Ghana medical journal最新文献

{"title":"Retraction of published article.","authors":"William Kudzi","doi":"10.4314/gmj.v57i3.15","DOIUrl":"10.4314/gmj.v57i3.15","url":null,"abstract":"","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"257"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping with the economic burden of non-communicable diseases among hypertensive and diabetic patients in private and public health facilities in Ado-Ekiti, Nigeria.","authors":"Tope M Ipinnimo, Motunrayo T Ipinnimo, Ayodele K Alabi, Taiwo H Buari, Esther O Ajidahun, Olanrewaju K Olasehinde, Oluwadare M Ipinnimo, John O Ojo","doi":"10.4314/gmj.v57i3.9","DOIUrl":"10.4314/gmj.v57i3.9","url":null,"abstract":"<p><strong>Objective: </strong>To assess and compare how private and public health facilities patients cope with the economic burden of non-communicable diseases.</p><p><strong>Design: </strong>Comparative cross-sectional study.</p><p><strong>Setting: </strong>Thirty-nine private and eleven public health facilities in Ado-Ekiti, Nigeria.</p><p><strong>Participants: </strong>Three hundred and forty-eight (Private:173; Public:175) patients with hypertension or diabetes, or both were recruited.</p><p><strong>Main outcome measures: </strong>Specific coping methods and numbers of coping strategies used by participants, as well as the perceived ability of participants to cope with the economic burden of non-communicable diseases.</p><p><strong>Results: </strong>Majority of participants paid through out-of-pocket (OOP) than through health insurance(HI) (Private:OOP:90.2% HI:9.8%; Public:OOP:94.3% HI:5.7%; p=0.152). More participants in private used instalment payments(p<0.001). However, other coping strategies showed no significant difference in both groups(p>0.05). Delayed treatment (Private:102; Public:95) was the most used strategy in both arms, and the number of strategies used by the participants showed no significant difference(p=0.061). Lower levels of education, out-of-pocket payment, increasing number of clinic visits, and hospital admission were associated with the use of higher numbers of coping strategies in both groups while being female and retired/unemployed were associated with the private arm.</p><p><strong>Conclusion: </strong>Although most patients in both groups pay out-of-pocket and use detrimental coping strategies, more patients in private arm use instalment payment, a non-detrimental method. Healthcare providers, especially public providers, should adopt policies encouraging patients to use non-detrimental coping strategies to meet their healthcare expenditures.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"218-225"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood pressure and electrocardiographic profile of children with sickle cell anaemia in steady-state and vaso-occlusive crisis.","authors":"Adewuyi T Adeniyi, Samuel A Adegoke, Oladele S Olatunya, Adefunke O Babatola, Adebukola B Ajite, Ezra O Ogundare, Isaac O Oluwayemi, Adedolapo A Abe-Dada, John A O Okeniyi","doi":"10.4314/gmj.v57i3.4","DOIUrl":"10.4314/gmj.v57i3.4","url":null,"abstract":"<p><strong>Objective: </strong>To compare the cardiovascular features of patients with sickle cell anaemia (SCA) in steady-state with those in vaso-occlusive crisis (VOC) at the Wesley Guild Hospital (WGH).</p><p><strong>Design: </strong>A descriptive cross-sectional, matched, case-control study among children with SCA at the WGH, a tertiary health facility in southwest Nigeria.</p><p><strong>Setting: </strong>The participants were recruited from the children's emergency unit and paediatric haematology clinic of the WGH.</p><p><strong>Participants: </strong>Consisted of 93 children with VOC (cases) and 93 age and sex-matched in steady state (controls), aged 5 - 15 years.</p><p><strong>Main outcome measures: </strong>Cardiovascular parameters, including pulse rate, blood pressure, and electrocardiographic profile, were assessed and compared using the appropriate statistical tests.</p><p><strong>Results: </strong>The mean (SD) age of the cases and controls were 8.8 (3.2) years and 9.0 (3.1) years, respectively (p= 0.106). There was no significant difference in the mean height of the groups. The mean pulse rate, diastolic, systolic, and mean arterial pressures were significantly higher in the cases than in the controls. A significantly higher proportion of the cases than the controls also had a higher frequency of heart blocks, prolonged QTc interval, ST elevation or depression, and T wave abnormality (p = 0.018, 0.039, 0.041, 0.009, respectively). The prevalence of chamber enlargements was not significantly different between the two groups.</p><p><strong>Conclusion: </strong>Cardiovascular dysfunction is worse during VOC when compared with steady state. Physicians should look for these dysfunctions in SCA children with VOC to reduce mortality from the disease.