Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi
The aim of this study was to describe the pathways to care taken by clients with first episode psychotic disorders at Zomba Mental Hospital. A quantitative descriptive study was conducted among clients with first episode psychotic disorders at Zomba Mental Hospital (ZMH) in Zomba District, Malawi. C...
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| Format: | Thesis |
| Language: | English |
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2021
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| Online Access: | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/122 |
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| author | Nyirongo, Distress |
| author_facet | Nyirongo, Distress |
| author_sort | Nyirongo, Distress |
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| description | The aim of this study was to describe the pathways to care taken by clients with first episode psychotic disorders at Zomba Mental Hospital. A quantitative descriptive study was conducted among clients with first episode psychotic disorders at Zomba Mental Hospital (ZMH) in Zomba District, Malawi. Consecutive sampling technique was used to recruit the participants and a total number of 266 clients were interviewed using a
structured questionnaire. Data were analyzed using SPSS Version 16. Findings revealed that 58% of the participants first consulted general practitioners (GPs), 28% consulted traditional healers, 8% consulted religious healers, 4% went straight to ZMH and 2% were first in contact with police. However, 24% of the
participants who consulted the general practitioners did not receive any treatment for their symptoms. The median duration before reaching ZMH was 42 weeks and clients who first consulted traditional healers had the longest delay. Gender, symptoms, diagnosis and proximity had a significant statistical association with first seeking help from health professionals.
Conclusion was made that most clients with first episode psychotic disorders seek
other pathways before going to ZMH, and that there is significant delay between the
onset of symptoms and receipt of appropriate care. It is therefore recommended that
mental health professionals should emphasize on mental health awareness campaigns in
the communities and working collaboratively with all care providers involved. |
| format | Thesis |
| id | oai:nkhokwe.kuhes.ac.mw:20.500.12845-122 |
| institution | My University |
| language | English |
| publishDate | 2021 |
| record_format | dspace |
| spelling | oai:nkhokwe.kuhes.ac.mw:20.500.12845-1222023-03-12T00:07:36Z Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi Nyirongo, Distress Community Health Nursing The aim of this study was to describe the pathways to care taken by clients with first episode psychotic disorders at Zomba Mental Hospital. A quantitative descriptive study was conducted among clients with first episode psychotic disorders at Zomba Mental Hospital (ZMH) in Zomba District, Malawi. Consecutive sampling technique was used to recruit the participants and a total number of 266 clients were interviewed using a structured questionnaire. Data were analyzed using SPSS Version 16. Findings revealed that 58% of the participants first consulted general practitioners (GPs), 28% consulted traditional healers, 8% consulted religious healers, 4% went straight to ZMH and 2% were first in contact with police. However, 24% of the participants who consulted the general practitioners did not receive any treatment for their symptoms. The median duration before reaching ZMH was 42 weeks and clients who first consulted traditional healers had the longest delay. Gender, symptoms, diagnosis and proximity had a significant statistical association with first seeking help from health professionals. Conclusion was made that most clients with first episode psychotic disorders seek other pathways before going to ZMH, and that there is significant delay between the onset of symptoms and receipt of appropriate care. It is therefore recommended that mental health professionals should emphasize on mental health awareness campaigns in the communities and working collaboratively with all care providers involved. The aim of this study was to describe the pathways to care taken by clients with first episode psychotic disorders at Zomba Mental Hospital. A quantitative descriptive study was conducted among clients with first episode psychotic disorders at Zomba Mental Hospital (ZMH) in Zomba District, Malawi. Consecutive sampling technique was used to recruit the participants and a total number of 266 clients were interviewed using a structured questionnaire. Data were analyzed using SPSS Version 16. Findings revealed that 58% of the participants first consulted general practitioners (GPs), 28% consulted traditional healers, 8% consulted religious healers, 4% went straight to ZMH and 2% were first in contact with police. However, 24% of the participants who consulted the general practitioners did not receive any treatment for their symptoms. The median duration before reaching ZMH was 42 weeks and clients who first consulted traditional healers had the longest delay. Gender, symptoms, diagnosis and proximity had a significant statistical association with first seeking help from health professionals. Conclusion was made that most clients with first episode psychotic disorders seek other pathways before going to ZMH, and that there is significant delay between the onset of symptoms and receipt of appropriate care. It is therefore recommended that mental health professionals should emphasize on mental health awareness campaigns in the communities and working collaboratively with all care providers involved. 2021-02-26T13:30:21Z 2021-11-03T06:47:37Z 2021-02-26T13:30:21Z 2021-11-03T06:47:37Z 2015-10-01 Thesis http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/122 en application/pdf |
| spellingShingle | Community Health Nursing Nyirongo, Distress Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi |
| title | Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi |
| title_full | Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi |
| title_fullStr | Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi |
| title_full_unstemmed | Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi |
| title_short | Pathways to care for clients with first episode psychotic disorders at Zomba Mental Hospital, Malawi |
| title_sort | pathways to care for clients with first episode psychotic disorders at zomba mental hospital, malawi |
| topic | Community Health Nursing |
| url | http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/122 |
| work_keys_str_mv | AT nyirongodistress pathwaystocareforclientswithfirstepisodepsychoticdisordersatzombamentalhospitalmalawi |
Factors contributing to the increase in depression among women psychiatric clients at Zomba Mental Hospital