Rural community attitude towards mental healthcare: a mixed-method study in Khurda district of Odisha, India

Jena, Sunita; Sahoo, Krushna Chandra; Samal, Mousumi; Kripalini, P; Shrivastava, Chandni; Anand, Henanee; Mahapatra, Pranab

doi:10.1186/s43045-020-00057-6

Cited by 6 publications

(9 citation statements)

References 19 publications

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“…Various studies were conducted with revealed that attitude toward psychiatrist (27), mental health care (25). However, to our knowledge this is the first ever study which explored the attitudes of rural people toward psychiatric hospital.…”

Section: Discussionmentioning

confidence: 96%

“…There is also a presence of large scale medical institutes such as the All India Institute of Medical Sciences, which provide the local population with good access to mental healthcare. In primary and secondary setting of this study area there is no such mental health care facility is available in this context and for this facility usually people have to depend on tertiary setting with an average distance of 8-10 km (25).…”

Section: Study Settingmentioning

confidence: 99%

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Public Attitudes Toward Psychiatric Hospitals: A Rural-Urban Comparative Public Survey in Odisha State, India

et al. 2021

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Background: Integration of psychiatric care with public health services and offering mental health care services to patients from lower socioeconomic status remains a global challenge. Scarcity of funds and professional workforce in psychiatric hospitals contribute to this situation. However, negative attitudes in the population are also a known impediment to patients seeking mental health services. This study aimed to assess the attitudes toward psychiatric hospitals among the urban and rural population in India.Subjects and Methods: The study was carried out amongst the general population in Odisha, India. The total sample (n = 988) includes 496 respondents from an urban-setting, and 492 respondents from rural parts of the district. Participants were selected by using simple random-sampling from the Asian Institute of Public Health (AIPH) data base. A standardized seven-item questionnaire was adopted, with responses indicated on a 5-point Likert-scale. Interviews were fully structured and conducted face-to-face.Results: Level of education (B = −0.192, ß = −0.320, p < 0.000) and urban-rural comparison (B = −0.272, ß = −0.189, p < 0.000) significantly influenced attitudes toward psychiatric hospitals. Gender, age, and religious beliefs did not show any significant effect on attitudes toward psychiatric hospitals. Individuals in rural areas and those with lower education levels showed more negative attitudes toward psychiatric hospitals.Conclusion: Negative attitudes toward psychiatric hospitals from those living in rural areas as well as those with lesser education may be reflective of the lack of availability, accessibility, affordability, and credibility of such mental health services. The Mental Health Care Act in India is a progressive legislation which might improve the situation of the provided services and, consequently, reduce negative attitudes in the years to come.

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Section: Discussionmentioning

confidence: 96%

Section: Study Settingmentioning

confidence: 99%

Public Attitudes Toward Psychiatric Hospitals: A Rural-Urban Comparative Public Survey in Odisha State, India

et al. 2021

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“…The relative odds for multiple morbidities is 6.6 times higher for patients over 60 years of age (Pati et al, 2020b). Multimorbidity, along with psychiatric disorders, lead to a substantial rise in healthcare expenditure (Pati et al, 2014(Pati et al, , 2015a(Pati et al, , 2019a(Pati et al, , 2020b and complicates the already limited access to treatment (Pati et al, 2015a(Pati et al, , 2019bMahapatra et al, 2019;Jena et al, 2020). Psychiatric multimorbidity, including dementia, is an emerging global concern among the elderly.…”

Section: Discussionmentioning

confidence: 99%

Managing dementia care during COVID-19 pandemic: caregivers’ experiences in Odisha, India