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"183-190"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical presentation, radiographic findings, and treatment outcomes in children with adenoid hypertrophy in a paediatric outpatient clinic in Enugu, Nigeria.","authors":"Ijeoma O Ohuche, Nneka I Iloanusi, Chinedu M Dike, Ethel N Chime","doi":"10.4314/gmj.v57i3.7","DOIUrl":"10.4314/gmj.v57i3.7","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the clinical presentation, imaging features and outcomes of children with adenoid hypertrophy in our setting.</p><p><strong>Design: </strong>A retrospective study.</p><p><strong>Setting: </strong>The paediatric clinic of a private hospital in Enugu.</p><p><strong>Participants: </strong>51 children, aged 2 to 108 months, with suggestive clinical features and radiographic report of adenoid hypertrophy who presented over 3 years.</p><p><strong>Interventions: </strong>Clinical information was obtained from the patient's medical records. Data was analysed for the clinical characteristics of the patients, the relationship between the degree of airway narrowing on a postnasal space (PNS) radiograph and treatment outcomes.</p><p><strong>Main outcome measures: </strong>Degree of airway narrowing as measured on a PNS radiograph, the type of and outcomes of treatment.</p><p><strong>Results: </strong>There was an almost equal male (54.7%): female (45.1%) ratio in the occurrence of adenoid hypertrophy, with a mean age of occurrence of 31.50 ± 3.64 months. Noisy breathing was the commonest symptom (94.1%); history of atopic rhinitis in 64.7% of cases and hyperactive airway disease in 45.1% more than 50% of cases with airway narrowing resolved with medical management only.</p><p><strong>Conclusion: </strong>Adenoid hypertrophy should be considered in evaluating the upper airway in children under five. Paediatricians should be conversant with diagnosing and managing this common cause of upper airway obstruction.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"204-209"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for chronic obstructive pulmonary disease (COPD) in a tertiary health institution in Lagos, Nigeria.","authors":"Obianuju B Ozoh, Sandra K Dede, Ogochukwu A Ekete, Oluwafemi O Ojo, Michelle G Dania","doi":"10.4314/gmj.v57i3.3","DOIUrl":"10.4314/gmj.v57i3.3","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical characteristics and identifiable risk factors for Chronic Obstructive Pulmonary Disease (COPD) in a real-world clinical setting.</p><p><strong>Design: </strong>Cross-sectional study among patients with COPD.</p><p><strong>Setting: </strong>The Respiratory clinic of the Lagos University Teaching Hospital.</p><p><strong>Participants: </strong>Consecutive patients with spirometry confirmed COPD on follow-up for ≥3 months. There were 79 participants.</p><p><strong>Intervention: </strong>None.</p><p><strong>Main outcome measure: </strong>COPD risk factors, disease severity, comorbidities, and the severity of airflow limitation.</p><p><strong>Results: </strong>The mean age of the participants was 63.3± 12.4 years, and 47 (59.5) were male. There was a high symptom burden (73.4% had COPD assessment test (CAT) score >10), 33 (41.8%) and 4 (5.1%) had GOLD 3 and GOLD 4 airflow limitation, respectively. Risk factors were identified for 96.2% of the participants: history of asthma in 37 (46.8%), tobacco smoking 22 (27.8%), occupational exposure 15 (19%), biomass exposure 5 (6.6%), post-tuberculosis 3 (3.8%), old age (3.8%), and prematurity 1 (1.3%). Fifty-nine (74.7%) had Asthma COPD Overlap (ACO). There were no significant associations between the risk factors and disease severity. Participants with ACO had lower lung function and a high frequency of allergic rhinitis.</p><p><strong>Conclusion: </strong>Asthma was the most commonly identifiable risk factor for COPD, underscoring asthma risk reduction and management optimisation as priorities toward COPD burden mitigation. Future studies need to validate these findings and identify the predominant COPD phenotypes in our setting.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"175-182"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An audit of prescribing pattern of anti-epileptic drugs with its effect on therapeutic drug levels and seizure control at a tertiary care public hospital.","authors":"Renuka Munshi, Chaitali Pilliwar, Miteshkumar Maurya","doi":"10.4314/gmj.v57i3.5","DOIUrl":"10.4314/gmj.v57i3.5","url":null,"abstract":"<p><strong>Objective: </strong>The study objective was to evaluate the prescription pattern and use of anti-seizure medications (ASMs) in patients with a seizure disorder and to evaluate if a change in the ASM dose had a beneficial effect on seizure control, observed through Therapeutic Drug Monitoring [TDM] level of ASMs.</p><p><strong>Methods: </strong>Details of anti-seizure medications with their therapeutic levels in the blood of patients with seizure disorder were analysed.