The pathways to care for mental illness are diverse and are dependent on sociocultural and economic factors.
The objective of this study was to describe the pathways to primary care for patients with common mental disorders in Harare.
One hundred and nine consecutive patients with conspicuous psychiatric morbidity identified by general nurses in three primary health care clinics (PHC) and by four traditional medical practitioners were interviewed with the Pathways to Care Schedule.
Other than those patients with an acute illness, most patients consulted more than one care provider ; three-quarters of those with a history of prior consultations had consulted both traditional and biomedical care providers.
Biomedical care providers were the most common first care provider consulted ; if this treatment failed, then patients tried other biomedical or traditional care providers.
Different factors operated in the decision-making process in choosing between consulting biomedical and traditional care providers.
Traditional care providers provided explanations more often than biomedical care providers ; explanations given were most often spiritual.
Injectable treatments were often prescribed for mental illness, especially by private general practitioners (GPs).
Such treatments, and many oral treatments, were non-specific.
Dissatisfaction with consultations was most commonly due to lack of symptomatic improvement. (...)
Mots-clés Pascal : Trouble psychiatrique, Orientation, Malade, Traitement, Organisation santé, Médecin, Soin santé primaire, Choix, Médecine traditionnelle, Prise décision, Zimbabwe, Afrique, Homme
Mots-clés Pascal anglais : Mental disorder, Orientation, Patient, Treatment, Public health organization, Physician, Primary health care, Choice, Folk medicine, Decision making, Zimbabwe, Africa, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0155684
Code Inist : 002B18H05B. Création : 21/05/1997.