Improvements to National Health Policy: Mental Health, Mental Health Bill, Legislation and Justice

Previous research in Northern Uganda has found high levels of post-traumatic stress-related difficulties amongst the population. There is international evidence that psychological therapy can reduce depression, but very limited research regarding the effectiveness of therapies for trauma-related difficulties in Sub-Saharan Africa. The current research investigates the experiences of service users and providers of specialist trauma services recently opened in Kitgum and Gulu, Northern Uganda. It also examines their implications for mental health policy and legislation. A qualitative methodology was utilised whereby in-depth interviews were carried out with 10 women and 10 men survivors attending trauma services in Kitgum and Gulu. The researchers also spoke to 15 key informants in Kitgum, Gulu and Kampala. The data was analysed using Interpretative Phenomenological Analysis, to highlight the meaning behind the experiences of the participants. The research found that counselling and medication was valued by service users; and service providers felt these treatments improved depression and increased empowerment resulting in a return to engagement in social activities. However, there was a limit to the benefit that could be achieved without meaningful justice for the atrocities witnessed by and perpetrated against survivors, and the provision of compensation, which would help to meet social needs