Table 5 Enabling factors
Themes | Sub-theme | Open Codes | Barrier/Facilitator | Reported By |
|---|---|---|---|---|
Personal factors | Family dynamics | Lack of cooperation of one parent | Barrier | Both |
Family conflicts | Barrier | Both | ||
Family history of mental illness | Facilitator | Provider | ||
Joint family system | Barrier | Provider | ||
Co-morbidities in family | Barrier | Provider | ||
Working parents | Barrier | Provider | ||
Emotional support from household members | Facilitator | Provider | ||
History of illness | Facilitator | Provider | ||
Huge family size | Barrier | Provider | ||
Spousal support | Facilitator | User | ||
Household responsibilities | Barrier | User | ||
Frequent migration | Barrier | User | ||
Decision-making skills | Facilitator | User | ||
Affordability | Free of cost service/medicine | Facilitator | both | |
Reduced service charges | Facilitator | both | ||
Loss of daily wages | Barrier | User | ||
Medical reimbursements | Facilitator | User | ||
Help from relatives | Facilitator | User | ||
Expensive service | Barrier | User | ||
Community factors | Accessibility | Referrals from health providers | Facilitator | Both |
The poor reputation of health facility | Barrier | Provider | ||
Lack of child & adolescent friendly service | Barrier | User | ||
Positive reviews of psychiatrists | Facilitator | User | ||
Availability | Availability of MH facility nearby | Facilitator | Both | |
Social networks/Links with people | Facilitator | Both | ||
Lack of assessment tools | Barrier | Provider |