Habtamu Nahom Solomon, Mesafint Gebremeskel, Yenealem Kidus, Demelash Sewagegn, Muche Zenebu, Getachew Dawit
Department of Public Health, School of Public Health, Mizan-Tepi University, Mizan, Ethiopia.
Department of Psychiatry, School of Medicine, Mizan-Tepi University, Mizan, South West Ethiopia.
PLoS One. 2025 Apr 29;20(4):e0320740. doi: 10.1371/journal.pone.0320740. eCollection 2025.
Mental diseases or mental disorders are conditions that affect the mind and are defined by changes in emotion, thought, or behavior. Many studies have demonstrated that people with mental illnesses are not receiving the necessary care and treatments, despite the fact that they need basic healthcare services and supportive strategies. Particularly in Ethiopia, there is a severe paucity of research on the topic. The aim of this study was to investigate how South West Ethiopians perceive and act when seeking treatment for mental illness.
We conducted a descriptive qualitative study in Bench-Sheko, Kaffa, West Omo, and Sheka Zones, Southwest Ethiopia, from February to May 30, 2021. A purposively selected 58 individuals were interviewed by research experts using interview guides and responses were audio recorded. The recorded data were transcribed verbatim and analyzed by following a thematic analysis approach and the findings were narrated by supporting with quotes.
In this study, 58 participants took part, and they were let to discuss on: the definitions of mental disease, its origins and symptoms, caregiving practices, methods of treatment, and difficult tasks related to mental illness. The study showed that people's perceptions and descriptions of people with mental illnesses, as well as how they interact with and behave when seeking care, were discriminatory. In the early stages of the illness, some family members attempt to take the mentally ill individuals to their respective places of worship, but very rarely to medical facilities. However, as the illness progresses, almost all mentally ill individuals are typically left to live on the streets, where they frequently encounter prejudice and social exclusion.
The local community does not take a supportive stance toward those who are mentally ill, and there is no formalized system in place for them to receive care and treatment. Few people who are willing to give them food, clothing, and shelter were proven to have the power to influence their fate. Therefore, it is crucial to provide mental health services to those in need and develop effective awareness-raising initiatives, especially by working with local authorities, religious leaders, and other influential individuals.
精神疾病是影响心智的状况,由情绪、思维或行为的变化来界定。许多研究表明,患有精神疾病的人没有得到必要的护理和治疗,尽管他们需要基本的医疗服务和支持策略。特别是在埃塞俄比亚,关于这个主题的研究严重匮乏。本研究的目的是调查埃塞俄比亚西南部的人们在寻求精神疾病治疗时的认知和行为方式。
2021年2月至5月30日,我们在埃塞俄比亚西南部的本奇-谢科、卡法、西奥莫和谢卡地区进行了一项描述性定性研究。研究专家使用访谈指南对58名经过有目的挑选的个体进行了访谈,并对回答进行了录音。记录的数据被逐字转录,并采用主题分析方法进行分析,研究结果通过引用进行阐述。
在本研究中,58名参与者参与其中,他们被要求讨论:精神疾病的定义、起源和症状、护理做法、治疗方法以及与精神疾病相关的难题。研究表明,人们对患有精神疾病的人的认知和描述,以及他们在寻求护理时的互动方式和行为是有歧视性的。在疾病早期,一些家庭成员试图将患有精神疾病的个体带到各自的宗教场所,但很少带到医疗机构。然而,随着疾病的进展,几乎所有患有精神疾病的个体通常都被遗弃在街头,在那里他们经常遭遇偏见和社会排斥。
当地社区对患有精神疾病的人不采取支持态度,而且没有为他们提供护理和治疗的正规系统。很少有愿意给他们提供食物、衣物和住所的人被证明有能力影响他们的命运。因此,为有需要的人提供心理健康服务并开展有效的提高认识举措至关重要,特别是通过与地方当局、宗教领袖和其他有影响力的个人合作来实现。