The Socio-Economic Challenges of the Covid-19 Pandemic: Qualitative Contributions from the Mentally Ill Population in the Greater Accra and Eastern Regions

Volume 7, Issue 5, October 2023     |     PP. 384-407      |     PDF (228 K)    |     Pub. Date: October 7, 2023
DOI: 10.54647/sociology841063    67 Downloads     19687 Views  


McKenzie Fergus, BasicNeeds-Ghana, NGO, United States

New and unforeseen socioeconomic challenges related to the COVID-19 crisis have disrupted the mentally ill population of Ghana’s livelihood support and general access to psychiatric treatments. This research looks critically at the pandemic’s impact on the mentally ill population to determine whether the crisis has changed the mentally ill population’s social support networks, financial opportunities as well as essential access to care. The discussion is based on a qualitative study that is designed to explore the direct and indirect socioeconomic challenges and healthcare limitations related to the COVID-19 epidemic among Ghana’s mentally ill population in the Greater Accra and Eastern regions. The study examines four reoccurring themes including medication, familial obligations, community support, unemployment, and relapses among the mentally ill population regions using both phsychiatric and divine healing options in the Greater Accra and Easter regions. First, it considers the role that belief systems and socioeconomic difficulties have played in influencing mental healthcare treatment preferences in the wake of the pandemic. Second, the paper introduces the research methods, settings, and sample size of the qualitative study. Third, the study’s findings are explored concerning the relationship between the Corona Virus and the lived experiences of mentally ill person’s socioeconomic challenges. COVID-19 furthered challenges of preexisting stigma, job loss, and limited psychiatric services options. This qualitative study explores the underlying economic and cultural contexts defining mental healthcare treatment preferences during the pandemic to shed light on new challenges.

Covid-19, Prayer Camps, Socioeconomic challenges, Ghana, Mental health

Cite this paper
McKenzie Fergus, The Socio-Economic Challenges of the Covid-19 Pandemic: Qualitative Contributions from the Mentally Ill Population in the Greater Accra and Eastern Regions , SCIREA Journal of Sociology. Volume 7, Issue 5, October 2023 | PP. 384-407. 10.54647/sociology841063


[ 1 ] “Primary and Secondary Impacts of The Covid-19 Pandemic On Children in Ghana,” UNICEF, 2021.
[ 2 ] “The Worst Global Recession Since World War II: Deutsche Bank Just Unveiled a Bleak New Forecast as the Coronavirus Rocks Economies Worldwide.” Newstex LLC, 2020. Print.
[ 3 ] Addo, R. et al. (2013) Household costs of mental health care in Ghana. The journal of mental health policy and economics. 16 (4), 151–159.
[ 4 ] Aduhene, David Tanoh, and Eric Osei-Assibey. “Socio-Economic Impact of COVID-19 on Ghana’s Economy: Challenges and Prospects.” International journal of social economics 48.4 (2021): 543–556. Web.
[ 5 ] Ae-Ngibise K., Cooper S, Adibokah E, Akpalu B, Lund C, Doku V. “‘Whether You Like It or Not People with Mental Problems Are Going to Go to Them:’ A Qualitative Exploration into the Widespread Use of Traditional and Faith Healers in the Provision of Mental Health Care in Ghana.” International Review of Psychiatry. 2010.
[ 6 ] Ajzenman, N.; Cavalcanti, T.; Da Mata, D. More than words: Leaders’ speech and risky behavior during a pandemic. In Cambridge-INET Working Paper Series; Institute for New Economic Thinking, Faculty of Economics, University of Cambridge: Cambridge, UK, 2020; pp. 1–48.
[ 7 ] Antonakis, J.; d’Adda, G.; Weber, R.; Zehnder, C. Just words? Just speeches? On the economic value of charismatic leadership. NBER Rep. 2019, 4, 1–90. 14.
[ 8 ] Arias, D. et al. (2016) Prayer camps and biomedical care in Ghana: Is collaboration in mental health care possible? PloS one. [Online] 11 (9), e0162305–e0162305.
[ 9 ] Babuna P, Yang X, Gyilbag A, Awudi DA, Ngmenbelle D, Bian D. The Impact of COVID-19 on the Insurance Industry. Int J Environ Res Public Health. 2020 Aug 10;17(16):5766. doi: 10.3390/ijerph17165766. PMID: 32784978; PMCID: PMC7459729.
[ 10 ] Barke, Antonia, Seth Nyarko, and Dorothee Klecha. "The Stigma of Mental Illness in Southern Ghana: Attitudes of the Urban Population and Patients’ Views." Social Psychiatry and Psychiatric Epidemiology 46.11 (2011): 1191-202.
[ 11 ] Beletsky, Vadim, and Seyed M Mirsattari. “Epilepsy, mental health disorder, or both?” Epilepsy research and treatment vol. 2012 (2012): 163731. doi:10.1155/2012/163731
[ 12 ] Benyah, F. (2022) Prayer Camps, Mental Health, and Human Rights Concerns in Ghana. Journal of religion in Africa. [Online] 22 (9), 1–26.
[ 13 ] Deborah, Tetteh Dela, Edusei Kwaku Anthony, Eric Badu, Budu‐Ainooson Amy, Naomi Gyamfi, Adusei‐Nkrumah Josephine, and Maxwell Preprah Opoku. 2020. “The Burden of Caregiving among Mental Health Nurses Providing Services to Consumers with Depression in Ghana.” Perspectives in Psychiatric Care 56 (1): 72–80. doi:10.1111/ppc.12377.
[ 14 ] Grepperud, Sverre, Per Arne Holman, and Knut Reidar Wangen. “Factors Explaining Priority Setting at Community Mental Health Centres: a Quantitative Analysis of Referral Assessments.” BMC health services research 14.1 (2014): 620–620. Web.
[ 15 ] Gyimah, Leveana, Mental Health and COVID-19 in Ghana, Asset Health System Strengthening in Sub Saharan Africa.
[ 16 ]
[ 17 ]
[ 18 ]
[ 19 ]
[ 20 ]
[ 21 ]
[ 22 ]
[ 23 ]
[ 24 ] Hutchinson SA, Wilson ME, Wilson HS. Benefits of participating in research interviews. Image J Nurs Sch. 1994 Summer;26(2):161-4. doi: 10.1111/j.1547-5069. 1994.tb00937.x. PMID: 8063325.
[ 25 ] Mark Roberts, et al., “An Overview of Ghana's Mental Health System: Results from an Assessment Using the World Health Organization's Assessment Instrument for Mental Health Systems (WHO-AIMS),” International Journal of Mental Health Systems, May 4, 2014.
[ 26 ] Ofori-Atta, Angela, Ohene, Sammy. Changing Trends in Mental Health Care and Research in Ghana. Ghana: Sub-Saharan Publishers, 2014.
[ 27 ] Taylor, Lauren A. "Reconsidering Samuel: A Mental Health Caretaker at a Ghanaian Prayer Camp." Perspectives in Biology and Medicine 59, no. 2 (2016): 263-75.
[ 28 ] Vos R, Martin W, Laborde D. How much will global poverty increase because of COVID-19? International Food Policy Research Institute IFPRI Blog [Internet]. 2020 Mar; Available from:
[ 29 ] Vuilleumier P, Jallon P. Epilepsy and psychiatric disorders: epidemiological data. Revue Neurologique. 1998;154(4):305–317.
[ 30 ] World Health Organization. “Ghana.” WHO, Accessed February 20, 2021.