Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs

Simple item page
dc.contributor.authorNakku, Juliet E M
dc.contributor.authorOkello, Elialilia S
dc.contributor.authorKizza, Dorothy
dc.contributor.authorHonikman, Simone
dc.contributor.authorSsebunnya, Joshua
dc.contributor.authorNdyanabangi, Sheila
dc.contributor.authorHanlon, Charlotte
dc.contributor.authorKigozi, Fred
dc.date.accessioned2016-07-26T07:16:57Z
dc.date.available2016-07-26T07:16:57Z
dc.date.issued2016-07-22
dc.date.updated2016-07-22T18:02:12Z
dc.description.abstractBackground: Perinatal mental illness is a common and important public health problem, especially in low and middle-income countries (LMICs). This study aims to explore the barriers and facilitators, as well as perceptions about the feasibility and acceptability of plans to deliver perinatal mental health care in primary care settings in a low income, rural district in Uganda. Methods: Six focus group discussions comprising separate groups of pregnant and postpartum women and village health teams as well as eight key informant interviews were conducted in the local language using a topic guide. Transcribed data were translated into English, analyzed, and coded. Key themes were identified using a thematic analysis approach. Results: Participants perceived that there was an important unmet need for perinatal mental health care in the district. There was evidence of significant gaps in knowledge about mental health problems as well as negative attitudes amongst mothers and health care providers towards sufferers. Poverty and inability to afford transport to services, poor partner support and stigma were thought to add to the difficulties of perinatal women accessing care. There was an awareness of the need for interventions to respond to this neglected public health problem and a willingness of both community- and facility-based health care providers to provide care for mothers with mental health problems if equipped to do so by adequate training. Conclusion: This study highlights the acceptability and relevance of perinatal mental health care in a rural, lowincome country community. It also underscores some of the key barriers and potential facilitators to delivery of such care in primary care settings. The results of this study have implications for mental health service planning and development for perinatal populations in Uganda and will be useful in informing the development of integrated maternal mental health care in this rural district and in similar settings in other low and middle income countries.en_ZA
dc.identifier.apacitationNakku, J. E. M., Okello, E. S., Kizza, D., Honikman, S., Ssebunnya, J., Ndyanabangi, S., ... Kigozi, F. (2016). Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs. <i>BMC Health Services Research</i>, http://hdl.handle.net/11427/20733en_ZA
dc.identifier.chicagocitationNakku, Juliet E M, Elialilia S Okello, Dorothy Kizza, Simone Honikman, Joshua Ssebunnya, Sheila Ndyanabangi, Charlotte Hanlon, and Fred Kigozi "Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs." <i>BMC Health Services Research</i> (2016) http://hdl.handle.net/11427/20733en_ZA
dc.identifier.citationNakku, J. E., Okello, E. S., Kizza, D., Honikman, S., Ssebunnya, J., Ndyanabangi, S., ... & Kigozi, F. (2016). Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs. BMC Health Services Research, 16(1), 295.en_ZA
dc.identifier.issn1472-6963en_ZA
dc.identifier.ris TY - Journal Article AU - Nakku, Juliet E M AU - Okello, Elialilia S AU - Kizza, Dorothy AU - Honikman, Simone AU - Ssebunnya, Joshua AU - Ndyanabangi, Sheila AU - Hanlon, Charlotte AU - Kigozi, Fred AB - Background: Perinatal mental illness is a common and important public health problem, especially in low and middle-income countries (LMICs). This study aims to explore the barriers and facilitators, as well as perceptions about the feasibility and acceptability of plans to deliver perinatal mental health care in primary care settings in a low income, rural district in Uganda. Methods: Six focus group discussions comprising separate groups of pregnant and postpartum women and village health teams as well as eight key informant interviews were conducted in the local language using a topic guide. Transcribed data were translated into English, analyzed, and coded. Key themes were identified using a thematic analysis approach. Results: Participants perceived that there was an important unmet need for perinatal mental health care in the district. There was evidence of significant gaps in knowledge about mental health problems as well as negative attitudes amongst mothers and health care providers towards sufferers. Poverty and inability to afford transport to services, poor partner support and stigma were thought to add to the difficulties of perinatal women accessing care. There was an awareness of the need for interventions to respond to this neglected public health problem and a willingness of both community- and facility-based health care providers to provide care for mothers with mental health problems if equipped to do so by adequate training. Conclusion: This study highlights the acceptability and relevance of perinatal mental health care in a rural, lowincome country community. It also underscores some of the key barriers and potential facilitators to delivery of such care in primary care settings. The results of this study have implications for mental health service planning and development for perinatal populations in Uganda and will be useful in informing the development of integrated maternal mental health care in this rural district and in similar settings in other low and middle income countries. DA - 2016-07-22 DB - OpenUCT DO - 10.1186/s12913-016-1547-7 DP - University of Cape Town J1 - BMC Health Services Research KW - Maternal mental health KW - Community mental health KW - Primary health care KW - Mental health services KW - Postnatal depression KW - Perinatal mental health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1472-6963 T1 - Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs TI - Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs UR - http://hdl.handle.net/11427/20733 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-016-1547-7
dc.identifier.urihttp://hdl.handle.net/11427/20733
dc.identifier.vancouvercitationNakku JEM, Okello ES, Kizza D, Honikman S, Ssebunnya J, Ndyanabangi S, et al. Perinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs. BMC Health Services Research. 2016; http://hdl.handle.net/11427/20733.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderThe Author(s).
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceBMC Health Services Researchen_ZA
dc.source.urihttp://bmchealthservres.biomedcentral.com/
dc.subjectMaternal mental health
dc.subjectCommunity mental health
dc.subjectPrimary health care
dc.subjectMental health services
dc.subjectPostnatal depression
dc.subjectPerinatal mental health
dc.titlePerinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetype
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
12913_2016_Article_1547.pdf
Size:
514.19 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
1.72 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles