Perceived barriers on mental health services by the family of patients with mental illness

Background:Various efforts have been made by the Indonesian government to improve mental health services.In 2014,the government established Law no 18,which is about mental health and the treatment of people with mental illness covered by the universal health coverage.However,many people still experience difficulty in accessing mental health services.In Indonesia,family plays the role ofa caregiver to people with mental illness.Objective:This study aims to identify the perceived barriers on mental health services by families whose members suffers from mental illness.Methods:This study is a qualitative research study with a phenomenological approach.Sampling was conducted by purposive sampling with a sample size of 12 participants.Data were collected using semistructured in-depth interviews.Thematic analysis was performed using Colaizzi steps.Results:The obtained results presented three themes.Theme 1,mental health service affordability;theme 2,mental health service availability;and theme 3,negative attitudes (stigma).Conclusion:Families whose members suffered from mental illness still experienced barriers in relation to mental health services even with universal health coverage,Improved mental health services are related to the health insurance coverage,affordability,availability of mental health services and stigma reduction in the health professionals and wide community.

Adherence to iron supplementation amongst pregnant mothers in Surabaya, Indonesia: Perceived benefits, barriers and family support

Background:Anaemia during pregnancy is a major nutritional problem that can cause preterm delivery and low birth weight.Adherence to iron supplementation can prevent anaemia during pregnancy.However,adherence to iron supplementation remains a problem in many countries.Objective:This study aimed to identify the correlations of the perceived benefits and perceived barriers of and family support for iron supplementation with adherence to this practice amongst pregnant woman in Surabaya,Indonesia.Methods:A cross-sectional study was carried out on 102 pregnant women who attended check-ups at the Puskesmas and received iron supplementation.Data were collected using questionnaires.Results:Perceived benefits(r=0.334,P=0.001),perceived barriers(r=-0.294,P=0.003)and family support(r=0.263,P=0.008)were noted to be correlated with adherence to iron supplementation amongst pregnant woman in Surabaya,Indonesia.Conclusion:Perceived benefits,perceived barriers and family support are related to adherence to iron supplementation;thus,developing good perceptions and family support should be properly promoted.