A retrospective data analysis of psychiatric cases in Hargeisa, Somaliland between 2019 and 2020

South African Journal of Psychiatry

Field Value
Title A retrospective data analysis of psychiatric cases in Hargeisa, Somaliland between 2019 and 2020
Creator Abdulrahman, Hassan Bousleiman, Stephanie Mumin, Mustafe Caqli, Ibrahim Hijaz, Baraa A. Gelaye, Bizu Fricchione, Gregory Chemali, Zeina
Subject Psychiatry global health; mental health; psychiatry; developing countries; Africa; Somaliland; dual residency programs; unmet need.
Description Background: In Somaliland, an estimated one person in every two households suffers from psychiatric disorders. Despite this, access to mental health care is limited because of shortages in facilities, human resources, funding and stigma.Aim: To present the proportion of psychiatric disorders encountered in outpatient psychiatry clinics.Setting: The University if Hargeisa (UoH), Hargesisa, Somaliland.Methods: De-identified data on patients accessing psychiatric care from doctor trainees in the dual psychiatry–neurology residency program at UoH from January 2019 to June 2020 were included in the analysis. The Institutional Review Board from UoH approved data collection and analysis. The most common psychiatric diagnoses were summarised overall and by sex and age.Results: A total of 752 patients were included in the analysis. Most were male (54.7%), with an average age of 34.9 years. The most common psychiatric diagnoses were schizophrenia (28.0%), major depressive disorder (MDD) (14.3%) and bipolar disorder type 1 (BD1) (10.5%). When stratified by sex, patients with schizophrenia and BD1 were more likely to be male (73.5% and 53.3%, respectively), and those with MDD were more likely to be female (58.8%). Trauma- and stressor-related disorders accounted for 0.4% of cases, while 0.8% of patients presented with substance use disorders (alcohol and khat), which is an underestimate of the widespread use in Somaliland.Conclusion: Additional research using structured clinical interviews is needed to determine the epidemiology of psychiatric disorders and promote policies aiming to decrease neuropsychiatric mortality and morbidity.Contribution: This work presents the first data collection related to neuropsychiatric disorders in Somaliland.
Publisher AOSIS
Date 2023-02-27
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — cross-sectional chart review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajpsychiatry.v29i0.1946
Source South African Journal of Psychiatry; Vol 29 (2023); 7 pages 2078-6786 1608-9685
Language eng
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https://sajp.org.za/index.php/sajp/article/view/1946/2854 https://sajp.org.za/index.php/sajp/article/view/1946/2855 https://sajp.org.za/index.php/sajp/article/view/1946/2856 https://sajp.org.za/index.php/sajp/article/view/1946/2857
Coverage Africa 2019-2020 Age, gender, diagnosis
Rights Copyright (c) 2023 Hassan Abdulrahman, Stephanie Bousleiman, Mustafe Mumin, Ibrahim Caqli, Baraa A. Hijaz, Bizu Gelaye, Gregory Fricchione, Zeina Chemali https://creativecommons.org/licenses/by/4.0