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Survey Findings – WISH Wadadli
National Survey · October 2024 · Antigua & Barbuda

The data behind our mission.

154 people across Antigua and Barbuda shared their experiences with mental health. Here is what they told us — and why it matters.

154 Respondents
66% Faced Challenges
77% Rate Stigma High
82% Want Digital Care

Demand is outpacing every system in place.

66.2%

reported experiencing mental health challenges in the past year

52.6%

are aware services exist — yet far fewer have actually tried to access them

77.3%

rate mental health stigma in Antigua and Barbuda as high or very high

82.5%

expressed interest in online or mobile app-based mental health services

Knowing help exists is not the same as being able to reach it. Awareness without access leaves people behind.

The most commonly reported barriers to accessing care.

💸

Cost

The single most-cited barrier — named by 13.6% as a standalone obstacle

🔍

Lack of Information

People don't know where to go — 9.7% reported this as their only barrier

🏥

Limited Availability

Not enough providers, inconsistent hours, and weak referral pathways

🤐

Stigma

Fear of judgment and shame prevents many from ever asking for help

🚌

Transportation

Geographic access remains a real, practical challenge for many residents

🔄

Multiple at Once

Many face overlapping barriers simultaneously — each compounding the others

Who people feel safe talking to — and who they don't.

Respondents were most comfortable discussing mental health with healthcare professionals and friends. Family contexts remained the most difficult — reflecting generational attitudes, cultural expectations, and deep-rooted stigma that public campaigns alone cannot dismantle.

Healthcare Professionals
High
Friends
Med–High
Family Members
Mixed
77% High Stigma
77.3% rate stigma high or very high
22.7% rate stigma moderate or low

Information-seeking in the absence of structured support.

Internet & Social Media
92%
Friends & Family
71%
Books & Magazines
58%
Healthcare Professionals
44%
Community Organisations
22%

Heavy reliance on informal channels reflects genuine public interest — and a critical gap in structured, credible mental health education. This is where WISH steps in.

What people say needs to change — ranked.

01 Improve access to affordable care
72.1%
02 Enhance public education and awareness
68.8%
03 Integrate mental health into primary care
45.5%
04 Increase number of mental health professionals
43.5%
05 Reduce stigma through targeted campaigns
40.3%
06 Improve quality of existing services
17.5%

The public is ready for digital mental health tools.

82.5%

of respondents said they would use online or mobile app-based mental health services. The public is ready — the tools just need to be built.

Younger populations

Digital tools are the primary access point for 18–34 year-olds who rarely engage traditional health systems

Stigma bypass

Private, app-based tools allow people to seek help without the social exposure that in-person visits require

Complement, not replace

Digital solutions must be culturally relevant, accessible, and built alongside — not instead of — professional care

Help us close the gap.

WISH is building evidence-based, community-grounded mental health solutions for Antigua and Barbuda. Your support makes it possible.

Support WISH
Survey conducted October 2024 · 154 respondents across Antigua and Barbuda · Funded in part by the UNESCO Going Together Grant · Prepared by WISH – the Wadadli Initiative for Self-care and Healing