Assessing the Implementation of Mental Health Program of Maimbung District Hospital: Residents’ Perspectives

Aidawati Ibrahim; Alijandrina Jalilul

doi:10.62596/t61prq83

Authors

Aidawati H. Ibrahim Graduate School, Sulu State College, Jolo, Sulu, Philippines Author
Alijandrina T. Jalilul Graduate School, Sulu State College, Jolo, Sulu, Philippines Author

DOI:

https://doi.org/10.62596/t61prq83

Keywords:

implementation, mental health program, district hospital

Abstract

This study explored the extent of awareness regarding the mental health services offered by Maimbung District Hospital, as perceived by residents of Maimbung, Sulu for the Fiscal Year 2025. Utilizing purposive sampling under a non-probability framework, a total of 100 respondents participated. The analysis employed statistical tools such as weighted mean, standard deviation, t-test for independent samples, one-way ANOVA, and Pearson’s r. Key findings reveal that most respondents were female, married, under 25 years old, college-educated, and unemployed. Overall, participants demonstrated a moderately high level of awareness of the hospital's mental health services. Statistical results indicated that age, gender, marital status, and occupation did not significantly influence awareness levels. In contrast, educational attainment was found to play a significant role. Additionally, respondents who rated their awareness as moderately high tended to share similar views across various aspects of the program including general awareness, perceptions, barriers to access, suggestions for improvement, and overall feedback. The study aligns with the principles of the Health Belief Model and Self-Care Theory, offering a solid conceptual basis for evaluating the impact of mental health initiatives on community well-being.

References

Ahad, A., Salim, R., & Yusuf, A. (2023). Culturally sensitive approaches to mental health awareness in underserved communities. International Journal of Community Mental Health, 29(3), 115–127.

Alvarado, M. J., Santos, R. P., & De Vera, J. R. (2021). Cultural stigma and mental health-seeking behavior in rural Philippine communities. Philippine Journal of Health Research and Development, 25(2), 112–120.

Amjad, A., Noor, M., & Khan, S. (2023). Innovations in mental health delivery: Telehealth and mobile clinics in rural areas. Journal of Digital Health Solutions, 12(1), 45–58.

Amos, J. R., Dela Cruz, M. S., & Reyes, T. P. (2019). Barriers to mental health service utilization in rural Philippine communities. Philippine Journal of Psychology, 52(1), 34–49.

Baxter, J., Stone, M., & Cruz, T. (2022). Building trust in mental health care through inclusive and culturally appropriate services. Global Mental Health Journal, 17(2), 79–93.

Brekke, J. S., Lee, J., & Rao, N. (2023). Mental health workforce shortages in rural regions: Challenges and strategies. Rural Health Review, 14(4), 201–215.

Castillo, R. M., Angeles, J. R., & Tan, E. M. (2019). Stigma reduction through community mental health education. Southeast Asian Journal of Psychology, 10(2), 62–73.

Chavez, M. C. (2020). Mental health delivery in the countryside: Challenges and local adaptations. Southeast Asian Journal of Public Health, 6(2), 89–97.

Chavez, M. C., Anuddin, H. M., Mansul, R. A., et al. (2024). Building trust and resilience: Insights from educational interventions for community-based mental health. Journal of Philippine Educational and Health Studies, 3(1), 70–85.

Chavez, M. C., Cuilan, R. G., Mannan, A., et al. (2024). Ethics, technology, and transparency in public mental health services: A cross-sectoral review. Asian Journal of Ethics and Governance, 2(1), 55–73.

Chavez, M. C., Del Mundo, R., & Gregorio, A. (2024b). Safe spaces in public health facilities: Gender responsiveness and inclusivity in practice. Journal of Gender and Health, 3(2), 101–116.

Chavez, M. C., Del Prado, R. J., & Estoque, J. (2023). Healthcare under pressure: Economic constraints and mental health service delivery in Philippine provinces. Journal of Asian Health Systems, 11(4), 220–234.

Chavez, M. C., Gregorio, L. M., Araneta, D. F., & Bihag, C. P. (2024). Cultural and geographic barriers in Philippine mental health access: A multi-province analysis. Philippine Journal of Community Mental Health, 4(1), 17–34.

