Poverty |
Difficulty to maintain ongoing access to treatment (not being able to cover cost of treatment) |
Difficulty to maintain ongoing access to treatment |
Inability to initiate treatment due to lack of money for direct and indirect costs of treatment |
Difficulty to obtain poverty certificate |
Difficulty to obtain poverty certificate |
Lack of social support (inability to reciprocate) |
The pressure to maintain dignity |
Concealing poverty |
Medication-related barriers |
Unreliable medication supplies |
The belief that holy water and modern medication should be mutually exclusive |
|
Medication side-effects |
Intolerable medication side-effects |
Lack of some medications |
Ineffective medications |
Long-term care |
Medication-side-effects from prolonged use |
Stigma of long-term engagement with care |
Presence of other co-morbid illnesses |
Declining social support over years |
Looking for cure |
Having physical disability |
Presence of other co-morbid illnesses |
Low personal autonomy |
Having severe functional impairment |
Presence of other co-morbid illnesses |
The nature of SMD |
The challenge from co-morbid alcohol use |
The challenge from co-morbid alcohol use |
The challenge from co-morbid alcohol use |
Wish to discontinue treatment to use alcohol (although engaged) |
Lack of help for families when service users are uncooperative |
Severity of the illness |
Spontaneous improvement |
Premature discontinuation of medication to use alcohol |
Not wanting treatment |
Violence towards others |