Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care

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dc.contributor.authorNyame, Solomonen_ZA
dc.contributor.authorAdiibokah, Edwarden_ZA
dc.contributor.authorMohammed, Yasminen_ZA
dc.contributor.authorDoku, Victor C.en_ZA
dc.contributor.authorOthieno, Caleben_ZA
dc.contributor.authorHarris, Benjaminen_ZA
dc.contributor.authorGureje, Oyeen_ZA
dc.contributor.authorSoraya, Seedaten_ZA
dc.contributor.authorAppiah-Poku, Johnen_ZA
dc.date.accessioned2021-04-29T10:19:19Z
dc.date.available2021-04-29T10:19:19Z
dc.date.issued2021-04-23
dc.date.updated2021-04-25T04:22:38Z
dc.descriptionCITATION: Nyame, S., et al. 2021. Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care. BMC Health Services Research, 21:375, doi:10.1186/s12913-021-06313-7.
dc.descriptionThe original publication is available at https://bmchealthservres.biomedcentral.com
dc.description.abstractBackground: In low- and middle-income countries, the paucity of conventional health services means that many people with mental health problems rely on traditional health practitioners (THPs). This paper examines the possibility of forging partnerships at the Primary Health Care (PHC) level in two geopolitical regions of Ghana, to maximize the benefits to both health systems. Methods: The study was a qualitative cross-sectional survey. Eight (8) focus group discussions (FGDs) were conducted between February and April 2014. The views of THPs, PHC providers, service users (i.e. patients) and their caregivers, on the perceived benefits, barriers and facilitators of forging partnerships were examined. A thematic framework approach was employed for analysis. Results: The study revealed that underlying the widespread approval of forging partnerships, there were mutual undertones of suspicion. While PHC providers were mainly concerned that THPs may incur harms to service users (e.g., through delays in care pathways and human rights abuses), service users and their caregivers highlighted the failure of conventional medical care to meet their healthcare needs. There are practical challenges to these collaborations, including the lack of options to adequately deal with human rights issues such as some patients being chained and exposed to the vagaries of the weather at THPs. There is also the issue of the frequent shortage of psychotropic medication at PHCs. Conclusion: Addressing these barriers could enhance partnerships. There is also a need to educate all providers, which should include sessions clarifying the potential value of such partnerships.en_ZA
dc.description.urihttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06313-7
dc.description.versionPublisher's version
dc.format.extent9 pages
dc.identifier.citationNyame, S., et al. 2021. Perceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health care. BMC Health Services Research, 21:375, doi:10.1186/s12913-021-06313-7
dc.identifier.issn1472-6963 (online)
dc.identifier.otherdoi:10.1186/s12913-021-06313-7
dc.identifier.urihttp://hdl.handle.net/10019.1/110361
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectPrimary health careen_ZA
dc.subjectMental health services -- Ghanaen_ZA
dc.subjectMental health case teams -- Developing countriesen_ZA
dc.subjectMental health -- Patients -- Civil rightsen_ZA
dc.titlePerceptions of Ghanaian traditional health practitioners, primary health care workers, service users and caregivers regarding collaboration for mental health careen_ZA
dc.typeArticle
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