Title:
Exploration of Coverage, Opportunity and Barriers in Providing Mental Health Service in Public Health Centres in Denpasar, Bali: Perspectives of Stake Holders and Community Health Workers
Authors:
Aryani, Putu
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2016
PAGE:
ix, 59
Language:
En
Subject:
Health and Poverty
Keywords:
Mental health, integration Public Health Centers
Abstract:
Background: Recently WHO have promoted mental health care integration in primary care in order to reduce the gap between the prevalence of mental disorders and its treatment in lower middle income countries (LMICs). In Indonesia, mental health act has launched in 2014. However not all public health centres (PHCs) are able to implement the integration of MHS into PHCs. Objective: To explore the coverage, opportunity and barriers for mental health service provision in Public Health Centres in Denpasar, Bali, to recommend specific strategies to improve mental health services (MHS) for the community. Method: This study applied mixed method. Quantitative method, were applied by using secondary data from health department of Denpasar. The Qualitative data were collected by conducting in-depth interviews with stake holders and Focus group discussions. Results: The coverage of mental health services in PHCs in Denpasar was found to be inadequate. The stake holders were not sensitive in prioritizing the mental health program in primary care. The key stake holders reported that the barriers were: limited number of human resources, budget restrictions, an absence of relevant guidelines, scarcity of medicine, poor recording and reporting systems, an absence of supervision and poor referral system. The CHWs commented on the stigma and discrimination enacted toward people with mental disorders. Conclusion: Coverage of mental health service in PHCs in Denpasar, Bali is still low. Local government and stake holders have to work together to overcome the barriers. CHWs can be involved to raise awareness and mitigation of stigma in the community.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development, Policy and Practice
Country:
Indonesia, Republic of
Region:
Southeast Asia
Training:
Master of Public Health
Category:
research
Right:
© 2016 Aryani
Document type:
Thesis/dissertation
File:
zH9rsmmWEF_20171120155402585.pdf