肯尼亚乌干达县物质使用治疗设施的描述性调查。

A descriptive survey of substance use treatment facilities in Uasin Gishu County Kenya.

机构信息

Moi Teaching & Referral Hospital, P.O. BOX 3-30100, Eldoret, Kenya.

Department of Internal Medicine, Indiana University, Bloomington, USA.

出版信息

BMC Health Serv Res. 2022 May 14;22(1):645. doi: 10.1186/s12913-022-08051-w.

DOI:10.1186/s12913-022-08051-w

PMID:35568902

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9107223/

Abstract

BACKGROUND

Substance use disorders are a major problem in Uasin Gishu County, Kenya. The objective of this study was to describe the existing resources within substance use treatment facilities in the County, with the aim of guiding policy and interventions.

METHODS

This was a cross-sectional study. We collected data from six substance use treatment facilities within Uasin Gishu County between August and November 2021. We used a researcher-designed questionnaire to collect information on: availability of in-patient and out-patient services; facility ownership (private-for-profit vs government-run); bed capacity; mode of payment for services; cost of services; availability of medicines for substance use treatment; and staffing characteristics. Descriptive statistics were used to summarize the data.

RESULTS

One facility was run by the National government and the rest were private-for-profit. Uasin Gishu County government had no substance use treatment facility of its own. The total number of beds available within the six facilities was 174 against a population of 1.1 million. All six facilities had stocked at least one medication for substance use disorder treatment. None of the facilities had buprenorphine, buprenorphine naloxone, or methadone. Out-of pocket was the most common mode of payment for services with patients paying using this mode in all the six facilities. Only one facility was accredited by the National Hospital Insurance Fund (NHIF). All facilities had at least one certified addiction counselor and at least one psychologist. Half of the facilities did not have a nurse and two did not have a doctor. The qualification held by most staff was addiction counseling with 41.3% of them having achieved this qualification.

CONCLUSION

The facilities were well staffed with psychologists and addiction counselors. Gaps were found as regards bed capacity, use of pharmacotherapy, insurance coverage and availability of nursing staff and doctors. We recommend that the County government in collaboration with key stakeholders invests in substance use treatment in order to address the high burden of substance use disorders in Uasin Gishu County.

摘要

背景

物质使用障碍是肯尼亚乌干达县的一个主要问题。本研究的目的是描述该县物质使用治疗设施中的现有资源，旨在为政策和干预措施提供指导。

方法

这是一项横断面研究。我们于 2021 年 8 月至 11 月期间从乌干达县的 6 个物质使用治疗设施中收集数据。我们使用研究人员设计的问卷收集以下信息：住院和门诊服务的可用性；设施所有权（私营盈利与政府运营）；床位容量；服务支付方式；服务费用；用于物质使用治疗的药物的可用性；人员配备特征。使用描述性统计对数据进行总结。

结果

有 1 个设施由国家政府运营，其余为私营盈利。乌干达县政府没有自己的物质使用治疗设施。6 个设施中共有 174 个床位，而人口为 110 万。这 6 个设施都至少储备了一种用于物质使用障碍治疗的药物。没有一个设施有丁丙诺啡、丁丙诺啡纳洛酮或美沙酮。自费是最常见的服务支付方式，所有 6 个设施的患者都通过这种方式付费。只有一个设施通过了国家医院保险基金 (NHIF) 的认证。所有设施都至少有一名认证的成瘾咨询师和至少一名心理学家。一半的设施没有护士，两个设施没有医生。大多数工作人员的资格是成瘾咨询，其中 41.3%的人获得了这一资格。