Mental Health and Mental Disorders: Knowledge, Perceptions, and Attitudes towards People with Mental Diseases

Mekani, Paul; Myaba, Japhet

doi:10.1515/9783110674217-009

Cited by 2 publications

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“…Usually, the pathway to care in most communities is from traditional healers or spiritual leaders to hospitals and back and forth, which could contribute to nonadherence to appointments. For example, the ndings of a study performed in Malawi showed that the majority of patients believe that mental illness is caused by witchcraft, and seeking alternative treatment from traditional healers is not uncommon even among Christians (Mekani & Myaba, 2020).…”

Section: Discussionmentioning

confidence: 99%

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Adherence to Clinic Appointments and Medication Among Patients Accessing Mental Health Clinics in Lilongwe, Malawi

Mekani,

Mugomeri,

Mbuba

et al. 2024

Preprint

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Background: Individuals who are nonadherent to treatment have higher rates of symptom recurrence, higher rates of hospital readmission and poorer quality of life. Nkhoma Mission Hospital (NMH) in the central region of Malawi has been integrating mental health within the existing services to ensure that the services are accessible to people. The purpose of the study was to investigate the prevalence and factors of nonadherence to appointments and medication among patients with mental illness. Design and methods: A cross-sectional analytical study was conducted at Nkhoma Mission Hospital. A survey approach and total population sampling were used. The MARS score was used to assess medication adherence. Associations of alcohol use, insight, and stigma with medication adherence were established using the AUDIT, BIRCHWOOD and ISMI scales, respectively. Results: The prevalence of nonadherence to clinic appointments and medication was 64% (n=58) and 46.2%, respectively. Females were 4.7 times more likely to miss clinic appointments than males were (B =-1.555, Exp (B)=0.221, p=0.029), Protestant Christians were 5 times more likely to miss clinic appointments (B = 5.176, p=0.034), clients who were not married were 15 times more likely not to adhere to clinic appointments (B=2.722, Exp(B)=25.12, p=0.002), and clients who visited a mobile clinic were more likely to miss appointments (B =-1.762, Exp (B)=0.172, p=0.020). Patients who had been on medication for less than 2 years had significantly lower adherence to medication (B=-1.631, t=-2.053, p=0.043); patients whose occupation involved farming had lower adherence to medication (B=-1.541, t=-2.057, p=0.043); and psychotic patients had greater adherence to medication than nonpsychotic patients did (B=1.753, t=2.041, p=0.044). Conclusion: It is important to address the factors that influence nonadherence to clinic appointments and medication to avoid relapse.

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Section: Discussionmentioning

confidence: 99%

“…The Nkhoma Mission Hospital has been integrating mental health within the existing general services in support of the PHC delivery model to ensure that services are accessible to where people are accessible (Mekani & Myaba, 2020). Some patients reported missing appointments and medication despite the existence of outreach clinics.…”

Section: Introductionmentioning

confidence: 99%

Adherence to Clinic Appointments and Medication Among Patients Accessing Mental Health Clinics in Lilongwe, Malawi

Mekani,

Mugomeri,

Mbuba

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…Nkhoma Mission Hospital has been integrating mental health within the existing general services, in support of the PHC delivery model to ensure that services are accessible to where people are (Mekani & Myaba, 2020). Some patients were reported missing appointments and medication despite the existence of the outreach clinics.…”

Section: Introductionmentioning

confidence: 99%

Clinic appointments and medication adherence among patients accessing mental health services in Central Malawi: A cross-sectional analytical study

Mekani,

Mugomeri,

Mbuba

et al. 2023

Preprint

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Background: Individuals who are non-adherent to treatment have higher rates symptom recurrence, higher hospital readmission and poor quality of life. Methods: A cross-sectional analytical study was conducted at Nkhoma Mission Hospital, Lilongwe Malawi. Survey approach and total population sampling were used. MARS was used to assess medication adherence. Results: The prevalence of non-adherence to clinic appointment and medication was 64% (n=58) and 46.2% respectively. Females were 4.7 times more likely to miss clinic appointments than males (B =-1.555, Exp (B)=0.221, p=0.029), clients not married were 15 times more likely not to adhere to clinic appointments (B=2.722, Exp(B)=25.12, p=0.002) and clients who visited a mobile clinic were more likely to miss appointments (B =-1.762, Exp (B)=0.172, p=0.020). Psychotic patients had a higher adherence to medication (B=1.753, t=2.041, p=0.044). Conclusion:It is important to address factors that influence non-adherence to avoid relapse.

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Mental Health and Mental Disorders: Knowledge, Perceptions, and Attitudes towards People with Mental Diseases

Cited by 2 publications

References 0 publications

Adherence to Clinic Appointments and Medication Among Patients Accessing Mental Health Clinics in Lilongwe, Malawi

Adherence to Clinic Appointments and Medication Among Patients Accessing Mental Health Clinics in Lilongwe, Malawi

Clinic appointments and medication adherence among patients accessing mental health services in Central Malawi: A cross-sectional analytical study

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