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Barriers and facilitators to treatment seeking behaviors for depression, epilepsy, and schizophrenia in low- and middle-income countries: A systematic review

      Highlights

      • Depression, epilepsy, and schizophrenia disproportionately affect low and middle-income countries.
      • Barriers to appropriate treatment include knowledge deficits, beliefs, and stigma.
      • Facilitators are demographics, socioeconomic status, collaboration with traditional healers.
      • Collaboration with stakeholders important to facilitate treatment-seeking behaviors.
      • Nurses uniquely positioned to identify region-specific, culturally appropriate interventions.

      Abstract

      Despite the severe consequences, the treatment gap for depression, epilepsy, and schizophrenia continues to be a major concern in low and middle-income countries (LMICs). We conducted a systematic review of literature on barriers and facilitators of treatment-seeking behaviors from the perspective of individuals living with depression, epilepsy, and schizophrenia and stakeholders in LMICs. Knowledge deficits, beliefs, and stigma were barriers to treatment-seeking across disorders. The most cited facilitators were demographics, socioeconomic status, and collaboration with traditional healers. Culturally sensitive interventions in collaboration with stakeholders within the community can facilitate treatment-seeking behaviors among people living with depression, epilepsy, and schizophrenia.

      Keywords

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