Health service utilization by patients with common mental disorder identified by the Self-Reporting Questionnaire in a primary care setting in Zomba, Malawi: A descriptive study. (August 2014)

• Record Type: Journal Article
• Authors: Udedi, Michael; Swartz, Leslie; Stewart, Robert C; Kauye, Felix
• Is Part Of: International journal of social psychiatry. Volume 60:Number 5(2014)
• Page Start: 454
• Page End: 461
• Publication Date: 2014-08
• Subjects: Common mental disorder -- depression -- health service utilization -- primary health care -- developing countries; Social psychiatry -- Periodicals; 362.205
• DOI: 10.1177/0020764013495527
• Languages: English
• ISSNs: 0020-7640

Abstract

Background: There has been no study carried out to assess health service utilization by people with common mental disorder (CMD) in Malawi. Aim: The aim of the study was to evaluate health service utilization patterns of patients with CMD in primary health care (PHC) clinics. Methods: The study was conducted in two PHC clinics in one of the 28 districts in Malawi. Face-to-face interviews with the Self-Reporting Questionnaire (SRQ-20) were conducted in a sample of 323 PHC attendees aged 18 years and older who attended the PHC clinics for any reason. Results: The prevalence of probable CMD in the sample was 20.1%. People with probable CMD had a higher mean number of health facility visits in the previous three months compared to those without probable CMD (1.6 vs 1.19, p = .02). Conclusion: The study reveals high utilization of health services for people with CMD in the PHC setting. There is a need for PHC workers to improve skills in diagnosing patients with CMD to make PHC services more effective by reducing re-attendance and improving patient outcomes.