Research published in the International Journal of Mental Health Systems reports that stigma is a key concern that affects patients in Lebanon with mental health conditions.
]. A code book had already been developed in Tunisia, which included the main topics in the interview guide and updates only to reflect minor differences in the Lebanon site. Consensus coding was used to reach inter-rater reliability: each coder independently coded each interview, then the two coders met to compare and agree on final codes. All codes were reviewed extensively by the project team to ensure accurate coding and removal of unnecessary dual coding.
“It is possible that a patient comes in and he is very irritated. He might shout at the staff and say obscene things, we immediately know that he is suffering from MH problems… Usually they are nervous, they might instigate a fight with anyone. You can’t say no to them.” . “My neighbours do not understand why my children are so loud and that my children suffer from mental health problems.” .“Some people assume that the patient is going through difficulties because the patient does not pray. Some religious people think that a person who has faith would not be affected by life’s trials and tribulations. They think that instead of seeing a psychiatrist the patient should pray”. .
“In the past, supervisors from the MoPH used to offer service providers at PHC centres with a lot of support. Supervisors were providing essential support. We completed the trainings offered by the MoPH a long time ago. Service providers are applying what they know. No trainings are being given at PHC centres at the moment. Service providers might have forgotten the content of the trainings that they received. They have not received trainings in over two years. Supervision is very important”. .
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