Factors contributing to underutilization of mental health services in health centres within Lusaka urban.

Abstract

The objective of this study was to determine the factors contributing to underutilization of mental health services in Health Centres within Lusaka urban. 50 percent of respondents of both males and females from 15 years above were sampled and 10 health workers were also sampled. Literature review showed that mental health care is not being provided at the primary level which requires more advocacy particularly by the stakeholders who include health workers and Non-Governmental Organizations. For the purpose of this study, a descriptive design was chosen. A systematic random sampling technique was used to select the sample size. A structured interview schedule was used as a data collecting tool for the patient respondents while a self administered questionnaire was used for the health workers. The data was analyzed manually using a calculator and entered on a data master sheet. The findings were presented in the form of pie charts, bar charts and simple frequency tables. The study revealed that the majority of respondents, 82% were sensitized and had knowledge about mental health services in the Health Centres, 88% had poor accessibility and underutilization, 58% experienced moderately high stigmatization, 78% were not willing to follow traditional beliefs and had good perception on mental illness, and 80% of psychiatric health workers experienced good attitude from the non-psychiatric health workers. The study showed that the respondents were aware of mental health services but preferred to go to Chainama than Health Centres. Most respondents stated that they prefer going to Chainama because of availability of drugs and staff.