Psychosocial health of patients receiving orthopaedic treatment in northern Tanzania: A cross-sectional study

Obayemi, Joy E.; Card, Elizabeth B.; Shirima, Octavian; Massawe, Honest; Mandari, Faiton Ndesanjo; Pallangyo, Anthony; Temu, Rogers; Premkumar, Ajay; Sheth, Neil P.

doi:10.1016/j.amsu.2019.10.020

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…The participants in this study also rated the more frequently used coping responses as more helpful than the less frequently used coping responses. Contrary to the helpfulness ratings found in the described review, research and experts agree that seeking help from formal as well as informal sources constitutes an adaptive coping strategy ( 19 , 23 , 24 ). Additionally, hope, spirituality, and humor were found to be adaptive coping responses ( 24 , 25 ).…”

Section: Introductioncontrasting

confidence: 94%

“…Contrary to the helpfulness ratings found in the described review, research and experts agree that seeking help from formal as well as informal sources constitutes an adaptive coping strategy ( 19 , 23 , 24 ). Additionally, hope, spirituality, and humor were found to be adaptive coping responses ( 24 , 25 ). In contrast, substance abuse is considered a maladaptive coping response and may result in poorer health outcomes for the person ( 19 , 24 ).…”

Section: Introductioncontrasting

confidence: 94%

“…Additionally, hope, spirituality, and humor were found to be adaptive coping responses ( 24 , 25 ). In contrast, substance abuse is considered a maladaptive coping response and may result in poorer health outcomes for the person ( 19 , 24 ). Other maladaptive coping responses include mental disengagement, denial, and avoidance ( 19 , 24 , 25 ).…”

Section: Introductionmentioning

confidence: 99%

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Coping With the Experiences of Intimate Partner Violence Among South African Women: Systematic Review and Meta-Synthesis

2021

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Background: Intimate partner violence (IPV) continues to be a serious problem worldwide. South Africa has a high prevalence of women experiencing IPV. Although much research reports on the prevalence rates, risk factors, and consequences of IPV, fewer studies report on how women deal with the experiences of IPV.Objective: This systematic review of the empirical literature aimed to identify and synthesize the best available evidence on women's experiences of coping with IPV in South Africa.Methods: A four-level search and retrieval strategy using PRISMA and JBI guidelines was conducted, which included critical appraisal, study selection, data extraction, and data synthesis. Ten studies met the eligibility criteria and were included in the review. They were assessed to meet a set threshold (7/10) based on the JBI Critical Appraisal Checklist for Qualitative Research. All studies were conducted between 2010 and 2020, conducted in South Africa, and used qualitative methodologies to accomplish the overall aim of investigating IPV experiences of women and their responses to it.Results: The total number of women included in the studies was 159. The data extraction yielded 49 findings of which 47 were aggregated into 14 categories and three themes: (1) help- and support-seeking coping, (2) emotional regulation coping, and (3) problem avoidance and distraction coping. Help- and support-seeking coping refers to women's responses when they seek instrumental aid, advice, comfort, and/or understanding from others. Emotional regulation includes responses of women in which their emotions were expressed or regulated. Problem avoidance and distraction coping represent responses of women in which they take efforts to avoid thinking about the problem situation and rather reshift their focus.Conclusion: Overall, this review found that a variety of coping responses are used by South African women experiencing IPV. The findings point to the need for understanding IPV and responses to it within a broader social context rather than just at the personal level. Approaching IPV at many levels may lead to a change in societal norms, better access to and delivery of services to IPV survivors, more functional family affairs, and personal well-being and improved quality of life.

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Section: Introductioncontrasting

confidence: 94%

Section: Introductioncontrasting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Coping With the Experiences of Intimate Partner Violence Among South African Women: Systematic Review and Meta-Synthesis

2021

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Examining the Coping Strategies of Female Survivors of Intimate Partner Violence in Ghana

Apatinga,

Tenkorang

2023

J Fam Viol

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Hospitalized for poverty: orthopaedic discharge delays due to financial hardship in a tertiary hospital in Northern Tanzania

Obayemi

Card

Shirima

et al. 2022

glob health res policy

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Background Musculoskeletal injury contributes significantly to the burden of disease in Tanzania and other LMICs. For hospitals to cope financially with this burden, they often mandate that patients pay their entire hospital bill before leaving the hospital. This creates a phenomenon of patients who remain hospitalized solely due to financial hardship. This study aims to characterize the impact of this policy on patients and hospital systems in resource-limited settings. Methods A mixed-methods study using retrospective medical record review and semi-structured interviews was conducted at a tertiary hospital in Moshi, Tanzania. Information regarding patient demographics, injury type, days spent in the ward after medical clearance for discharge, and hospital invoices were collected and analyzed for orthopaedic patients treated from November 2016 to June 2017. Results 346 of the 867 orthopaedic patients (39.9%) treated during this time period were found to have spent additional days in the hospital due to their inability to pay their hospital bill. Of these patients, 72 patient charts were analyzed. These 72 patients spent an average of 9 additional days in the hospital due to financial hardship (range: 1–64 days; interquartile range: 2–10.5 days). They spent an average of 112,958 Tanzanian Shillings (TSH) to pay for services received following medical clearance for discharge, representing 12.3% of the average total bill (916,840 TSH). 646 hospital bed-days were spent on these 72 patients when they no longer clinically required hospitalization. 7 (9.7%) patients eloped from the hospital without paying and 24 (33.3%) received financial assistance from the hospital’s social welfare office. Conclusions Many patients do not have the financial capacity to pay hospital fees prior to discharge. This reality has added significantly to these patients’ overall financial hardship and has taken hundreds of bed-days from other critically ill patients. This single-institution, cross-sectional study provides a deeper understanding of this phenomenon and highlights the need for changes in the healthcare payment structure in Tanzania and other comparable settings.

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Psychosocial health of patients receiving orthopaedic treatment in northern Tanzania: A cross-sectional study

Cited by 3 publications

References 31 publications

Coping With the Experiences of Intimate Partner Violence Among South African Women: Systematic Review and Meta-Synthesis

Coping With the Experiences of Intimate Partner Violence Among South African Women: Systematic Review and Meta-Synthesis

Examining the Coping Strategies of Female Survivors of Intimate Partner Violence in Ghana

Hospitalized for poverty: orthopaedic discharge delays due to financial hardship in a tertiary hospital in Northern Tanzania

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