رسالة جامعية

Barriers to Mental Health Services Utilization among Caregivers of Mental Health Outpatients at Mathari National Teaching and Referral Hospital, Nairobi City, Kenya

التفاصيل البيبلوغرافية
العنوان: Barriers to Mental Health Services Utilization among Caregivers of Mental Health Outpatients at Mathari National Teaching and Referral Hospital, Nairobi City, Kenya
المؤلفون: Chelelgo, Victor Kibichii
المساهمون: Gilbert M. Munyoki, Meshack Onyambu Ondora
بيانات النشر: Kenyatta University
سنة النشر: 2023
المجموعة: Kenyatta University Repository
مصطلحات موضوعية: Mental Health Services, Caregivers of Mental Health Outpatients, Mathari National Teaching and Referral Hospital, Nairobi City, Kenya
الوصف: A Research Thesis Submitted In Partial Fulfillment of the Requirements for the Award of Degree of Master of Public Health (Epidemiology and Disease Control) in the School of Health Sciences of Kenyatta University, August 2023. ; World Health Organization (WHO) defines mental health as a state of well-being where people realize and recognize their capacities, cope with life stressors, and contribute positively to society. Cases of mental illness in Kenya have been on the rise with an estimated prevalence of 10.7%. There is a gap between the need or demand for mental health services (MHS) and their utilization despite the government’s effort to devolve mental health care services to level 4 hospitals. There are about 284 level 4 hospitals in the country and only 29 of them offer mental health services. Psychiatric services are available in 26 out of 47 counties in Kenya. This leaves people in the remaining 21 counties to seek mental health services from other counties or MNTRH located in Nairobi. Therefore, there is need to address the barriers that limit the provision and use of mental health services if there is hope to lower the burden resulting from mental illnesses in Kenya. The main objective of the study was to investigate barriers to the utilization of mental health services at the MNTRH outpatient clinic. The study was a cross-sectional descriptive study that employed mixed (qualitative and quantitative) methods. Questionnaires were used to collect data coupled with structured interviews of key informants. 216 caregivers completed the questionnaires, and 5 key informants (healthcare workers) were interviewed. The study findings revealed that the cost of seeking mental health services is a critical barrier to accessing these services at the MNTRH outpatient clinic. More than half of the participants missed their clinics due to the cost of medication, 56% (n=120), consultation costs 55% (n=118), and transport= 54% (n=116). Pearson’s Chi-square showed statistically significant associations between the cost ...
نوع الوثيقة: thesis
اللغة: English
العلاقة: https://ir-library.ku.ac.ke/handle/123456789/27413Test
الإتاحة: https://ir-library.ku.ac.ke/handle/123456789/27413Test
رقم الانضمام: edsbas.528865AC
قاعدة البيانات: BASE