Table 3

Thematic framework

SocialHealth systems
Causes/contributors

  • Alcohol use and abuse

  • Gender inequalities

  • Problems with informal care and poor sanitation

  • Harmful traditional practices

  • Stigma and disclosure

  • Delays in treatment

  • Problematic staff–patient relationships

  • Blame towards staff

  • Lack of confidentiality

  • Lack of trust

Priorities for action

  • Youth facilities

  • Improved employment opportunities

  • Government intervention

  • Expanded community-based engagement and health promotion

  • Timely treatment and outreach