Skip to main content

Table 2 Showing barriers to access mental health care services cited by study participants from the 3 countries

From: Pathways and access to mental health care services by persons living with severe mental disorders and epilepsy in Uganda, Liberia and Nepal: a qualitative study

Barrier

Nepal

Liberia

Uganda

Lack of awareness

Economic burden

Familial

Delay in family decision for seeking care

  

Myths and misconception regarding mental health problems

 

Social stigma and discrimination

Lack of social support

  

Poverty

  

Unwillingness of patients to take prescribed medicine (e.g. due to fear of side effects, severity of illness, and lack of support at home)

  

Low regard of the mentally ill: negligence of caregivers/family members/community members (considered useless)

  

Recurrence of the illness

  

Systemic

  

Inaccessible mental health services due to geographical constraints

Negative attitudes of health workers

Lack of patient follow-up

  

Lack of mental health medicines,

Change of service providers

  

Inadequate mental health specialists

Overcrowding at the health facilities

  

Long distances to the health centers

 

Fear of PLWSMDE by other patients and caregivers at the health centre

  

Community

  

Traditional beliefs about mental illness (witchcraft, curses, incurable), leading to preference for traditional remedies

 

Lack of awareness

Economic burden

Lower cost of services and more flexible terms offered by traditional healers

  

Unwillingness of some patients to go the health centers, sometimes due to lack of insight