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Primary Mental Health Care in Rural Punjab, Pakistan : Provider, and User Perspectives of the Effectiveness of Treatments
Oleh:
Mirza, Ilyas
;
Mujtaba, Muhammad
;
Chaudhry, Haroon
;
Jenkins, Rachel
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 63 no. 3 (Aug. 2006)
,
page 593-597.
Topik:
mental health care
;
pakistan
;
mental health
;
primary care
;
treatment
;
low income country
;
faith healers
;
lay beliefs and knowledge
Ketersediaan
Perpustakaan Pusat (Semanggi)
Nomor Panggil:
SS53.5
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Neuro psychiatric disorders are associated with a considerable burden of disease, not only globally, but also in low and middle income countries. Epidemiological information about treatment of these disorders is required to help formulate treatment and prevention strategies. The aim of this study was to describe different types of mental health care providers, and examine patients' knowledge of the treatments and their views about its effectiveness in rural punjab pakistan. We conducted a cross sectional survey of attenders at a 1 day psychiatric consultation clinic in rural punjab pakistan. Patients sought help from five different types of providers and weer treated with physical, psychotherapeutic and spiritual treatments. Moset recognised psychiatric problems as treatable. There was a discrepancy between belief and knowledge of the treatment of mental disorders, most had a very basic understanding of treatment. They reported general practitioner (GP) treatments are more effective (56%0 compared to other practitioners (20%). We argue that treatments given by primary mental health care providers need to be standardised. A systematic appraisal of the theoretical rationale of the mental health treatments prescribed in primary care settings is required in low income countries like pakistan. Thus will help ensure standardisation of care especially regarding spiritual / psycholoical therapies so that in future valid inferecnes can be made about their effectiveness in populations. Further work should include improving mental health literacy with special reference to treatments available for mental health problems.
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