Evidence map›Paper›PMID 42130002›Full record

ArticleBMJ open2026

Breaking barriers: mental health literacy and stigma in Addis Ababa's schools - a qualitative study in Ethiopia.

Surafel Worku Megersa, Finina Abebe Ware, Sandra Dehning, Andrea Jobst, Eshetu Girma

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Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Surafel Worku MegersaCIHLMU, Center for International Health, LMU University Hospital, Munich, Germany surafel.worku@lrz.uni-muenchen.de.ORCID http://orcid.org/0000-0002-0054-5911
Finina Abebe WareClinton Health Access Initiative-Ethiopia, Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0003-0465-1831
Sandra DehningCIHLMU, Center for International Health, LMU University Hospital, Munich, Germany.
Andrea JobstCIHLMU, Center for International Health, LMU University Hospital, Munich, Germany.
Eshetu GirmaAfrican Population and Health Research Center, Nairobi, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the mental health literacy of school communities and stigma against students with mental disorders in Ethiopia's specific context.

designQualitative study using in-depth and key informant interview guides.

participantsNine teaching and psychosocial support staff participants (five men and four women; years of experience ranging between 2 and 35; three school counsellors, two clinical nurses, two special needs teachers, one counselling psychologist and one class principal teacher) were purposefully recruited on the basis of their proximity to the students' academic Journeys and health-related issues.

settingKey Informant Interviews were conducted with nine participants working at four high schools (two private schools, one affiliated with a church and two public schools, one with a programme for special needs students) in Addis Ababa, Ethiopia.

resultsThis study revealed that there is a significant lack of awareness and misconceptions about mental health issues within the school community, and that students suffering from mental disorders often face discrimination and stigma. These factors contribute to delays in seeking care, which may result in poor coping strategies. School-based programmes aimed at promoting mental well-being and reducing the stigma observed at the study sites are inadequate for addressing these challenges effectively.

conclusionsIn this study, we identified key challenges among school communities, as perceived and reported by school-based professionals, including a lack of awareness, misconceptions and notable stigma against schoolchildren with mental disorders. To establish a well-coordinated school mental health system, governance should focus on (1) establishing comprehensive mental health literacy and promotion, (2) reducing stigma and (3) implementing service delivery and/or referral programmes within schools in Addis Ababa. To ensure a holistic and inclusive mental health support in Ethiopian schools, future studies should engage students and their parents directly triangulating these professional observations.

Indexed as

Health LiteracyMental DisordersMental HealthSchoolsSocial StigmaStudentsAdolescentEthiopiaFemaleHumansInterviews as TopicMaleQualitative ResearchSchool Health ServicesChild & adolescent psychiatryEthiopiaMENTAL HEALTHPUBLIC HEALTH

Identifiers

PMID42130002
PMCPMC13182455

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.