World Health Organization. Mental Disorders 2019.
Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol. 2014;43:476–93.
World Health Organization. World Health Report. 2001.
Vigo D, Thornicroft G, Atun R. Estimating the true global burden of mental illness. Lancet Psychiatry. 2016:171–8.
De Hert M, Correll CU, Bobes J, Cetkovich-Bakmas M, Cohen DAN, Asai I, et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10:52–77.
World Health Organization. Mental health action plan. World Health Organization, Geneva: Switzerland; 2013.
Charlson FJ, Diminic S, Lund C, Degenhardt L, Whiteford HA. Mental and substance use disorders in sub-Saharan Africa: predictions of epidemiological changes and mental health workforce requirements for the next 40 years. PLoS One. 2014;9:e110208.
Ministry of Health Uganda. Child and adolescent mental health policy guidelines. Kampala; 2017.
Okasha A. Mental health in Africa: the role of the WPA. World Psychiatry. 2002;1:32.
World Health Organization and Ministry of Health Uganda. WHO-AIMS report on mental health system in Uganda. Ministry of Health Uganda. Kampala, Uganda; 2006.
Kigozi F, Ssebunnya J, Kizza D, Cooper S, Ndyanabangi S. An overview of Uganda’s mental health care system: results from an assessment using the world health organization’s assessment instrument for mental health systems (WHO-AIMS). Int J Ment Health Syst. 2010;4:1–9.
Kigozi F, Ssebunnya J. The multiplier role of psychiatrists in low income settings. Epidemiol Psychiatric Sci. 2014;23:123–7.
UBOS. Uganda 2016 Demographic and Health Survey: Key Findings. Uganda 2016 Demogr Heal Surv 2016.
Ngonzi J, Tornes YF, Mukasa PK, Salongo W, Kabakyenga J, Sezalio M, et al. Puerperal sepsis, the leading cause of maternal deaths at a Tertiary University teaching Hospital in Uganda. BMC Pregnancy Childbirth. 2016;16:1–7.
Stewart AJ, Theodore-Oklota C, Hadley W, Brown LK, Donenberg G, DiClemente R. Mania symptoms and HIV-risk behavior among adolescents in mental health treatment. J Clin Child Adolesc Psychol. 2012;14:803–10.
Sarver DE, McCart MR, Sheidow AJ, Letourneau EJ. ADHD and risky sexual behavior in adolescents: conduct problems and substance use as mediators of risk. J Child Psychol Psychiatry Allied Discip. 2014; 55: 1345-1353
Østergaard SD, Dalsgaard S, Faraone SV, Munk-Olsen T, Laursen TM. Teenage parenthood and birth rates for individuals with and without attention-deficit/hyperactivity disorder: a Nationwide cohort study. J Am Acad Child Adolesc Psychiatry. 2017;56:578–584.e3.
Boysen GA, Isaacs RA, Boysen GA, Isaacs RA. Perceptions of people with mental illness as sexually exploitable. Evol Behav Sci. 2020;16:38.
Vigod SN, Dennis CL, Kurdyak PA, Cairney J, Guttmann A, Taylor VH. Fertility rate trends among adolescent girls with major mental illness: A population-based study. Pediatrics. 2014;133:e585–91.
Finnerty M. Sexuality, pregnancy, and childrearing among women with schizophrenia-spectrum disorders. Families and Mental Health Treatment: A Compendium of Articles from Psychiatric Services and Hospital and Community Psychiatry. 1998. p. 45.
Coverdale JH, Turbott SH, Roberts H. Family planning needs and STD risk behaviours of female psychiatric out-patients. Br J Psychiatry. 1997;171:69–72.
Marengo E, Martino DJ, Igoa A, Fassi G, Scápola M, Urtueta M, et al. Sexual risk behaviors among women with bipolar disorder. Psychiatry Res. 2015;230:835–8.
