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“Is there a medicine for these tensions?” Barriers to treatment-seeking for depressive symptoms in rural India: A qualitative study

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  • Roberts, Tessa
  • Shrivastava, Ritu
  • Koschorke, Mirja
  • Patel, Vikram
  • Shidhaye, Rahul
  • Rathod, Sujit D.

Abstract

Rationale and objective Fewer than 15% of adults who meet criteria for a depression diagnosis in India seek treatment for these symptoms. It is unclear whether this reflects limited supply of mental health services or lack of demand for medical intervention for these experiences. This paper aims to identify and describe self-reported barriers that contribute to this “treatment gap” in a rural district in central India, where depression treatment had recently become available in primary care facilities.

Suggested Citation

  • Roberts, Tessa & Shrivastava, Ritu & Koschorke, Mirja & Patel, Vikram & Shidhaye, Rahul & Rathod, Sujit D., 2020. "“Is there a medicine for these tensions?” Barriers to treatment-seeking for depressive symptoms in rural India: A qualitative study," Social Science & Medicine, Elsevier, vol. 246(C).
    • Handle: RePEc:eee:socmed:v:246:y:2020:i:c:s0277953619307361
    DOI: 10.1016/j.socscimed.2019.112741
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    References listed on IDEAS

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    1. Isabelle Joumard & Ankit Kumar, 2015. "Improving Health Outcomes and Health Care in India," OECD Economics Department Working Papers 1184, OECD Publishing.
    2. Vikram Patel, 2017. "Talking Sensibly about Depression," Working Papers id:11673, eSocialSciences.
    3. Cha, Biblia S. & Enriquez, Laura E. & Ro, Annie, 2019. "Beyond access: Psychosocial barriers to undocumented students’ use of mental health services," Social Science & Medicine, Elsevier, vol. 233(C), pages 193-200.
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    5. Crick Lund & Mark Tomlinson & Mary De Silva & Abebaw Fekadu & Rahul Shidhaye & Mark Jordans & Inge Petersen & Arvin Bhana & Fred Kigozi & Martin Prince & Graham Thornicroft & Charlotte Hanlon & Ritsuk, 2012. "PRIME: A Programme to Reduce the Treatment Gap for Mental Disorders in Five Low- and Middle-Income Countries," PLOS Medicine, Public Library of Science, vol. 9(12), pages 1-6, December.
    6. Rodrigues, Merlyn & Patel, Vikram & Jaswal, Surinder & de Souza, Nandita, 2003. "Listening to mothers: qualitative studies on motherhood and depression from Goa, India," Social Science & Medicine, Elsevier, vol. 57(10), pages 1797-1806, November.
    7. Sujit D Rathod & Mary J De Silva & Joshua Ssebunnya & Erica Breuer & Vaibhav Murhar & Nagendra P Luitel & Girmay Medhin & Fred Kigozi & Rahul Shidhaye & Abebaw Fekadu & Mark Jordans & Vikram Patel & M, 2016. "Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts: The PRIME Cross-Sectional Community Surveys," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-15, September.
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