An Examination of the Mental Health Care Provision in the Gumballi Primary Health Center in Karnataka, India

Gumballi
2011
Internship
Faculty advisor (name): 
Dr. Nadja van Ginneken

I was an intern at Sangath, an NGO focused on mental health research in India. Immediately my research group was off to the Karuna Trust, a model primary health center (PHC), where we were conducting the case study. We were trying to understand the integration of mental health programming in the daily routine of the PHC and I was specifically focusing on the health workers’ knowledge and opinions of mental health. After finishing the stay in the Gumballi primary health center (PHC), I visited the headquarters in Goa for a short period of time to meet coordinators and staff of the other projects currently in progress. After returning from Goa, I started to analyze the data from the Gumballi PHC using NVivo software. I also learned how to transcribe interviews from the audio recordings. Additionally, I visited other PHCs and the district head office (DHO) in the Gulbarga district to see how the mental health programs function. There, I was also able to observe clinics and conduct interviews with the specialists and non-specialists. Lastly, I went to visit a Dargah, a Muslim burial site for saints, in Murga Malla to see a religious site where ill patients come to seek healing. There were many mentally ill patients who had come and stayed at the Dargah, awaiting a dream that provides a cure for their illness. During all these visits, I continued to do a systematic literature review of qualitative studies literature review of NSHW-centric qualitative studies in India to arrive at a conclusion about prevalent ideas of NSHWs regarding mentally ill patients and their treatment plans. The review aimed to critically synthesize studies that have researched the attitudes, explanatory models, and treatment plans of NSHWs, while acknowledging the overlaps and the contradiction.

Overall, I had a wonderful time learning about the various types of facilities that are available to patients with mental illness. I also learned crucial qualitative research techniques and observed them in practice. These skills will be useful in the future when I continue to do global health research.