Ideological vs. Instrumental barriers to accessing formal mental health care in the developing world: Focus on south- eastern Nigeria

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Abstract

The striking gaps in formal mental health care in the developing world are largely traceable to Instrumental and Ideological Barriers. Focusing on south- eastern Nigeria, the study aimed to establish the relative weight, significance and determinants of these barriers for prioritised policy interventions. Multistage sampling method was used to select participants (n = 706) to whom questionnaires were administered. Ideological Barriers (cultural and mental health literacy constraints) were more significantly perceived (84.8%) than Instrumental Barriers (systemic and financial impediments) (56.6%). The study demonstrated the primacy of improved knowledge in plugging the gap in conventional mental health care in a region ironically defined more by systemic and material poverty. This is instructive for prioritised policy interventions with an indication that even if facilities and socio- economic status improve, services will likely be underused without greater improvement in people’s conceptualisation of mental illness. It equally underscored the need for cultural competence in mental health service provision.

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APA

Ikwuka, U., Galbraith, N., Manktelow, K., Chen-Wilson, J., Oyebode, F., Muomah, R. C., & Igboaka, A. (2016). Ideological vs. Instrumental barriers to accessing formal mental health care in the developing world: Focus on south- eastern Nigeria. Journal of Health Care for the Poor and Underserved, 27(1), 157–175. https://doi.org/10.1353/hpu.2016.0025

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