Stakeholder perceptions of mental health stigma and poverty in Uganda

 

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dc.contributor.author Ssebunnya, Joshua en_ZA
dc.contributor.author Kigozi, Fred en_ZA
dc.contributor.author Lund, Crick en_ZA
dc.contributor.author Kizza, Dorothy en_ZA
dc.contributor.author Okello, Elialilia en_ZA
dc.date.accessioned 2015-10-30T09:35:49Z
dc.date.available 2015-10-30T09:35:49Z
dc.date.issued 2009 en_ZA
dc.identifier.citation Ssebunnya, J., Kigozi, F., Lund, C., Kizza, D., & Okello, E. (2009). Stakeholder perceptions of mental health stigma and poverty in Uganda. BMC international health and human rights, 9(1), 5. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14535
dc.identifier.uri http://dx.doi.org/10.1186/1472-698X-9-5
dc.description.abstract BACKGROUND:World wide, there is plentiful evidence regarding the role of stigma in mental illness, as well as the association between poverty and mental illness. The experiences of stigma catalyzed by poverty revolve around experiences of devaluation, exclusion, and disadvantage. Although the relationship between poverty, stigma and mental illness has been documented in high income countries, little has been written on this relationship in low and middle income countries.The paper describes the opinions of a range of mental health stakeholders regarding poverty, stigma, mental illness and their relationship in the Ugandan context, as part of a wider study, aimed at exploring policy interventions required to address the vicious cycle of mental ill-health and poverty. METHODS: Semi-structured interviews and focus group discussions (FGDs) were conducted with purposefully selected mental health stakeholders from various sectors. The interviews and FGDs were audio-recorded, and transcriptions were coded on the basis of a pre-determined coding frame. Thematic analysis of the data was conducted using NVivo7, adopting a framework analysis approach. RESULTS: Most participants identified a reciprocal relationship between poverty and mental illness. The stigma attached to mental illness was perceived as a common phenomenon, mostly associated with local belief systems regarding the causes of mental illness. Stigma associated with both poverty and mental illness serves to reinforce the vicious cycle of poverty and mental ill-health. Most participants emphasized a relationship between poverty and internalized stigma among people with mental illness in Uganda. CONCLUSION: According to a range of mental health stakeholders in Uganda, there is a strong interrelationship between poverty, stigma and mental illness. These findings re-affirm the need to recognize material resources as a central element in the fight against stigma of mental illness, and the importance of stigma reduction programmes in protecting the mentally ill from social isolation, particularly in conditions of poverty. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source BMC International Health and Human Rights en_ZA
dc.source.uri http://www.biomedcentral.com/bmcinthealthhumrights/ en_ZA
dc.subject.other Stigma en_ZA
dc.subject.other Mental Health en_ZA
dc.title Stakeholder perceptions of mental health stigma and poverty in Uganda en_ZA
dc.type Journal Article en_ZA
dc.rights.holder 2009 Ssebunnya et al; licensee BioMed Central Ltd. en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Psychiatry and Mental Health en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Ssebunnya, J., Kigozi, F., Lund, C., Kizza, D., & Okello, E. (2009). Stakeholder perceptions of mental health stigma and poverty in Uganda. <i>BMC International Health and Human Rights</i>, http://hdl.handle.net/11427/14535 en_ZA
dc.identifier.chicagocitation Ssebunnya, Joshua, Fred Kigozi, Crick Lund, Dorothy Kizza, and Elialilia Okello "Stakeholder perceptions of mental health stigma and poverty in Uganda." <i>BMC International Health and Human Rights</i> (2009) http://hdl.handle.net/11427/14535 en_ZA
dc.identifier.vancouvercitation Ssebunnya J, Kigozi F, Lund C, Kizza D, Okello E. Stakeholder perceptions of mental health stigma and poverty in Uganda. BMC International Health and Human Rights. 2009; http://hdl.handle.net/11427/14535. en_ZA
dc.identifier.ris TY - Journal Article AU - Ssebunnya, Joshua AU - Kigozi, Fred AU - Lund, Crick AU - Kizza, Dorothy AU - Okello, Elialilia AB - BACKGROUND:World wide, there is plentiful evidence regarding the role of stigma in mental illness, as well as the association between poverty and mental illness. The experiences of stigma catalyzed by poverty revolve around experiences of devaluation, exclusion, and disadvantage. Although the relationship between poverty, stigma and mental illness has been documented in high income countries, little has been written on this relationship in low and middle income countries.The paper describes the opinions of a range of mental health stakeholders regarding poverty, stigma, mental illness and their relationship in the Ugandan context, as part of a wider study, aimed at exploring policy interventions required to address the vicious cycle of mental ill-health and poverty. METHODS: Semi-structured interviews and focus group discussions (FGDs) were conducted with purposefully selected mental health stakeholders from various sectors. The interviews and FGDs were audio-recorded, and transcriptions were coded on the basis of a pre-determined coding frame. Thematic analysis of the data was conducted using NVivo7, adopting a framework analysis approach. RESULTS: Most participants identified a reciprocal relationship between poverty and mental illness. The stigma attached to mental illness was perceived as a common phenomenon, mostly associated with local belief systems regarding the causes of mental illness. Stigma associated with both poverty and mental illness serves to reinforce the vicious cycle of poverty and mental ill-health. Most participants emphasized a relationship between poverty and internalized stigma among people with mental illness in Uganda. CONCLUSION: According to a range of mental health stakeholders in Uganda, there is a strong interrelationship between poverty, stigma and mental illness. These findings re-affirm the need to recognize material resources as a central element in the fight against stigma of mental illness, and the importance of stigma reduction programmes in protecting the mentally ill from social isolation, particularly in conditions of poverty. DA - 2009 DB - OpenUCT DO - 10.1186/1472-698X-9-5 DP - University of Cape Town J1 - BMC International Health and Human Rights LK - https://open.uct.ac.za PB - University of Cape Town PY - 2009 T1 - Stakeholder perceptions of mental health stigma and poverty in Uganda TI - Stakeholder perceptions of mental health stigma and poverty in Uganda UR - http://hdl.handle.net/11427/14535 ER - en_ZA


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