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. 2024 Jul 2:48:84.
doi: 10.11604/pamj.2024.48.84.43031. eCollection 2024.

Challenges and adaptations of mental health services during the COVID-19 Pandemic in Uganda

Anita Arinda  1 , Kenneth Kalani  2 , Emmanuel Mpamizo  3 , Raymond Sebuliba  4 , Vanessa Akinyange  4 , Sarah Lofgren  5
Affiliations

Challenges and adaptations of mental health services during the COVID-19 Pandemic in Uganda

Anita Arinda et al. Pan Afr Med J. .

Abstract

Introduction: Coronavirus disease (COVID-19) significantly impacted mental health and mental health services worldwide. We sought to explore the challenges faced by mental health services from the perspectives of service users, providers, and policymakers during the COVID-19 pandemic in Uganda and the strategies put in place to ensure the continuity of these services.

Methods: qualitative data were collected using semi-structured interviews with eight mental health service users, four mental health workers, four hospital administrators, four district mental health focal persons, and two policymakers. The data were analyzed using thematic analysis.

Results: the challenges reported by participants included human resource shortages, loss of space for service provision, low funding, drug shortages, changes in patient load, and lack of access to services due to restrictive measures. The adaptations included the use of innovative means like mobile phone technology, reorientation of health facility functioning to COVID-19 restrictions, using different methods to deliver medications, integration of mental health in general health services, and alternative financing for mental health services.

Conclusion: the COVID-19 pandemic posed significant challenges to mental health service provision. Nevertheless, the health system responded by implementing various measures to ensure continuity of care. Further research is needed to evaluate the effectiveness and scalability of these innovations in the long term.

Keywords: COVID-19; Mental health services; Uganda; continuity of patient care.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. World Health Organization (WHO) Novel Coronavirus (2019-nCoV) SITUATION REPORT-1: 21 JANUARY 2020. Accessed 26th March 2023.
    1. Musoke D, Nalinya S, Lubega GB, Deane K, Ekirapa-Kiracho E, McCoy D. The effects of COVID-19 lockdown measures on health and healthcare services in Uganda. PLOS Glob Public Health. 2023;3(1):e0001494. - PMC - PubMed
    1. Ashcroft R, Donnelly C, Dancey M, Gill S, Lam S, Kourgiantakis T, et al. Primary care teams´ experiences of delivering mental health care during the COVID-19 pandemic: a qualitative study. BMC Fam Pract. 2021 Jul 1;22(1):143. - PMC - PubMed
    1. Lu X, Lin Z. COVID-19, Economic Impact, Mental Health, and Coping Behaviors: A Conceptual Framework and Future Research Directions. Front Psychol. 2021 Nov 11;12:759974. - PMC - PubMed
    1. Serrano-Alarcón M, Kentikelenis A, Mckee M, Stuckler D. Impact of COVID-19 lockdowns on mental health: Evidence from a quasi-natural experiment in England and Scotland. Health Econ. 2022;31(2):284–96. - PMC - PubMed