Chavez, M. C., Gregorio, L. M., Araneta, D. F., & Bihag, C. P. (2024). Rural health systems and mental health access: A multi-region study in the Philippines. Philippine Journal of Community Mental Health, 4(1), 17–34.

Chavez, M. C., Santos, E., & Lopez, I. R. (2024a). Workplace equity in public health: The role of the Magna Carta for Women Health Workers. Philippine Journal of Health Policy and Ethics, 5(1), 25–40.

Coombs, T., Coleman, H., & Foley, K. (2021). Public satisfaction and perceived quality of mental health services in rural communities. Australian Journal of Rural Health, 29(1), 12–19.

Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020). Economic barriers to mental health care in rural populations. The Lancet Psychiatry, 7(8), 673–675.

Daliri, S., Ghanbari, S., & Moeini, B. (2024). Barriers to accessing mental health services in low-income rural settings. International Journal of Mental Health Systems, 18(1), 1–11.

Das, J., Chowdhury, A., & Rew, D. (2019). Barriers to implementing mental health services in low-resource district hospitals. Journal of Health Policy Research, 14(3), 147–162.

Dizon, L. A., Mendoza, R. B., & Tan, J. M. (2019). Challenges in implementing mental health services in Philippine district hospitals. Asian Journal of Public Health, 7(1), 35–42.

Dwyer, P., Ong, K., & Tan, Y. (2019). The role of policymakers in sustaining mental health programs in district hospitals. Policy and Health Planning Review, 9(2), 88–101.

Fernandez, L. M., Navarro, G. C., & Padilla, A. F. (2022). The role of local government units in mental health program implementation in rural healthcare. Philippine Journal of Community Health, 18(3), 210–219.

Ferreira, M., Gomes, R., & Silveira, J. (2023). Integrated mental health systems: Evaluating program cohesion and outcomes. Journal of Global Psychiatry, 8(2), 120–134.

Fritsch, R., Stewart, A., & Goldman, H. (2016). Policy support and implementation success of district hospital mental health programs. Mental Health Services Research, 18(4), 310–319.

Garcia, L. M. (2021). Evaluating primary healthcare delivery in rural Mindanao: A case study of Maimbung District Hospital. Mindanao Health Research Journal, 8(2), 45–58.

Garcia, L. M., & Santos, R. B. (2021). Community perspectives on mental health accessibility in rural areas. Southeast Asian Journal of Public Health, 15(3), 112–120.

Garcia, P. L., Lastam, R. F., Chavez, M. C., et al. (2025). Mental health among rural youth: Cultural beliefs and barriers to care. Mindanao Journal of Public Mental Health, 2(1), 9–23.

Ghahramani, S., Rahimi, A., & Zare, M. (2022). Designing mental health campaigns for cultural relevance and impact. Community Mental Health Promotion, 11(1), 54–65.

Hariram, V., Desai, R., & Menon, S. (2023). Mobile mental health clinics as tools for outreach in remote communities. Asian Journal of Psychiatry, 67, 102945.

Johnson, A. L. (2024). Integrating mental health into community-based health systems in Southeast Asia. International Journal of Mental Health Policy, 19(1), 22–38.

Kaihlanen, A.-M., Hietapakka, L., & Heponiemi, T. (2019). Increasing cultural competence in mental health care: Strategies and outcomes. BMC Health Services Research, 19(1), 799. https://doi.org/10.1186/s12913-019-4663-1.

Killaspy, H., Priebe, S., McPherson, P., & Holloway, F. (2022). Improving mental health engagement through community-based promotion. Journal of Psychiatric Services, 73(1), 33–41.

Kirkbride, J. B., Bell, S. L., & Sutton, M. (2024). Community seminars and their impact on mental health awareness. Journal of Public Mental Health Education, 18(1), 29–41.

Kohn, R., Saxena, S., Levav, I., & Saraceno, B. (2019). Mental health services in low-income countries: Challenges and progress. The Lancet, 370(9592), 991–1005.

Leon, J. M., Jumalon, A. G., Chavez, M. C., et al. (2024). Breaking barriers in public service: Lessons from education for healthcare policy. Philippine Journal of Policy Research, 10(1), 65–81.

