ArticleBMC health services research2024
Barriers and facilitators to accessing adolescents' mental health services in Karachi: users and providers perspectives.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Use of generative AI for health among urban youth in Pakistan: A mixed-methods study.PLOS digital health · 2026Article
- Article
- The referral trajectories for young people with depression in low-resource settings: A qualitative study from Ghana and Zimbabwe.PloS one · 2026Article
- The political economy of adolescent mental health in Kenya.Health policy and planning · 2025Article
- Barriers and facilitators in child and adolescent mental health services in a Middle Eastern country: qualitative study.BMC health services research · 2025Article
- Predicting total healthcare demand using machine learning: separate and combined analysis of predisposing, enabling, and need factors.BMC health services research · 2025Article
- Article
- Article
- Problematic internet use: A growing concern for adolescent health and well-being in a digital era.Journal of global health · 2024Article
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Abstract
introductionAdolescents' Mental Healthcare (MHC) is influenced by numerous factors, and adolescents occasionally seek professional help for mental health (MH) issues. These factors become more complex within low-middle-income countries (LMICs); therefore, this study aims to understand barriers and facilitators to access mental health services among adolescents aged 10 to 19 years old from the perspective of users (parents) and providers (Mental Healthcare Providers - MHPs).
methodUsing a qualitative exploratory design, a semi-structured interview guide was developed using Andersen's health service utilization model. In-depth interviews were conducted with MHPs (n = 21) and parents of adolescents (n = 19) in the psychiatry department of public and private hospitals in Karachi, from October-December 2021. Data was thematically analyzed using an inductive approach.
resultThe findings revealed a consensus of users and providers in all three categories of the Andersen model and referred the compulsion as the major driving force to MHC access and utilization rather than personal choices. Within pre-disposing, need, and enabling factors; the participants highlighted a unique perspective; users regarded frequent migration, daily wage loss, and women's societal status as barriers while the need for marriage and patient willingness were stated as facilitators. Whereas, MHPs indicated societal tolerance, the burden on the health system, and the absence of Child and Adolescent Mental Health (CAMH) services as major gaps in service delivery.
conclusionService utilization is mainly facilitated by the severity of illness rather than healthy choices and beliefs, and accessibility and affordability. It is therefore imperative to prioritize adolescent MH through promotion and prevention approaches and address service delivery gaps to prevent treatment delays via task-shifting and capacity building of the health workforce.
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