157
- ISSN
1049-2089
- Publication type
Article
- DOI
10.1353/hpu.2016.0025