Marinelli M, Lorenzo LS, Zaratiegui R. Reproductive characteristics of female outpatients of childbearing age with affective disorders. In: Bipolar Disorders. Massachusetts, USA: Wiley-Blackwell; 2012. p. 102–3.
Lundberg P, Nakasujja N, Musisi S, Thorson AE, Cantor-Graae E, Allebeck P. HIV prevalence in persons with severe mental illness in Uganda: a cross-sectional hospital-based study. Int J Ment Health Syst. 2013;7:1–9.
Hughes E, Bassi S, Gilbody S, Bland M, Martin F. Prevalence of HIV, hepatitis B, and hepatitis C in people with severe mental illness: a systematic review and meta-analysis. Lancet Psychiatry. 2016;3:40–8.
Bauer-Staeb C, Jörgensen L, Lewis G, Dalman C, Osborn DPJ, Hayes JF. Prevalence and risk factors for HIV, hepatitis B, and hepatitis C in people with severe mental illness: a total population study of Sweden. Lancet Psychiatry. 2017;4:685–93.
Lundberg P, Rukundo G, Ashaba S, Thorson A, Allebeck P, Stergren PO, et al. Poor mental health and sexual risk behaviours in Uganda: a cross-sectional population-based study. BMC Public Health. 2011;11:1–10.
Agardh A, Elizabeth CG, Östergren PO. Youth, sexual risk-taking behavior, and mental health: a study of university students in Uganda. Int J Behav Med. 2012;19:208–16.
Maling S, Todd J, Van Paal L, Grosskurth H, Kinyanda E. HIV-1 seroprevalence and risk factors for HIV infection among first-time psychiatric admissions in Uganda. AIDS Care - Psychol Socio-Medical Asp AIDS/HIV. 2011;23:171–8.
Quinn C, Happell B. Consumer sexual relationships in a forensic mental health hospital: perceptions of nurses and consumers. Int J Ment Health Nurs. 2015;24:121–9.
Quinn C, Happell B. Supporting the sexual intimacy needs of patients in a longer stay inpatient forensic setting. Perspect Psychiatr Care. 2016;52:239–47.
Quinn C, Happell B. Sex on show. Issues of privacy and dignity in a forensic mental health hospital: nurse and patient views. J Clin Nurs. 2015;24:2268–76.
Hughes E, Edmondson AJ, Onyekwe I, Quinn C, Nolan F. Identifying and addressing sexual health in serious mental illness: views of mental health staff working in two National Health Service organizations in England. Int J Ment Health Nurs. 2018;27:966–74.
Collins PY. Challenges to HIV prevention in psychiatric settings: perceptions of south African mental health care providers. Soc Sci Med. 2006;63:979–90.
Katz-Wise SL, Gordon AR, Burke PJ, Jonestrask C, Shrier LA. Healthcare clinician and staff perspectives on facilitators and barriers to ideal sexual health care to high-risk depressed young women: a qualitative study of diverse clinic systems. J Pediatr Adolesc Gynecol. 2020;33:363–71.
Quinn C, Happell B, Browne G. Talking or avoiding? Mental health nurses’ views about discussing sexual health with consumers. Int J Ment Health Nurs. 2011;20:21–8.
Ciydem E, Kackin O, Kutlu FY. Experiences and opinions of nurses working in psychiatric wards on assessing patients’ sexual health: A qualitative study. Perspect Psychiatr Care. 2020;57:1222–30.
Tunde-Ayinmode MF. Current knowledge and pattern of use of family planning methods among a severely ill female Nigerian psychiatric outpatients: implication for existing service. Ann Afr Med. 2013;12:16–23.
Dinc H, Boyacioglu NE, Ozcan NK, Enginkaya S. Reproductive and sexual health in women with bipolar disorder: a comparative study. Dusunen Adam. 2019;32:23–32.
Collins PY, Mestry K, Wainberg ML, Nzama T, Lindegger G. Training south African mental health care providers to talk about sex in the era of AIDS. Psychiatr Serv. 2006;57:1644–7.
