Journal of Medicine, Nursing and Public health

Patient-Related Factors Associated with Non-Adherence to Psychotropic Medication among Patients with Mental Disorders attending Clinic Follow-Up at Mathari National Hospital, Nairobi City County, Kenya

Makau Ruth Mwikali — 2025-03-13

Non-adherence to psychotropic medication among persons with mental disorders prevents the sick persons from getting the full advantages of medication which affects them and their families negatively besides putting unnecessary pressure on the already overstretched health care system. Recent research findings show that non-adherence is a worldwide phenomenon among mentally sick persons leading to poorer outcomes such as increased hospital admissions, suicides, and deaths. This study aimed to examine patient-related factors associated with non-adherence to psychotropic medication among patients with mental disorders. This research employed a descriptive cross-sectional design. A total of 230 respondents were identified through simple random sampling in that all patients with a history of missing drug therapy as documented in the clinic notes or observed by the referring clinician were included. The correlation analysis results revealed that economic status and family support had a significant negative association with non-adherence to psychotropic medication. Moreover, side effects, beliefs and perceptions, and comorbidity had a significant positive association with non-adherence to psychotropic medication among follow-up patients with psychiatric disorders at Mathari National Teaching and Referral Hospital. Regression results indicated that comorbidity had a significant positive effect on non-adherence; while family support had a significant negative effect on non-adherence to psychotropic medication among follow-up patients with psychiatric disorders at Mathari National Teaching and Referral Hospital. The families of patients with mental disorders should continually support them in their recovery journey and particularly encourage them to keep taking the treatment as instructed.

Utilization of HIV Testing and Counseling Services by Teenage Pregnant Girls in Selected Health Facilities in Kilifi, Kenya

Caroline Lillo Mramba — 2025-03-03

Despite worldwide advancements in health, many countries still face challenges regarding population health, chiefly due to the HIV/AIDS pandemic. AIDS-related illnesses are a leading cause of death among females aged 15-49, with younger individuals at a higher risk globally. HIV Testing Services (HTS) are crucial for managing AIDS, yet few youths are aware of their HIV status. A study in Kilifi found that out of 1,912 teenagers tested for HIV, 1,041 were enrolled in ART. This study aimed to determine the utilization of HIV testing and counseling services by pregnant teenage girls from selected health facilities in Kilifi County. An analytical cross-sectional study design was employed to assess HTS utilization among pregnant girls aged 13-19. Data were collected using a standard questionnaire from 250 participants, with categorical variables reported as counts and percentages. Chi-square was used to determine practices associated with utilization of HIV testing and counseling services was conducted using logistic regression models. Timely utilization of HTS within the recommended 12 weeks of pregnancy was reported by 81 (32.4%). Factors affecting timely HTS utilization included living more than 5 km from the facility (chi-square=16.5, P<0.001), source of income as casual or salaried employment (chi-square=11.4, P=0.02), and awareness that one should be tested while pregnant, which was linked to lower odds of timely HTS use (COR 0.36 (95% CI 0.14–0.90), P=0.03). The study concludes that teenage pregnant girls did not utilize the HTS within the recommended period of 1^st trimester (32.4%) as per the MOH guidelines in Kenya. There were missed opportunities for testing for HIV bringing a gap in achieving 100% testing at the ANC level. This conclusion could be attributed to factors such as income and distance to the facilities as being a contributor to the low utilization of HTS.