Ethnographic insights into the quality of life and experiences of people living with schizophrenia in Harare, Zimbabwe

Schizophrenia is a complex and severe mental disorder affecting more than 20 million people worldwide. This study used focused ethnography to explore the everyday lives of 18 people living with schizophrenia in Zimbabwe and its impact on their quality of life (QOL). Data were collected using semi-structured interviews, observational fieldwork, and the short form of the World Health Organization QOL-BREF questionnaire. Those aged 20–40 years experienced poorer QOL than older people. Family dislocation, living with stigma and discrimination, cost of medications and limited and variable access to treatment and support disrupted participants’ ability to enjoy life and function socially

An ethnographic study of schizophrenia in Zimbabwe: The role of culture, faith, and religion

This ethnographic study explored the experiences of eighteen Shona speakers living with schizophrenia in Zimbabwe. Data were collected using semistructured interviews, observations and field notes. Almost three in four participants reported having a strong religious affiliation and believed mental illnesses are caused by spirits (zvirwere zvemweya) or witchcraft (zvirwere zvevaroyi). Cultural and religious beliefs influenced the perceived causes of schizophrenia, symptom explanations, and help-seeking behavior. Schizophrenia compounded social disadvantage, often leading to family disruption, isolation, homelessness, and wandering. Faith and religious belonging provided participants access to support and fostered hope, resilience, a sense of self-worth and greater quality of life