Cited by 10Substance Abuse Treatment and OutcomesMental Health Treatment and AccessHomelessness and Social Issues

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

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

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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.

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Crossref · 10.1186/s12913-022-08051-w

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Cites

Research works printed but not linked: 2

  1. WHO. ‘Best Buys’ and Other Recommended Interventions for the Prevention and Control of Noncommunicable Diseases; “the updated Appendix 3 of the WHO Global NCD Action Plan 2013–2020”. WHO Glob NCD Action Plan 2013–2020. 2017;2017:65–70.
  2. Ministry Of Health. The national protocol for treatment of substance use disorders in Kenya 2017. Natl Protoc Treat Subst Use Disord kenya. 2017;2017:3–4.

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Metadata

Authors
Jaguga, F., Turissini, M., Barasa, J., Kimaiyo, M., Araka, J., Okeyo, L., & Kwobah, E.
Affiliations
  • Indiana University Bloomington (US)
  • AMPATH (KE)
Corresponding author
Jaguga, Florence
Venue
BMC Health Services Research
Published
2022-05-14
Volume
22
Issue
1
Pages
645-645
ISSN
1472-6963 (ISSN-L)
OpenAlex
W4280541996
Cited by
10
References
12
Citations by year
2025: 3 · 2024: 4 · 2023: 3
FWCI
1.80
Type
journal article
Language
en
Open access
Locations
  • BMC Health Services Research (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Astellas Global Health Foundation (421)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Keywords
substance use disorders, addiction services, buprenorphine, methadone, out-of-pocket costs, health insurance coverage, facility staffing, Uasin Gishu County
MeSH terms
Cross-Sectional Studies, Humans, Kenya, Local Government, Surveys and Questionnaires, Substance-Related Disorders

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