Coping strategies, challenges and potential interventions among adult patients with HIV and mental illness comorbidity in southwestern Uganda.

Journal: Global public health

Volume: 19

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Nursing, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Pharmaceutical Science, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. Office of Research Administration, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Pharmacology and Vice Chancellor, Mbarara University of Science and Technology, Mbarara, Uganda. Department of Biochemistry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Abstract summary 

HIV and mental illness comorbidity presents significant healthcare challenges, especially in low- and middle-income countries where healthcare systems often address individual conditions rather than comorbidities. This results in poor coping, increased vulnerability and diminished health-related quality of life. This study investigated coping strategies, challenges and potential interventions for individuals with HIV-mental illness comorbidity in Southwestern Uganda. The study included purposively selected people with HIV and mental illnesses seeking care in health facilities across Southwestern Uganda. Data from in-depth, semi-structured interviews were transcribed verbatim and entered into ATLAS.ti-7 for analysis. Thematic analysis was employed, generating codes from the transcripts to develop themes. The data revealed three categories: coping strategies, challenges and potential interventions. Three key coping strategies emerged: conscious avoidance of emotional stressors, maintaining emotional stability through social interactions and reliance on prayer. Challenges included social isolation, financial crises, vulnerability to abuse and medication management issues. Respondents recommended scaling up mass educational programmes to increase awareness of causes, preventive measures and association between the two comorbidities, together with implementing financial aid initiatives as viable interventions. These findings highlight the importance of addressing comorbidities together for improved emotional stability and underscore the value of the proposed potential interventions for healthcare systems and policymakers.

Authors & Co-authors:  Katugume Prosper P Namukowa John Bosco JB Nankunda Oliver O Muhwezi Trevor James TJ Namaseruka Ruth R Wakida Edith K EK Obua Celestino C Kakongi Nathan N

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  8
Identifiers
Doi : 10.1080/17441692.2024.2372802
SSN : 1744-1706
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Coping strategies;HIV-mental illness;SDG 10: Reduced inequalities;SDG 15: Life on land;SDG 1: No poverty;SDG 3: Good health and well-being;SDG 5: Gender equality;challenges;comorbidity;potential interventions
Study Design
Study Approach
Country of Study
Uganda
Publication Country
England