</p><p><strong>Design: </strong>Hospital-based retrospective analysis of patient case records.</p><p><strong>Settings: </strong>Therapeutic Drug Monitoring OPD of a tertiary care public teaching hospital.</p><p><strong>Participants: </strong>Case records of 918 patients with seizure disorder from 2016-2021.</p><p><strong>Results: </strong>Data of men (53%) and women (47%) aged between 18-75 years was assessed About 62% (566/918) of patients were on levetiracetam, the most frequently prescribed anti-seizure medication. Whenever the ASMs dose was increased or decreased based on TDM levels, it was associated with a significant increase in the frequency of break-through seizures [OR- 5 (95% CI: 1.28-19.46)]. However, significant seizure control was observed when the patients were on the same maintenance dose of the anti-seizure medication [OR- 0.2 (95% CI: 0.06-0.63)]. Whenever an additional new anti-epileptic drug was prescribed or removed from the pre-existing anti-epileptic medications, it did not significantly impact seizure control.</p><p><strong>Conclusion: </strong>Individualising drug therapy and therapeutic drug monitoring for each patient, along with patient factors such as medication compliance, concomitant drug and disease history, and pharmacogenetic assessment, should be the ideal practice in patients with seizures for better seizure control.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"191-197"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring prostate cancer screening among men in Accra using the health belief model.","authors":"Isaac M Boafo, Peace M Tetteh, Rosemond A Hiadzi","doi":"10.4314/gmj.v57i3.10","DOIUrl":"10.4314/gmj.v57i3.10","url":null,"abstract":"<p><strong>Objective: </strong>To explore the prevalence of prostate cancer screening among Ghanaian men and interrogate why some individuals screen for the disease and others do not.</p><p><strong>Design: </strong>A cross-sectional questionnaire survey based on the Health Belief Model was used to collect data from 356 men aged 40 years and above. Data were collected between February and March 2021.</p><p><strong>Setting: </strong>The study was conducted in the Accra metropolitan area of the Greater Accra region of Ghana.</p><p><strong>Participants: </strong>Convenience sampling was used to recruit participants for the study.</p><p><strong>Results: </strong>Although 86% of the respondents had heard about prostate cancer, only 23% had ever screened for it. Logistic regression analysis suggested that knowledge of the disease (OR = 1.19, CI 95% = 1.03 -1.38) and barriers to screening (OR = .87, CI 95% = .83 -.91) were statistically significant predictors of screening behaviour.</p><p><strong>Conclusion: </strong>HBM has limited predictive power as far as our study is concerned. We suggest increasing public education on prostate cancer and its screening methods. The cost of screening should also be made more affordable so as not to become a barrier.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"226-233"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intracranial aneurysms in Ghanaian adults.","authors":"Benjamin D Sarkodie, Bashiru B Jimah, Abdullah H Mohammed, Albert Akpalu, Edmund K Brakohiapa, Dorothea Anim, Benard O Botwe","doi":"10.4314/gmj.v57i3.13","DOIUrl":"10.4314/gmj.v57i3.13","url":null,"abstract":"<p><strong>Objective: </strong>To document the location, size, and multiplicity of intracranial aneurysms in Ghanaians who have undergone digital subtraction angiography (DSA) at a single centre in Accra, Ghana.</p><p><strong>Design: </strong>We conducted a retrospective observational review of the medical records of all patients diagnosed with intracranial aneurysms on DSA.</p><p><strong>Setting: </strong>Patients' medical records at Euracare Advanced Diagnostic and Heart Centre were reviewed between March 2018 and March 2020.</p><p><strong>Participants: </strong>Thirty-one patients were identified with various intracranial aneurysms (IAs) within the study period. Patients' ages, sex, and types of IAs were extracted using a checklist and analysed using Microsoft Excel for Windows 2016.</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcome measures: </strong>The prevalence of types and distribution of intracranial aneurysms.</p><p><strong>Results: </strong>The age range of the patients was 26-76 years, with a mean age of 45.5±14.3 years. The mean age of men and women with IA was 45.5 ±15.9 years and 46.7 51.3±12.9 years, respectively. The most common IAs were located in the posterior communicating artery (PCOM) at 54.8% (95%CI: 36.0, 72.7), followed by the anterior communicating (ACOM), which constituted 32.3% (95%CI: 16.7, 51.4). The majority, 89.2% (33/37) of these aneurysms were less than 7mm in diameter. Single aneurysms were present in 25 (80.6%).