02367nas a2200241 4500000000100000008004100001260003700042653002200079100001400101700001300115700001300128700001400141700001500155700001200170700001200182700001400194245014700208856009800355300001300453490000700466520163800473022001402111 2022 d bPublic Library of Science (PLoS)10amultidisciplinary1 aMekonen T1 aChan GCK1 aBelete T1 aMenberu M1 aDavidson L1 aHides L1 aLeung J1 aPetkari E00aMental health service utilization in a low resource setting: A qualitative study on perspectives of health professionals in Northwest Ethiopia uhttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0278106&type=printable ae02781060 v173 a

Background: Mental health services are advocated to move from specialized care to more integrated and accessible primary care settings. The integration of mental health into primary health services is expanding in Ethiopia. However, there is a lack of research on the perspectives of health professionals on mental health services in Ethiopia. This study aimed to explore the perspectives, views, and experiences of health professionals regarding mental health services and the help-seeking behavior of people with mental illness in Northwest Ethiopia.

Methods: This qualitative study included sixteen health professionals. The participants were interviewed using a semi-structured interview guide. Interviews were conducted in Amharic and translated into English. We analyzed the data using reflexive thematic analysis.

Results: Five key themes were generated from the interview data: (1) Avoidance of mental healthcare; (2) Low literacy about mental illness; (3) Stigma as a hindrance to accessing mental health services; (4) The role of culture and religion in mental health services; and (5) Lack of government concern about mental health services.

Conclusion: This study identified important factors related to mental health services in Northwest Ethiopia, from the perspectives of health professionals. Our findings highlighted that the government health agenda needs to prioritize mental health services. The role of religious and cultural healing places in the help-seeking pathway should be given due consideration to ensure success in mental health services provision and utilization.

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