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Supporting mental health in South African HIV-affected communities: primary health care professionals’ understandings and responses

Burgess, Rochelle (2015) Supporting mental health in South African HIV-affected communities: primary health care professionals’ understandings and responses. Health Policy and Planning, 30 (7). pp. 917-927. ISSN 0268-1080

Full text not available from this repository.
Identification Number: 10.1093/heapol/czu092

Abstract

How do practitioners respond to the mental distress of HIV-affected women and communities? And do their understandings of patients’ distress matter? The World Health Organization (WHO) along with advocates from the Movement for Global Mental Health (MGMH) champion a primary mental health care model to address burgeoning mental health needs in resource-poor HIV-affected settings. Whilst a minority of studies have begun to explore interventions to target this group of women, there is a dearth of studies that explore the broader contexts that will likely shape service outcomes, such as health sector dynamics and competing definitions of mental ill-health. This study reports on an in-depth case study of primary mental health services in a rural HIV-affected community in Northern KwaZulu-Natal. Health professionals identified as the frontline staff working within the primary mental health care model (n = 14) were interviewed. Grounded thematic analysis of interview data highlighted that practitioners employed a critical and socially anchored framework for understanding their patients’ needs. Poverty, gender and family relationships were identified as intersecting factors driving HIV-affected patients’ mental distress. In a divergence from existing evidence, practitioner efforts to act on their understandings of patient needs prioritized social responses over biomedical ones. To achieve this whilst working within a primary mental health care model, practitioners employed a series of modifications to services to increase their ability to target the sociostructural realities facing HIV-affected women with mental health issues. This article suggests that beyond attention to the crucial issues of funding and human resources that face primary mental health care, attention must also be paid to promoting the development of policies that provide practitioners with increased and more consistent opportunities to address the complex social realities that frame the mental distress of HIV-affected women.

Item Type: Article
Official URL: https://academic.oup.com/heapol
Additional Information: © 2014 The Author
Divisions: International Development
Subjects: H Social Sciences > HQ The family. Marriage. Woman
H Social Sciences > HT Communities. Classes. Races
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Sets: Departments > International Development
Date Deposited: 23 Oct 2017 13:39
Last Modified: 20 Sep 2019 02:05
Projects: MDR179139
Funders: Canadian Institutes of Health Research
URI: http://eprints.lse.ac.uk/id/eprint/84946

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