</p><p><strong>Conclusion: </strong>The most common IAs were found in the PCOM and ACOM, and IAs tend to rupture at a younger age and smaller size among the Ghanaian adults examined. Early detection and treatment of IAs less than 7mm in diameter is recommended.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"57 3","pages":"250-255"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141494777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to antimalarial drug policy among doctors in Delta State, Nigeria: implications for malaria control.","authors":"Irikefe P Obiebi","doi":"10.4314/gmj.v53i2.5","DOIUrl":"https://doi.org/10.4314/gmj.v53i2.5","url":null,"abstract":"<p><strong>Background: </strong>Malaria is a public health problem compounded with a widespread emergence of drug-resistant Plasmodium falciparum which necessitated the formulation of a new antimalarial drug policy (AMP).</p><p><strong>Objective: </strong>This study was designed to assess adherence to the policy among physicians in health facilities in Delta state, Nigeria.</p><p><strong>Design: </strong>Cross-sectional, analytic study. Data were collected with a semi-structured questionnaire.</p><p><strong>Setting: </strong>Two secondary and one tertiary health facilities in Delta State, Nigeria.</p><p><strong>Participants: </strong>Physicians selected with a simple random technique from the facilities.</p><p><strong>Main outcome measures: </strong>Prescribing pattern of antimalarial drugs and adherence to WHO treatment guideline among doctors.</p><p><strong>Results: </strong>Majority (90.8%) of respondents believed the antimalarial policy (AMP) should be strictly adhered to, although three-fifth (61.0%) of them rated its performance as poor. The level of adherence to the national antimalarial drug policy was high (78.5%) as most doctors prescribed Arthemeter-Lumefantrine, AL for uncomplicated malaria however barely two-fifth (35.4%) adhered to prescribing injectable Artesunate for complicated malaria. AL, (71.9%) was the most prescribed antimalarial drug for uncomplicated malaria The most prescribed antimalarial drugs for complicated malaria was artesunate (40.0%) followed by quinine (27.6%) and artemether (26.7%); although, chloroquine was also prescribed.</p><p><strong>Conclusion: </strong>The level of adherence to AMP among doctors was sub-optimal. Continuous education of doctors on the new AMP is needed to achieve malarial control.</p><p><strong>Funding: </strong>No funding was received for this study.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"53 2","pages":"109-116"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/gmj.v53i2.5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative assessment of quality of life of patients with schizophrenia attending a community psychiatric centre and a psychiatric hospital.","authors":"Victoria I Elegbede, Adetunji Obadeji, Timothy O Adebowale, Lateef O Oluwole","doi":"10.4314/gmj.v53i2.3","DOIUrl":"10.4314/gmj.v53i2.3","url":null,"abstract":"<p><strong>Background: </strong>Over the past few decades, there has been an emphasis on the de-institutionalisation of psychiatric care with a focus on community care. With Quality of Life (QoL) as an outcome measure, this study compared the QoL of patients with schizophrenia attending a psychiatric hospital and a community psychiatric centre.</p><p><strong>Design: </strong>This was a cross-sectional study in two psychiatric facilities.</p><p><strong>Methods: </strong>Data were obtained through a socio-demographic and clinical questionnaire; the QoL was assessed with the WHOQOL-BREF and patient satisfaction with care with CPOSS. Total and domain scores of WHOQOL-BREF for each group were calculated and compared with each other and other group characteristics. Diagnosis of schizophrenia was based on ICD-10.</p><p><strong>Results: </strong>Participants from the two centres did not differ significantly on any of the socio-demographic characteristics measured. Similarly, there was no significant difference in their overall mean WHOQOL-BREF scores as well as the mean WHOQOL-BREF of domain scores. However, the married and females from both centres significantly had higher mean WHOQOL-BREF scores than their male counterparts. Patients in remission for more than two years or those on a single type of medication (either oral or depot preparation) from both centres significantly had higher mean WHOQOL-BREF score compared with those who had less than two years of remission or on both oral and depot preparations.</p><p><strong>Conclusion: </strong>Overall QoL of patients managed at the two centres was comparable, with similar socio-demographic as well as clinical variables influencing QoL. This suggests that patients with schizophrenia can be well managed at community psychiatric centres.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":94319,"journal":{"name":"Ghana medical journal","volume":"53 2","pages":"92-99"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}