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

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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.accessioned2021-10-08T06:20:23Z
dc.date.available2021-10-08T06:20:23Z
dc.date.issued2016
dc.description.abstractAbstract 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, low-income 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.
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>, 16(1), 174 - 177. http://hdl.handle.net/11427/34267en_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> 16, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34267en_ZA
dc.identifier.citationNakku, J.E.M., Okello, E.S., Kizza, D., Honikman, S., Ssebunnya, J., Ndyanabangi, S., Hanlon, C. & Kigozi, F. et al. 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> 16(1):174 - 177. http://hdl.handle.net/11427/34267en_ZA
dc.identifier.issn1472-6963
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 - Abstract 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, low-income 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 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Health Services Research LK - https://open.uct.ac.za 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/11427/34267 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34267
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;16(1):174 - 177. http://hdl.handle.net/11427/34267.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Public Health and Family Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Health Services Research
dc.source.journalissue1
dc.source.journalvolume16
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12913-016-1547-7
dc.subject.otherCommunity mental health
dc.subject.otherMaternal mental health
dc.subject.otherMental health services
dc.subject.otherPerinatal mental health
dc.subject.otherPostnatal depression
dc.subject.otherPrimary health care
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherAttitude of Health Personnel
dc.subject.otherDeveloping Countries
dc.subject.otherFemale
dc.subject.otherFocus Groups
dc.subject.otherHealth Knowledge, Attitudes, Practice
dc.subject.otherHealth Services Accessibility
dc.subject.otherHumans
dc.subject.otherMale
dc.subject.otherMaternal Health Services
dc.subject.otherMental Disorders
dc.subject.otherMental Health
dc.subject.otherMental Health Services
dc.subject.otherMiddle Aged
dc.titlePerinatal mental health care in a rural African district, Uganda: a qualitative study of barriers, facilitators and needs
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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