Browsing by Author "Mutabazi, Michel"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Adherence and Treatment Outcomes among Patients with Comorbidity of Depression and Other Mental Disorders attending Psychiatric Hospitals in Rwanda(2014-08-18) Mutabazi, MichelMental disorders constitute a serious public health problem. Besides, the co-morbidities of mental disorders pose a major problem with regard to adherence and treatment outcomes. This pseudo-longitudinal study aimed to investigate adherence and treatment outcomes among patients with comorbidity of depression and other mental disorders attending psychiatric hospitals in Rwanda. A sample of 382 patients was selected using systematic random sampling from three neuropsychiatric sites. The first and second assessments of patients took place after two and four months from each date of recruitment respectively. Data was collected during interviews using validated semi- structured tools and scales and from medical records of patients and analyzed using SPSS. It was found that the point prevalence of comorbidity of depression and other mental or neurological disorders was 31.4%. Among these patients, 18.1% had comorbidity of depression and other mental disorders but without any neurological disorder and 12.3% had depression and other neurological disorders but without any other mental disorders and 1% had depression, other mental and neurological disorders. The mean perceived social support (31.4%) was low and some patients lacked the support they needed. The mean perceived social stress (11.5%) was also low but could have effects on specific patients who experienced it. The overall level of functioning among patients was 57±13.8 falling in the GAF interval of [51-60]. This means that on average patients had moderate symptoms or moderate impairments in functioning. The overall level of adherence to treatment was found to be 65.8%. This indicates that the patients did not adhere optimally to their treatment: only 32.5% of patients achieved optimal adherence (score ≥ 80%). This is a lower rate compared to developed countries. The t-tests and chi-square tests were undertaken. The significant factors (p<0.05) influencing (hindering or promoting) adherence to treatment were medication side effects, affordability of treatment regimen, poor fit between treatment requirements and patient’s lifestyles or daily routine, poor communication, attitudes of service providers, availability of appointment staff, comorbidity of depression and other disorders, being busy, forgetfulness, travelling, social support, problems in social environment, having relatives who were stressful to patients, having economic barriers to access healthcare services and stigmatization. A weak significant relationship between adherence to treatment and treatment o number of patients who adhere optimally to treatment in order to have better treatment outcomes.Item nfluence of male targeted short message service on knowledge, nature of attitude and male involvement on uptake of family planning among spouses in Marsabit County, Kenya(Medip Academy, 2024-09-20) Matoke, Vincent O.; Gitonga, Eliphas M.; Owaka, Isaac O.; Okari, Geoffrey M.; Mutabazi, Michel; Ogutu, Gideon M.; Odhiambo, Felix B.; Anyika, Daniel K.; Salima, Ruth; Okenyoru, Douglas S.Background:Family planning services helps the individuals or couples to regulate the number and determine healthy spacing and timing of pregnancies. Globally, contraceptive prevalence stands at 49.0%, Sub-Saharan Africa at 29.0%, Kenya at 56.9% and Marsabit County at 5.6%. Some of the reasons given for low uptake include low knowledge level, negative attitude and lack of male involvement on family planning matters. This study aimed at establishing the influence of male targeted short message service on knowledge, nature of attitude and male involvement on uptake of family planning among spouses in Marsabit County.Methods:A pre-test and post-test quasi experimental study design was adopted involving randomly selected 220 couples from Laisamis (control group) and Moyale (intervention group) sub-counties. Intervention of male targeted short message service was offered weekly to male spouses from Moyale sub-county. A questionnaire was used to collect data. Data analysis was done using SPSS. All the required ethical and logistical considerations were adhered to accordingly.Results:Male targeted short message service increased level of knowledge significantly (OR 4.173, p=0.001), changed nature of attitude (OR 2.7335, p=0.004) and male involvement in family planning (OR 4.4306, p=0.001).Conclusions:The study concluded male targeted SMS intervention increased level of knowledge, attitude changed and males were involved. The County government of Marsabit should engage opinion leaders in family planning to help in educating and changing the attitude of the men towards family planning.Keywords: Attitude, Family planning, Knowledge,Male targeted short message service1Department of Environmental and Occupational Health, School of Health Sciences, Kenyatta University, Nairobi, Kenya2Department of Community Health and Development, Faculty of Science, The Catholic University of Eastern Africa, Nairobi, Kenya3Department of Family Medicine, Community Health and Epidemiology, School of Health Sciences, Kenyatta University,Nairobi, Kenya4Department of Health Management and Informatics, School of Health Sciences, Kenyatta University,Nairobi, Kenya5Department of Health Systems Management and Development, School of Public Health, Amref International University,Nairobi, KenyaReceived:09 August 2024Revised:18 September 2024Accepted:20 September 2024*Correspondence:Dr.Vincent O. Matoke,E-mail: omwengavincent96@yahoo.comCopyright:© the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20243274