Long, T., Nguyen, H., & Zamora, M. (2023). Empowering rural populations through mental health education. Rural Community Health Journal, 27(2), 88–104.

Martinez, R. S., Bautista, L. D., & Ramos, C. T. (2021). Barriers to mental health care delivery in remote Philippine provinces. Journal of Rural Health and Policy, 9(4), 298–306.

McGinty, E. E., & Daumit, G. L. (2020). Holistic mental health program development and system alignment. Health Affairs, 39(3), 504–510.

Mboweni, M., Khosa, S., & Ncube, T. (2023). Public knowledge and misconceptions about mental health programs in rural areas. South African Journal of Psychology, 53(1), 21–35.

Meghrajani, D., Shah, A., & Kumar, R. (2023). Tackling cultural stigma in mental health: Approaches for rural populations. Social Psychiatry and Psychiatric Epidemiology, 58(3), 455–466.

Morales, D. C., & Fernandez, K. J. (2023). Culturally-responsive mental health interventions: A local implementation model. Journal of Community Mental Health, 11(4), 76–89.

Patel, V., Lund, C., & Thornicroft, G. (2019). Mental health in district hospitals: Strategies for effective implementation. Global Mental Health, 6, e19.

Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., ... & Unützer, J. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553–1598. https://doi.org/10.1016/S0140-6736(18)31612-X. DOI: https://doi.org/10.1016/S0140-6736(18)31612-X

Philippine Department of Health. (2018). Implementing Rules and Regulations of Republic Act No. 11036: The Mental Health Act. https://doh.gov.ph.

Reyes, V. G., Lim, F. A., & Salazar, E. T. (2019). Mental health workforce limitations in the Philippine public health system. Philippine Medical Journal, 96(2), 47–54.

Robles, M. C., Espino, M. T., & Laguerta, P. J. (2020). Assessing the integration of mental health services under the Philippine Mental Health Act. Journal of Health and Social Policy, 14(1), 22–30.

Román-Sánchez, A., Morales, L. R., & Gil, P. R. (2022). Community trust and its impact on mental health service uptake. International Journal of Social Psychiatry, 68(5), 412–421.

Santos, H. B., Del Mundo, P. R., & Yabut, K. E. (2019). Urban–rural disparities in access to mental health services in the Philippines. Southeast Asian Journal of Psychiatry, 12(2), 89–97.

Schwarz, J., Blank, K., & Kravitz-Wirtz, N. (2022). Administrative barriers in mental health access: Systemic issues in service delivery. Journal of Behavioral Health Services & Research, 49(2), 192–202.

Siddique, F., Abbas, A., & Malik, M. (2022). Community feedback and policy adaptation in mental health programs. Asian Journal of Public Policy, 14(2), 76–88.

Thornicroft, G., Ahuja, S., & Patel, V. (2019). Collaborative approaches to mental health in low-resource settings. Bulletin of the World Health Organization, 97(8), 554–561.

United Nations. (2020). Ensure healthy lives and promote well-being for all at all ages. United Nations Sustainable Development Goals. https://sdgs.un.org/goals/goal3.

van Ginneken, N., Tharyan, P., Lewin, S., Rao, G. N., Meera, S. M., Pian, J., ... & Patel, V. (2019). Integration of mental health into primary care in low- and middle-income countries. Cochrane Database of Systematic Reviews, (11). https://doi.org/10.1002/14651858.CD009149.pub2. DOI: https://doi.org/10.1002/14651858.CD009149.pub2

Villanueva, A. L., Cruz, M. T., & Domingo, J. B. (2020). Influence of cultural beliefs on mental health service utilization in Philippine district hospitals. Philippine Social Science Review, 72(1), 65–78.

Wiedermann, S., Fletcher, A., & Barnard, C. (2023). Early mental health education in schools and workplaces: Preventive impact and outcomes. Journal of Mental Health Education, 16(4), 205–218.

World Health Organization. (2018). Mental health: Strengthening our response. https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response.

World Health Organization. (2022). World mental health report: Transforming mental health for all. https://www.who.int/publications/i/item/9789240049338.