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dc.contributor.authorWakida, Edith K.
dc.contributor.authorOkello, Elialilia S.
dc.contributor.authorRukundo, Godfrey Z.
dc.contributor.authorAkena, Dickens
dc.contributor.authorAlele, Paul E.
dc.contributor.authorTalib, Zohray M.
dc.contributor.authorObua, Celestino
dc.date.accessioned2022-01-11T06:39:49Z
dc.date.available2022-01-11T06:39:49Z
dc.date.issued2019-03-22
dc.identifier.citationWakida, E. K., Okello, E. S., Rukundo, G. Z., Akena, D., Alele, P. E., Talib, Z. M., & Obua, C. (2019). Health system constraints in integrating mental health services into primary healthcare in rural Uganda: perspectives of primary care providers. International journal of mental health systems, 13(1), 1-12.en_US
dc.identifier.urihttp://ir.must.ac.ug/xmlui/handle/123456789/1118
dc.description.abstractBackground: The World Health Organization issued recommendations to guide the process of integrating mental health services into primary healthcare. However, there has been general as well as context specific shortcomings in the implementation of these recommendations. In Uganda, mental health services are intended to be decentralized and integrated into general healthcare, but, the services are still underutilized especially in rural areas. Purpose: The purpose of this study was to explore the health systems constraints to the integration of mental health services into PHC in Uganda from the perspective of primary health care providers (PHCPs). Methods: This was a cross sectional qualitative study guided by the Supporting the Use of Research Evidence (SURE) framework. We used a semi-structured interview guide to gain insight into the health systems constraints faced by PHCPs in integrating mental health services into PHC. Results: Key health systems constraints to integrating mental health services into PHC identified included inadequate practical experience during training, patient flow processes, facilities, human resources, gender related factors and challenges with accessibility of care. Conclusion: There is need to strengthen the training of healthcare providers as well as improving the health care system that supports health workers. This would include periodic mental healthcare in-service training for PHCPs; the provision of adequate processes for outreach, and receiving, referring and transferring patients with mental health problems; empowering PHCPs at all levels to manage and treat mental health problems and adequately provide the necessary medical supplies; and increase the distribution of health workers across the health facilities to address the issue of high workload and compromised quality of care provided.en_US
dc.description.sponsorshipSwedish International Development Cooperation Agency (Sida) and Makerere University.en_US
dc.language.isoen_USen_US
dc.publisherInternational Journal of Mental Health Systemsen_US
dc.subjectPrimary healthcareen_US
dc.subjectEducation systemen_US
dc.subjectHuman resourceen_US
dc.subjectFacilitiesen_US
dc.subjectPatient flow processesen_US
dc.subjectHealth systemsen_US
dc.titleHealth system constraints in integrating mental health services into primary healthcare in rural Uganda: perspectives of primary care providersen_US
dc.typeArticleen_US


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