关键词: Health service integration Mental health workers Mental illness Sexual and reproductive health

Mesh : Health Personnel Humans Mental Disorders / epidemiology psychology therapy Reproductive Health Sexual Health Uganda / epidemiology

来  源:   DOI:10.1186/s12889-022-14128-2

Abstract:
People with Mental Illness experience vast sexual and reproductive health challenges due to the affected mental health. Globally, prevalence of mental illness is on the rise with subsequent increase in the number of people with sexual and reproductive challenges warranting urgent public health intervention. However, information on the perceptions and experiences of mental health workers, the key health care providers for this population is generally lacking yet it\'s essential for formulation of appropriate policies and public health interventions.
To explore Ugandan mental health care worker\'s perspectives and experiences on the sexual and reproductive health of people living with mental illness in Uganda in order to generate recommendations to the ministry of health on how it can be improved.
Qualitative study design was employed with utilization of phone call semi-structured in-depth interviews to collect data from 14 mental health workers from Uganda\'s National mental referral hospital, Butabika. Purposive sampling and convenience recruitment was done and the collected data was analyzed using Thematic content analysis.
Four themes were generated which included people with Mental illness having normal sexual needs, mental illness effect on sexuality and relationships, practices for safeguarding sexuality of people with mental illness and the barriers encountered in the provision of sexual and reproductive health services at a mental hospital.
People with mental illness experience a multitude of sexual and reproductive health challenges that need public health interventions. However, the integration of sexual and reproductive health services in a mental hospital are not yet successful making people with mental illness to remain with unaddressed health challenges. Policies should therefore be developed and implemented to ensure successful integration of sexual and reproductive health at all mental health service care provision points.
摘要:
由于受影响的心理健康,患有精神疾病的人经历了巨大的性健康和生殖健康挑战。全球范围内,精神疾病的患病率呈上升趋势,随之而来的是有性和生殖挑战的人数增加,需要紧急公共卫生干预.然而,关于精神卫生工作者的看法和经验的信息,该人群的主要卫生保健提供者普遍缺乏,但对于制定适当的政策和公共卫生干预措施至关重要。
探讨乌干达精神卫生保健工作者对乌干达精神疾病患者的性健康和生殖健康的看法和经验,以便向卫生部提出如何改善这种状况的建议。
采用定性研究设计,利用电话半结构化的深入访谈,从乌干达国家精神转诊医院的14名精神卫生工作者那里收集数据,Butabika.进行了针对性的抽样和便利招募,并使用主题内容分析对收集的数据进行了分析。
产生了四个主题,其中包括具有正常性需求的精神疾病患者,精神疾病对性行为和人际关系的影响,保护精神病患者性行为的做法,以及在精神病院提供性健康和生殖健康服务时遇到的障碍。
患有精神疾病的人经历了大量的性健康和生殖健康挑战,需要公共卫生干预。然而,将性健康和生殖健康服务整合到精神病院尚未成功,使精神病患者仍然面临未解决的健康挑战。因此,应制定和执行政策,以确保在所有精神卫生服务提供点成功地融合性健康和生殖健康。
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