Pathways to care for psychosis in rural Uganda: Mixed-methods study of individuals with psychosis, family members, and local leaders

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dc.contributor.authorLee, Yang Jae
dc.contributor.authorNakaziba, Kayera Sumaya
dc.contributor.authorWaimon, Sophie
dc.contributor.authorAgwang, Grace
dc.contributor.authorMenon, Kailash
dc.contributor.authorSamuel, Sam
dc.contributor.authorDyas, Aaron Damon
dc.contributor.authorNkolo, Travor
dc.contributor.authorIngabire, Haba
dc.contributor.authorWykoff, Jason
dc.contributor.authorHobbs, Olivia
dc.contributor.authorKazungu, Rauben
dc.contributor.authorBasiimwa, Job
dc.contributor.authorRosenheck, Robert
dc.contributor.authorAshaba, Scholastic
dc.contributor.authorTsai, Alexander C.
dc.date.accessioned2025-01-07T13:02:08Z
dc.date.available2025-01-07T13:02:08Z
dc.date.issued2024-01
dc.description.abstractAbstract Background Low- and middle-income countries (LMICs) bear a disproportionate burden of mental illness, with limited access to biomedical care. This study examined pathways to care for psychosis in rural Uganda, exploring factors influencing treatment choices. Methods We conducted a mixed-methods study in Buyende District, Uganda, involving 67 in-depth interviews and 4 focus group discussions (data collection continued until thematic saturation was reached) with individuals with psychotic disorders, family members, and local leaders. Structured questionnaires were administered to 41 individuals with psychotic disorders. Results Three main themes emerged: (1) Positive attitudes towards biomedical providers, (2) Barriers to accessing biomedical care (3) Perceived etiologies of mental illness that influenced care-seeking behaviors. While 81% of participants eventually accessed biomedical care, the median time to first biomedical contact was 52 days, compared to 7 days for any care modality. Conclusions Despite a preference for biomedical care, structural barriers and diverse illness perceptions led many to seek pluralistic care pathways. Enhancing access to biomedical services and integrating traditional and faith healers could improve mental health outcomes in rural Uganda.
dc.identifier.citationLee, Yang Jae, Kayera Sumaya Nakaziba, Sophie Waimon, et al. 'Pathways to Care for Psychosis in Rural Uganda: Mixed-Methods Study of Individuals with Psychosis, Family Members, and Local Leaders', Global Mental Health, vol. 11/(2025), .
dc.identifier.issnEISSN 2054-4251
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9733
dc.language.isoen
dc.publisherCambridge University Press
dc.titlePathways to care for psychosis in rural Uganda: Mixed-methods study of individuals with psychosis, family members, and local leaders
dc.typeArticle
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