Harrison ME, van Zanten SV, Noel A, Gresham L, Norris ML, Robinson A, et al. Sexual health of adolescent patients admitted to a psychiatric unit. J Can Acad Child Adolesc Psychiatry. 2018;27:122–9.
Corbett R, Elsom S, Sands N, Prematunga R. An exploratory investigation of sexual health screening in the first 12 weeks of case management in populations with severe mental illness. Int J Ment Health Nurs. 2017;26:160–9.
United Nations. Mental health matters: social inclusion of youth with mental health conditions. United Nations 2014.
Downey J, Friedman RC, Haase E, Goldenberg D, Bell R, Edsall S. Comparison of sexual experience and behavior between bipolar outpatients and outpatients without mood Disorders. Psychiatry J. 2016;2016:1–10.
Krantz M, Goldstein T, Rooks B, Merranko J, Liao F, Gill MK, et al. Sexual risk behavior among youth with bipolar disorder: identifying demographic and clinical risk factors. J Am Acad Child Adolesc Psychiatry. 2018;57:118–24.
Mason J. Qualitative researching. 2nd ed. Sage Publications, Los Angeles USA. 2002.
Green J, Thorogood N. Qualitative methods for health research. 3rd ed. London: Sage Publications; 2014.
Dicicco-bloom B, Crabtree BF. The qualitative research interview. Med Educ. 2006;40:314–21.
Flick U. Designing Qual Res 2012.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.
World Health Organization. Coronavirus disease (COVID-19) advice for the public. 2021.
Ritchie J, Lewis J, Nicholas C, Ormston R. Qualitative research practice. A guide for social science students and researchers. 2nd edi. Sage Publications. London, United Kingdom; 2014.
Kvale S. Doing interviews; 2011.
Ruane J, Hayter M. Nurses’ attitudes towards sexual relationships between patients in high security psychiatric hospitals in England: an exploratory qualitative study. Int J Nurs Stud. 2008;45:1731–41.
Collins PY. Dual taboos: sexuality and women with severe mental illness in South Africa. Perceptions of mental health care providers. AIDS and Behavior. 2001;5(2):151–61.
Quinn C, Happell B. Exploring sexual risks in a forensic mental health hospital: perspectives from patients and nurses. Issues Ment Health Nurs. 2015;36:669–77.
Higgins A, Barker P, Begley CM. “Veiling sexualities”: a grounded theory of mental health nurses responses to issues of sexuality. J Adv Nurs. 2008;62:307–17.
Ziliotto GC, Marcolan JF. Perception of nursing professionals on sexuality in people with mental disorders. ACTA Paul Enferm. 2013;26:86–92.
Zatloff JP, von Esenwein SA, Philip Z, Ward MC. Navigating a complex health system: the perceptions of psychiatric residents in addressing sexual and reproductive health of women with severe mental illness. Acad Psychiatry. 2020;44:403–7.
Lundberg P, Nakasujja N, Musisi S, Thorson AE, Cantor-Graae E, Allebeck P. Sexual risk behavior, sexual violence, and HIV in persons with severe mental illness in Uganda: hospital-based cross-sectional study and national comparison data. Am J Public Health. 2015;105:1142–8.
Lundberg P, Johansson E, Okello E, Allebeck P, Thorson A. Sexual risk behaviours and sexual abuse in persons with severe mental illness in Uganda: a qualitative study. PLoS One. 2012;7:e29748.
Miller E, Lasser KE, Becker AE. Breast and cervical cancer screening for women with mental illness: patient and provider perspectives on improving linkages between primary care and mental health. Arch Womens Ment Health. 2007.
World Health Organization. WHO global strategy on people-centered and integrated health services. Geneva: World Health Organization; 2015.
World Health Organization. Integrated Health services-what and why? 2008.
Shenton AK. Strategies for ensuring trustworthiness in qualitative research projects. Educ Inf. 2004;22:63–75.