Assessment of prevalence and predictive factors of perceived Stigma among clients with mental illness attending mental health clinics in Lilongwe district

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Date
2022-08-17
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Kamuzu University of Health Sciences
Abstract
This study will be a cross-sectional, quantitative and descriptive design that will assess the prevalence and predictive factors of perceived stigma among clients with mental illness attending mental health clinics in Lilongwe district. Problem Statement Stigmatized persons may internalize perceived prejudices and develop negative feelings about themselves (Tesfaw et al., 2020). This can be manifested by decreased self-esteem and increased depression and a person with internalized stigma may feel shame and embarrassment about having mental illness (Latalova et al., 2014). This can impact on how mental health service users utilize mental health service (Mascayano et al., 2020). However, the magnitude of perceived stigma among clients who attend outreach mental health services in Lilongwe is not known. Intervention of perceived stigma among mental health service users can be possible and meaningful when factors that contribute to the perceived stigma are known. In the case of Lilongwe health office, it is not known which factors are associated with perceived stigma among mental health service users. Studies done in Africa, such as Ethiopia have explored the prevalence of perceived stigma but factors such as medical or clinical have not been explored. Furthermore, more studies have been conducted on different population rather than clients themselves to explore the magnitude of perceived stigma (Bifftu & Dachew, 2014). This study therefore assesses the prevalence and predictive factors of perceived stigma among clients with mental illness accessing mental health services at mental health clinics in Lilongwe. Objectives of the study Broad objectives of the study The broad objective of this study is to assess the prevalence and predictive factors of perceived stigma among clients with mental illness attending mental health clinics, Lilongwe district. Specific objectives of the study The specific objectives of the study are to; 1. Measure the prevalence of perceived stigma among clients with mental illness in Mental health clinics in Lilongwe 2. Determine social factors associated with perceived stigma among illness in mental health clinics in Lilongwe 3. Determine clinical/medical factors associated with perceived stigma among clients with mental illness in Mental health clinics in Lilongwe Methodology This study will use mental health clinics which are, facility based (1) and mobile outreach clinics (5), quantitative cross-sectional study using systematic random sampling technique in assessing the prevalence and predictive factors of perceived stigma. Data collection will be conducted for two months with a sample size of two hundred and sixty-one (261). Data will be collected by the Principal Investigator and the research assistants with the use of adopted data collection questionnaire developed in English version and translated into Chichewa version. Data will be analyzed by use of statistical package of social sciences version 22. Expected Findings The study will document the prevalence of perceived stigma and predictive social, clinical/medical factors associated with perceived stigma. Dissemination of Findings The report of this study will be submitted to Lilongwe District Health Office, Kamuzu University of Health Sciences (KUHeS), College of Medicine Research and Ethics Committee (COMREC), Ministry of Health, Non-Communicable Diseases and Mental Health department. The findings will be published in reputable peer reviewed journals and presented at conferences
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Stigma among mental health patients
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