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Articles

Stakeholders' perceptions of the main challenges facing Ghana's mental health care system: a qualitative analysis

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Pages 8-22 | Received 01 May 2010, Published online: 09 May 2011
 

Abstract

Mental health remains a low priority in Ghana. No comprehensive studies have assessed the current status of mental health policy, legislation and services in Ghana. This paper presents the qualitative results of a situation analysis conducted as part of the first phase of the Mental Health and Poverty Project. The aim of this paper was to explore what a range of stakeholders perceive as the main challenges facing Ghana's mental health system and the primary ways of addressing them. A total of 81 interviews and seven focus groups were held with key stakeholders drawn from five of the 10 regions in Ghana. The major challenges identified included: inadequate implementation of mental health policy; legislative limbo; inadequate human and financial resource; widespread stigma; dominance of psychiatric hospitals; and insufficient human rights protections for the mentally ill. A range of policy, legislative and service-related recommendations were made for addressing the situation. The results revealed that mental health services in Ghana need to scaled-up to respond to unmet needs in ways that are cost-effective within the budget of a low-income country. Enacting the current mental health bill and identifying strategies for overcoming the barriers to policy implementation will mark significant steps forward.

Acknowledgements

This research was funded by the UK Department for International Development (DfID) (RPC HD6 2005- 2010) for the benefit of developing countries. The views expressed are not necessarily those of DfID. We would like to acknowledge the support of the Ghana Health Service, particularly Dr Akwasi Osei, in conducting this study. We gratefully acknowledge the assistance of Dr. Victor Doku, Mr Bright Akpalu, Mr Kenneth Ae-Ngebise and Mr Daniel Awenva in the data collection and analysis.

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