Mahapatra

Sahoo

Desaraju

et al. 2023

Prim Health Care Res Dev

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Aim: The present study explored the family caregivers’ perspectives and elicited their experience while managing dementia care during the COVID-19 pandemic in Odisha, India. Background: The onset of the COVID-19 pandemic has diverted the attention of health systems away from chronic disease management and health services delivery. Psychiatric care particularly for dementia and the elderly is found to be more compromised in such situation. Methods: We adopted an inductive phenomenological approach to garner key insights into the care continuity for people living with dementia in the context of the COVID-19 pandemic. Telephonic in-depth interviews (IDIs) were carried out with 17 immediate caregivers. All IDIs were digitally recorded, transcribed, and analysed using a thematic approach. Findings: Caregivers did not perceive dementia as an overwhelming challenge; instead viewed it as a part of the ageing process. Caring for dementia was being done by family members as a collective responsibility with task-sharing. The caregivers primarily relied on their usual physician for the continuity of dementia care and took utmost precautions to prevent exposure to COVID-19 risk. However, they found it more challenging to ensure adequate care for the multiple illnesses (multimorbidity) coexisting with dementia. Towards this, they adopted all possible measures to keep the chronic conditions under control, lest the vulnerability to COVID-19 infection might heighten. The fear of visiting a hospital, prevailing restrictions in mobility, and diverted attention of health systems to pandemic containment created impediments towards maintaining multimorbidity care. The support of local administration, neighbourhood pharmacy and diagnostic laboratories and teleconsultation with the physicians were vital for care continuity. Caregivers adapted by reducing or deferring physical consultation and seeking treatment via telephonic advice of the treating physicians. Our findings suggest leveraging digitally enabled health care technology and augmenting caregiver activation for home-based dementia care to cruise through any similar catastrophic situations.

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“…The stigma surrounding mental illness, which is a significant impediment to treatment seeking and a contributor in the poor prognosis for those who suffer from it, could conceivably be reduced by the communities' increased awareness of the condition (30)(31)(32). Likewise, the community's favorable perception of mental illness has a significant impact on the lives of survivors (26).…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude, and its correlates of the community toward mental illness in Mattu, South West Ethiopia

Hajure¹,

Debele²,

Gezimu³

et al. 2022

Front. Psychiatry

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BackgroundThe magnitude of mental health conditions in the general population was high in low-resource settings like Ethiopia. This was accompanied by little evidence on knowledge, attitudes, and related determinants in the general population. Therefore, the current survey is planned to assess the knowledge, attitude, and related factors of the community toward mental illness in Mattu, South West Ethiopia.ObjectivesOur study aimed to assess the knowledge, attitude, and related factors of the community toward mental illness in Mattu, South West Ethiopia.MethodsA community-based cross-sectional survey was conducted in South West Ethiopia, Mattu town from 1 April−20 June, 2022 using a systematic random sampling, a multistage stratified technique from 649 households, and employed an interviewer-administered pre-tested semi-structured English version questionnaire. Epi-data Version 3.1 and SPSS-V-23.3 were employed for data entry and analysis respectively. A statistically significant association was declared at a P-value ≤ 0.05 at a 95% confidence interval.ResultsIn the current study, poor knowledge regarding, and unfavorable attitudes toward, mental illness among study respondents were 28% (182) 95% CI (24.3, 31.6) and 60.4% (392) 95% CI (56.5, 64.3), respectively. After controlling for potential confounders, being self-employed was independently associated with poor knowledge [AOR = 3.1, 95%CI (1.65, 4.28)]. Moreover, current use of substances [AOR = 1.64 95%CI (1.09, 5.98)] and not hearing information about mental illness from social media have been shown to be associated in the final model with an unfavorable attitude [AOR = 3.44 95%CI (1.98, 5.99)].Conclusion and recommendationAbout one-third and more than one-half of the study participants showed poor knowledge and an unfavorable attitude, respectively. Compared to similar global and local findings, there was better community knowledge and a poor attitude toward mental illness in the area. Unfavorable attitudes toward mental illness were found to be exacerbated by participants not hearing about it on social media and by current substance use. Moreover, being self-employed was independently associated with poor knowledge of mental illness. Hence, all concerned stakeholders need to enhance mental health advocacy to improve public knowledge and attitude toward mental illness through media campaigns with a special focus on common substances. In addition, due attention should be given to self-employed groups of society to reduce the impacts of mental health conditions.

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Rural community attitude towards mental healthcare: a mixed-method study in Khurda district of Odisha, India

Cited by 6 publications

References 19 publications

Public Attitudes Toward Psychiatric Hospitals: A Rural-Urban Comparative Public Survey in Odisha State, India

Public Attitudes Toward Psychiatric Hospitals: A Rural-Urban Comparative Public Survey in Odisha State, India

Managing dementia care during COVID-19 pandemic: caregivers’ experiences in Odisha, India

Knowledge, attitude, and its correlates of the community toward mental illness in Mattu, South West Ethiopia

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