Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia

Objectives: Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals. This study aimed to explore the challenges that community health workers (CHWs) encounter while providing mental health services in the community. Methods...

Full description

Saved in:
Bibliographic Details
Main Authors: Rizki Fitryasari, Marthoenis Marthoenis, Sri Warsini, Kim Usher, Hanik Endang Nihayati, Winda Kusumawardani, Hasmila Sari
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:International Journal of Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352013224001261
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832586245330436096
author Rizki Fitryasari
Marthoenis Marthoenis
Sri Warsini
Kim Usher
Hanik Endang Nihayati
Winda Kusumawardani
Hasmila Sari
author_facet Rizki Fitryasari
Marthoenis Marthoenis
Sri Warsini
Kim Usher
Hanik Endang Nihayati
Winda Kusumawardani
Hasmila Sari
author_sort Rizki Fitryasari
collection DOAJ
description Objectives: Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals. This study aimed to explore the challenges that community health workers (CHWs) encounter while providing mental health services in the community. Methods: Forty CHWs were selected to participate in the study by purposive sampling method from July to August 2023 in seven primary health centers (PHCs) among three cites of Indonesia. Focus group discussions were used to collect data. All of data were analyzed using the interpretive phenomenological analysis method. Results: Considering the participants’ voluntary CHW role, the results were organized into five themes. These comprised two themes of challenges—family stigma and limited understanding of mental disorders, and three themes regarding efforts to overcome the challenges—maintaining self-motivation, fostering self-efficacy, and using communication skills when approaching families and patients. Conclusions: Upskilling and empowering CHWs helps to enhance community mental health. Thus, it is crucial to support CHWs through training programs that aim to improve mental health literacy and communication skills and diminish family stigma.
format Article
id doaj-art-140d7f1302404b5a86c31110d1dceabd
institution Kabale University
issn 2352-0132
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series International Journal of Nursing Sciences
spelling doaj-art-140d7f1302404b5a86c31110d1dceabd2025-01-26T05:03:59ZengElsevierInternational Journal of Nursing Sciences2352-01322025-01-011212734Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in IndonesiaRizki Fitryasari0Marthoenis Marthoenis1Sri Warsini2Kim Usher3Hanik Endang Nihayati4Winda Kusumawardani5Hasmila Sari6Faculty of Nursing Universitas Airlangga, Surabaya, Indonesia; Corresponding author.Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, IndonesiaDepartment of Mental Health and Community Nursing, Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada, Yogyakarta, IndonesiaFaculty of Medicine and Health, University of New England, Armidale, New South Wales, AustraliaFaculty of Nursing Universitas Airlangga, Surabaya, IndonesiaVocational Faculty Universitas Airlangga, Surabaya, IndonesiaFaculty of Nursing, Universitas Syiah Kuala, Banda Aceh, IndonesiaObjectives: Addressing the issue of mental health disorders in the community is a significant challenge for Indonesia’s healthcare professionals. This study aimed to explore the challenges that community health workers (CHWs) encounter while providing mental health services in the community. Methods: Forty CHWs were selected to participate in the study by purposive sampling method from July to August 2023 in seven primary health centers (PHCs) among three cites of Indonesia. Focus group discussions were used to collect data. All of data were analyzed using the interpretive phenomenological analysis method. Results: Considering the participants’ voluntary CHW role, the results were organized into five themes. These comprised two themes of challenges—family stigma and limited understanding of mental disorders, and three themes regarding efforts to overcome the challenges—maintaining self-motivation, fostering self-efficacy, and using communication skills when approaching families and patients. Conclusions: Upskilling and empowering CHWs helps to enhance community mental health. Thus, it is crucial to support CHWs through training programs that aim to improve mental health literacy and communication skills and diminish family stigma.http://www.sciencedirect.com/science/article/pii/S2352013224001261CommunityCommunity health workersHome nursingMental disordersPatients
spellingShingle Rizki Fitryasari
Marthoenis Marthoenis
Sri Warsini
Kim Usher
Hanik Endang Nihayati
Winda Kusumawardani
Hasmila Sari
Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia
International Journal of Nursing Sciences
Community
Community health workers
Home nursing
Mental disorders
Patients
title Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia
title_full Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia
title_fullStr Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia
title_full_unstemmed Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia
title_short Examining the challenges encountered by community health workers and empowering them to address mental health disorders: A qualitative study in Indonesia
title_sort examining the challenges encountered by community health workers and empowering them to address mental health disorders a qualitative study in indonesia
topic Community
Community health workers
Home nursing
Mental disorders
Patients
url http://www.sciencedirect.com/science/article/pii/S2352013224001261
work_keys_str_mv AT rizkifitryasari examiningthechallengesencounteredbycommunityhealthworkersandempoweringthemtoaddressmentalhealthdisordersaqualitativestudyinindonesia
AT marthoenismarthoenis examiningthechallengesencounteredbycommunityhealthworkersandempoweringthemtoaddressmentalhealthdisordersaqualitativestudyinindonesia
AT sriwarsini examiningthechallengesencounteredbycommunityhealthworkersandempoweringthemtoaddressmentalhealthdisordersaqualitativestudyinindonesia
AT kimusher examiningthechallengesencounteredbycommunityhealthworkersandempoweringthemtoaddressmentalhealthdisordersaqualitativestudyinindonesia
AT hanikendangnihayati examiningthechallengesencounteredbycommunityhealthworkersandempoweringthemtoaddressmentalhealthdisordersaqualitativestudyinindonesia
AT windakusumawardani examiningthechallengesencounteredbycommunityhealthworkersandempoweringthemtoaddressmentalhealthdisordersaqualitativestudyinindonesia
AT hasmilasari examiningthechallengesencounteredbycommunityhealthworkersandempoweringthemtoaddressmentalhealthdisordersaqualitativestudyinindonesia