Discrimination and Stigma of Mentally Ill Patients among Health Care Workers and the Public in Developing Countries; its Effect on the Integration of Mental Health Services into the Primary Health Care System- A Systematic Review
Abstract:
Discrimination and stigmatization against the mentally
ill are issues of concern for years and have negatively affected the health outcomes
of the mentally ill. The WHO has advised that integration of mental health services
is necessary to close the treatment gap that currently exists. The aim of this paper
is to synthesize evidence from various researchers regarding the presence of discrimination
and stigma of mentally ill patients among health care workers and the public and
to identify its effect on the integration of mental health services into the primary
health care system. A systematic search was conducted in the PubMed, EBSCO HOST,
Google scholar, MEDLINE databases. Fifteen (15) studies were evaluated to determine
the level of stigma and discrimination towards the mentally ill patient by health
professionals and the public. Studies conducted in developing countries identified
that stigma and discrimination against the mentally ill among health care workers
and members of the general public exists, and this negatively affects the integration
process. Fear of seeking help from the health care service providers and administration
of poor quality of health care to this category of patients are some of the effects.
Stigma and discrimination are still major issues in developing countries; it is
imperative that means of resolving these issues are developed. The gap in mental
health treatment exists and is growing. Education: increased public awareness and
good governance of the health system are just a few ways in which we can resolve
these problems.
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