Pathways patients take to psychiatric care will reflect the nature of the services available and the popular beliefs about mental illness.
Studying the pathways may help in the identification of sources of delay in the receipt of care and suggest possible improvements.
By studying the pathways of 159 patients to a tertiary psychiatric service in Nigeria, we show that traditional and religious healers are consulted at some stage by many patients with mental illness.
Such healers are the first carers to a large proportion of the patients.
These patients are not different from those who consult orthodox medical practitioners either in demographic features, presenting complaints, or nearness to service.
Patients who consult traditional healers first tended to arrive at a tertiary psychiatric service much later than those who consult other carers.
Our observations suggest that attempts to incorporate traditional medical care into the health care system must seek to improve their referral skiU.
Mots-clés Pascal : Soin, Psychiatrie, Système santé, Homme, Nigéria, Afrique, Filiere soin
Mots-clés Pascal anglais : Care, Psychiatry, Health system, Human, Nigeria, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0429850
Code Inist : 002B18A. Création : 01/03/1996.