Doctor to Patient Ratio and Infrastructure Gap in a Psychiatric Hospital in Oil Rich Eket, Nigeria

Nwaopara, Uche Adolphus

doi:10.4172/2378-5756.1000356

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…This is largely due to shortage of mental health personnel and facilities in the country. There were eight psychiatric hospitals to serve a population of over 150 million [30] and also low ratio of psychiatrists 0.09 per 100,000 population [31], hence, increasing the likelihood for alternative sources of care. This is conspicuous in the rural regions, where their belief systems influence their practices and the remedies they offer for mental illnesses [32,33].…”

Section: Spirituality and Mental Healthmentioning

confidence: 99%

Channeling the Right Path-to-care: Improving Religious Leaders’ Knowledge and Beliefs about Suicide Prevention in South West Nigeria

Ogbolu

Ijadunola

Adepoju

et al. 2020

Preprint

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Background In African societies, the path-to-care that the ill and their relatives seek via consultation of traditional and religious healers is related to the concept of the causation, nature and origin of mental illness. There is a shortage of mental health personnel and facilities in Nigeria; hence, alternative healthcare providers such as Religious Leaders are often sought first. This intervention research was conducted with the aim of improving knowledge, beliefs and practices of Religious Leaders in relation to depression and suicide and their understanding of their role in suicide prevention. Methods This comparative cross sectional study with 102 Religious Leaders was conducted in two states in South West Nigeria. Religious Leaders were invited for a day medico-religious training on depression and suicide prevention among their congregation. Measures for inclusion comprised of correctly filled and completed semi-structured questionnaires pre and post training. Results Out of 102 Religious Leaders, 58.8% were 50 years and above, 76.5% were males. The average years of clerical experience as Religious Leaders was 15.9 years. Most of them (82.4%) had no previous training in suicide prevention and the average congregation size of Religious Leaders in Lagos was larger than Ile-Ife (256 vs 113). Only a few Religious Leaders (21.6%) counseled at least an individual with suicidal thoughts, 3 months preceding the training, while most (57.8%) of them noted that there are penalties for members of their congregation who attempted or died by suicide. The average knowledge score at pretest and post-test were 3.37 and 5.98 respectively out of a total score of 8. Percentage difference in knowledge scores from pretest to post-test showed a drop in low and fair scores by 19.6% and 54.9% respectively and an increase in good and very good scores by 46.1% and 28.4% respectively. Conclusion The outcome of this intervention in improving Religious Leaders’ knowledge about depression being a medical condition and major contributor to suicide has far-reaching implications on suicide prevention. In particular, through their involvement in this medico-religious collaboration, Religious Leaders have the right information required to preach and counsel towards encouraging their congregation to seek appropriate mental health care.

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Section: Spirituality and Mental Healthmentioning

confidence: 99%

Channeling the Right Path-to-care: Improving Religious Leaders’ Knowledge and Beliefs about Suicide Prevention in South West Nigeria

Ogbolu

Ijadunola

Adepoju

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…This is despite the high mental health burden and high unmet need – up to 1 in 8 Nigerians meet the diagnostic threshold for psychiatric disorders (Gureje et al 2006 ). Of these, only 8% receive treatment (Gureje et al 2006 ) which partly reflects the limited mental health workforce in the country (Nwaopara 2015 ). The high population in Nigeria (estimated at 213 million in 2021; The World Bank) indicates a large absolute number of people living with mental health difficulties.…”

Section: Introductionmentioning

confidence: 99%

The Challenges and Opportunities for Mental Health Twin Research in Nigeria

Oginni,

Ayorinde,

Ayodele

et al. 2023

Behav Genet

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The recent interest in increasing diversity in genetic research can be useful in uncovering novel insights into the genetic architecture of mental health disorders – globally and in previously unexplored settings such as low- and middle-income settings like Nigeria. Genetic research into mental health is potentially promising in Nigeria and we reflect on the challenges and opportunities for twin research which may be particularly suited to Nigeria. The higher rates of twinning in Africa and Nigeria specifically, make the twin design an affordable and readily maintainable approach for genetic research in the country. Despite potential challenges with recruitment, data collection, data analysis and dissemination; the success of current efforts suggest that the twin design can tapped even further for greater impact in the country. We highlight some ways in which the scope of twin research can be increased and suggest some ways in which existing challenges can be overcome including recent Patient Participant Involve and Engagement activities.

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“…The surgical patient with oncologic conditions or a need for surgical excision of a limb or appendage requires more attention because of the additional physical and psychologic effect on the patient [14]. Sub-Saharan African countries have low patient-doctor ratio and bed to population ratio far below the recommended value by the World Health Organization [15], [16]. The implication of this is that the surgeon in the African context is saddled with the responsibility of attending to larger number of surgical patients, and hence would have to spend less amount of time and attention for each patient.…”

Section: Introductionmentioning

confidence: 99%

Informed Consent in Surgical Practice in Port Harcourt: How Informed are the Patients?

et al. 2021

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Aim: The aim of this study was to ascertain the opinion of patients on counselling of the surgical patient in tertiary healthcare facilities in Port Harcourt in the months of May and June 2020. Background: Counseling of the surgical patient is a dynamic process and its scope which is individualized should arm the patient with information on the purpose and nature of the disease and treatment, etc. Materials and Methods: Four hundred and twenty respondents were recruited for this cross-sectional descriptive study carried out in the wards and specialist surgical out-patient clinics of Teaching Hospitals in Port Harcourt, Nigeria between the months of May and June 2020 using semi-structured questionnaires. Data obtained was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Two hundred and twenty-five (53.6%) respondents asserted that they had counselling sessions for the surgical operation, 108 (25.7%) respondents opined that they did not have counselling session, while 87 (20.7%) were not sure if they had or not. Forty-five (10.7%) respondents asserted that the surgeons carried out the counselling. Only, 227 (54.0%) of the respondents affirmed that they were satisfied with the counselling sessions, while 104 (24.8%) respondents asserted that there was no counselling session at all. Conclusion: The opinion of patients on the counselling service experience is not entirely satisfactory. There is need for closer attention to be paid to issues of counselling of the surgical patient in order to ensure the full benefits of the services rendered.

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Doctor to Patient Ratio and Infrastructure Gap in a Psychiatric Hospital in Oil Rich Eket, Nigeria

Abstract: Journal of Psychiatry AbstractBackground: In an oil rich city, profound shortfalls in the human resources and basic infrastructure, needed for adequate mental health care is dehumanizing and unacceptable.

Cited by 4 publications

References 18 publications

Channeling the Right Path-to-care: Improving Religious Leaders’ Knowledge and Beliefs about Suicide Prevention in South West Nigeria

Channeling the Right Path-to-care: Improving Religious Leaders’ Knowledge and Beliefs about Suicide Prevention in South West Nigeria

The Challenges and Opportunities for Mental Health Twin Research in Nigeria

Informed Consent in Surgical Practice in Port Harcourt: How Informed are the Patients?

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