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...
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Format: | Article |
Language: | English |
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Elsevier
2025-01-01
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Series: | International Journal of Nursing Sciences |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013224001261 |
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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 |
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