Perceived Barriers And Facilitators To Access Mental Health Services Among Pakistani Adolescents

Nizam, Hina; Ali, Syed Asif

doi:10.46568/bios.v2i2.46

Cited by 3 publications

(5 citation statements)

References 16 publications

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“…Correspondingly, the health beliefs and attitudes of any population have a significant role in impacting service use. These findings are consistent with the previous national and international literature based on LMICs, where service utilization was predominantly hindered by false illusions, stigmatizing beliefs, disgrace, and inadequate knowledge [ 12 , 27 , 28 ]. Other literature sources also highlight a negligible understanding of mental health issues, the relation of mental health with religion, and preference for traditional/religious/faith healers as key perceptions of the Pakistani community related to mental health/mental illness [ 29 – 31 ].…”

Section: Discussionsupporting

confidence: 91%

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Mubeen,

Fatmi,

Hameed

et al. 2024

BMC Health Serv Res

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Introduction Adolescents’ Mental Healthcare (MHC) is influenced by numerous factors, and adolescents occasionally seek professional help for mental health (MH) issues. These factors become more complex within low-middle-income countries (LMICs); therefore, this study aims to understand barriers and facilitators to access mental health services among adolescents aged 10 to 19 years old from the perspective of users (parents) and providers (Mental Healthcare Providers - MHPs). Method Using a qualitative exploratory design, a semi-structured interview guide was developed using Andersen’s health service utilization model. In-depth interviews were conducted with MHPs (n = 21) and parents of adolescents (n = 19) in the psychiatry department of public and private hospitals in Karachi, from October—December 2021. Data was thematically analyzed using an inductive approach. Result The findings revealed a consensus of users and providers in all three categories of the Andersen model and referred the compulsion as the major driving force to MHC access and utilization rather than personal choices. Within pre-disposing, need, and enabling factors; the participants highlighted a unique perspective; users regarded frequent migration, daily wage loss, and women’s societal status as barriers while the need for marriage and patient willingness were stated as facilitators. Whereas, MHPs indicated societal tolerance, the burden on the health system, and the absence of Child and Adolescent Mental Health (CAMH) services as major gaps in service delivery. Conclusion Service utilization is mainly facilitated by the severity of illness rather than healthy choices and beliefs, and accessibility and affordability. It is therefore imperative to prioritize adolescent MH through promotion and prevention approaches and address service delivery gaps to prevent treatment delays via task-shifting and capacity building of the health workforce.

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Section: Discussionsupporting

confidence: 91%

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Mubeen,

Fatmi,

Hameed

et al. 2024

BMC Health Serv Res

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“…Pakistani adolescents are physically strong and are more focused; therefore, they have strong self-strength [41]. It is also evident that Pakistani adolescents have higher help-seeking [42] because they are more involved in their religious activities [43]. The current study also supported the findings of Kholifah et al [44], who revealed that Pakistani students feel more happiness because they tend to be more emphatic.…”

Section: Discussionsupporting

confidence: 87%

Comparison of Self-Strength, Seeking Help and Happiness between Pakistani and Chinese Adolescents: A Positive Psychology Inquiry

Tabbasam¹,

Amjad²,

Ahmed³

et al. 2023

International Journal of Mental Health Promotion

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Adolescents' emotions and preferences are influenced by their childhood experiences. In today's world, there is a pervasive eagerness for happiness. Happiness has been linked to feelings of self-strength, seeking help, and psychological health. The current quantitative research was designed with a positive psychological perspective to compare Pakistani and Chines adolescents' self-strength, seeking help, and happiness. The research design of the study was causal-comparative. The study population consisted of 400 Pakistani and 409 Chinese adolescents studying in the elementary grades of both countries. The sample was selected by using a simple random sampling technique. It consisted of 413 boys (51%) and 396 girls (49%), 319 (39) of them were from the age group of 13-14 years, 386 (48%) of them were from the age group of 15-16 years, and 104 (12.9%) were from the age group of 17-18 years. Three different scales were developed to collect study data. Independent sample t-test and simple linear regression were used to test study hypotheses. The analysis revealed that Pakistani adolescents have significantly higher self-strength, seeking help and happiness than their counterparts. It was also found that adolescents' self-strength and seeking help significant affect their happiness. Based on the findings, it was suggested to investigate the factors contributing to the improved self-strength, seeking help, and happiness of Pakistani adolescents. It was also recommended to investigate the mediating effect of adolescents' self-strength on the relationship between their happiness and seeking help.

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“…20 21 Conversely, known facilitators of primary healthcare service uptake in conservative regions include: (1) health provider communication and nativity 22 and (2) social support and encouragement from significant others. 19 Aim of the review Ultimately, primary healthcare services are central to improving the health and well-being of the women of Pakistan and improving preventive health practices.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“… 18 For specific health problems such as family planning and mental health, women face considerable barriers due to stigmatisation and religious beliefs, compelling them to either abandon their healthcare needs or to seek services from faith healers. 19 In addition to cultural restrictions, there is also a lack of trust and acceptance of physicians and CHW, contributing to significant barriers to uptake of health services. 20 21 Conversely, known facilitators of primary healthcare service uptake in conservative regions include: (1) health provider communication and nativity 22 and (2) social support and encouragement from significant others.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review and narrative synthesis of the key barriers and facilitators to the delivery and uptake of primary healthcare services to women in Pakistan

Rizvi Jafree,

Barlow

2023

BMJ Open

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ObjectivesThe objective of this review is to (1) identify barriers and facilitators with respect to women’s health services at a primary care level based on a systematic review and narrative synthesis and (2) to conclude with recommendations for better services and uptake.DesignSystematic review and narrative synthesis.Data sourcesPubMed, BMC Medicine, Medline, CINAHL and the Cochrane Library. Grey literature was also searched.Eligibility criteriaQualitative, quantitative and mixed studies were included in the review.Data extraction and synthesisThe search took place at the beginning of June 2021 and was completed at the end of August 2021. Studies were included in the review based on the Sample, Phenomenon of Interest, Design, Evaluation, Research type criteria. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool. Data were synthesised using a narrative synthesis approach.ResultsA total of 33 studies were included in the review. We identified six barriers to the delivery of effective primary healthcare for women’s health which have been organised under two core themes of ‘service barriers’ and ‘family/cultural barriers’. Ten barriers to the uptake of primary healthcare for women have been identified, under three core themes of ‘perceptions about healthcare service’, ‘cultural factors’ and ‘practical issues’. Three facilitators of primary healthcare delivery for women were identified: ‘motivating community health workers (CHWs) with continued training, salary, and supervision’ and ‘selection of CHWs on the basis of certain characteristics’. Five facilitators of the uptake of primary healthcare services for women were identified, under two core themes of ‘development of trust and acceptance’ and ‘use of technology’.ConclusionsChange is needed not only to address the limitations of the primary healthcare services themselves, but also the cultural practices and limited awareness and literacy that prevent the uptake of healthcare services by women, in addition to the wider infrastructure in terms of the provision of financial support, public transport and child care centres.PROSPERO registration numberCRD42020203472.

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Perceived Barriers And Facilitators To Access Mental Health Services Among Pakistani Adolescents

Cited by 3 publications

References 16 publications

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Comparison of Self-Strength, Seeking Help and Happiness between Pakistani and Chinese Adolescents: A Positive Psychology Inquiry

Systematic review and narrative synthesis of the key barriers and facilitators to the delivery and uptake of primary healthcare services to women in Pakistan

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