PATHWAYS TO CARE AMONG PATIENTS WITH MENTAL ILLNESS AT USMANU DANFODIYO UNIVERSITY TEACHING HOSPITAL, SOKOTO, NIGERIA.

Abstract

Background: The first line of care is a paramount stage in the management of the mentally ill persons. In Nigeria, traditional and faith-based healers compete with medical professionals in providing care.

Aim: Pathway to care among patients with Mental Illness at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.

Materials and methods: The characteristics of the patients and their pathways to care were assessed using a questionnaire specifically designed by the researchers, based on previous studies. A total of 270 participants were recruited over three months using a convenience sampling technique. Data analysis was performed using SPSS version 25. Chi-square tests were applied to examine associations, with significance set at P-values less than 0.05. Binary logistic regression was used to identify determinants of the pathway to care.

Results: A Few respondents (15.9%) had consulted a psychiatrist and at least 3.6 (SD ± 6.0) non-medical healers were consulted before seeing a psychiatrist. There was a statistically significant association between the pathway to care and the level of education (p = 0.047), ethnicity (p = 0.001), religion (p < 0.001), diagnosis (p = 0.002), and family history of mental illness (p = 0.002). However, religion, family history of mental illness, and diagnosis emerged as determinants of the pathway to care.

Conclusion: The use of alternative medicine in the management of mentally ill persons is still more common than orthodox care in our environment, highlighting the need for further advocacy.