Background: Mental illness is often stigmatised in Ghana. The World Health Organization has estimated
that as few as 2% of Ghanaians with mental health needs are able to access treatment.
To approach this shortfall, the charity Ghana Homeopathy Project (GHP) supports the
use of homeopathy in community clinics to improve Ghanaians’ psychological health
and well-being.
Objectives: To perform an audit of GHP-partnered clinic service users and assess the impact of
homeopathy in the Mafi Seva Community Clinic (MSCC) on service users’ self-reported
levels of emotional distress.
Methods: The audit was performed in two GHP-partnered clinics; one in the rural setting of
MSCC in the Volta region and one in the urban setting of Accra (participants N = 326). The service evaluation was performed solely in MSCC (N = 65). Socio-demographic and clinical data were collected using standardised forms;
emotional distress was assessed using the validated Schwartz Outcome Scale (SOS-10).
Results: Over 90% of participants in both the audit and service evaluation presented with
predominantly physical chronic (>1 year) complaints. Despite the low prevalence of
mental/emotional presenting complaints, assessment of SOS-10 scores and changes in
emotional distress across three consecutive homeopathic appointments showed a clear
and statistically significant improvement (Friedman’s test, p < 0.001; median score change of 8). Prevalence of “severe” distress (SOS-10 score
1–22) was reduced from 66.2% at baseline to 13.8% after three appointments.
Conclusion: GHP-partnered community clinics provide a valuable service to Ghanaians, satisfying
an unmet need for support and treatment of a range of health problems including psychological
well-being. Such clinics could contribute to delivering community-based mental health
services as outlined in the Mental Health Act (2012), through providing a service
that is clearly of benefit to its users.
Keywords: Audit, service evaluation, psychological well-being, community clinic, charity, Ghana
