Awareness, utility and preferences of campus-based mental health services at tertiary institutions in Harare, Zimbabwe

A cross-sectional study

Bibliographic Data

ID19591665
AuthorsOmega Mukubvu (University of Zimbabwe), Gamuchirai C Tonono (University of Zimbabwe), Ropafadzo L Mupinga (University of Zimbabwe), Chris T Uriga (0009-0001-2286-2766, University of Zimbabwe), Yola A Machona (University of Zimbabwe), Shalom R Doyce (0009-0006-7593-3253, University of Zimbabwe), Edwin Mavindidze (0000-0001-9849-8932, University of Zimbabwe), R H Mushonga (0000-0003-4980-2437, Kamuzu Central Hospital), Beatrice K Shava (0000-0002-9130-7010, University of Zimbabwe), Sidney Muchemwa (0000-0003-0121-5356, University of Zimbabwe), Dixon Chibanda (0000-0003-2505-8607, University of Zimbabwe), Anotida R Hove (0009-0005-4050-0135, University of Zimbabwe), Jermaine M Dambi (0000-0002-2446-7903, University of Zimbabwe)
EditorsAkim Tafadzwa Lukwa (0000-0003-2534-3731)
Year2026
Volume6
Issue5
Pagese0005107
Publication date2026-05-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0005107
PMID42090410
OpenAlexW4413127587
LanguageEN
References cited58

Mental health (MH) disorders are highly prevalent among university students, with multi-level impacts. Although campus-based mental health services (CBMHS) are available, awareness and utilisation rates remain low. This study examined the awareness and utilisation of CBMHS among Zimbabwean tertiary students, including the barriers, facilitators, and preferences that influence their access to services. This descriptive cross-sectional study recruited 1070 students from five tertiary institutions in Harare, Zimbabwe. Participants completed questionnaires evaluating awareness, utilisation, preferences, and barriers to accessing CBMHS. Data were analysed using descriptive statistics and multivariate logistic regression. The mean age of the participants was 21.7 (SD = 2.7) years. 76.5% of students were aware of CBMHS. Awareness of MH services was associated with familial history of MH conditions [AOR = 1.35 (95% CI: 1.05; 1.83), p = .05] and personal experience of a MH condition [AOR = 0.71 (95% CI: 0.52; 0.97), p = .030]. Only 16.5% of students had utilised CBMHS. High utility of CBMHS was associated with drug and substance use [AOR = 2.388 (95% CI: 1.227; 4.644), p = 0.01], availability of a psychologist [AOR = 1.69 (95% CI: 1.10; 2.59), p = .017] and availability of campus-wide MH workshops [AOR = 1.62 (95% CI: 1.00; 2.60), p = .049]. Key barriers to MH service utilisation included lack of resident/institutional MH service providers [AOR = 2.02 (95% CI: 1.16; 3.51), p = .013], past MH experiences [AOR = 1.53 (95% CI: 1.16; 2.02), p = .002], and friend’s history of MH condition [AOR = 1.44 (95% CI: 1.11; 1.86), p = .006]. Students preferred self-help services, individual therapy, and psychologists for MH support. Universities should promote MH awareness through effective awareness campaigns and workshops, provide tailored services that align with the students’ preferences, and ultimately create a supportive environment that fosters students’ overall MH service utilisation and well-being

Business · Cross-sectional study · Descriptive research · Descriptive statistics · Environmental health · Family medicine · Logistic regression · Mental health · Mental health service · Psychiatry · Service (business) · Tertiary care · Family Caregiving in Mental Illness · Healthcare professionals’ stress and burnout · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma

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