Browsing by Author "Johnston, Anna"

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    Reaching the stigmatised: A 3-year retrospective analysis of the static and mobile mental health clinics of Nkhoma Mission Hospital in Lilongwe, Malawi
    (Kamuzu University of Health Sciences, 2021-01-05) Johnston, Anna
    Type of research study This is a retrospective analysis of data collected over a 3 year period. The problem to be studied This research will describe the demographic characteristics of patients attending both the static and mobile clinics of Nkhoma Mission Hospital, Lilongwe, Malawi. There will then be an analysis of the distances of the mobile clinics from the static clinic at Nkhoma Mission Hospital, Lilongwe. This will be demonstrated using mapping technology to create a visual representation of the distances. Analysis will then be carried out on the differences in the demographic characteristics of those attending both the static and mobile clinics. Broad Objective: To describe the individuals accessing Nkhoma Mission Hospital’s Mental Health Services and understand the implications of the geographical locations of the static clinic in Nkhoma Mission Hospital and the 12 associated mobile clinics from February, 2017 and September 2020. Specific Objectives: - To describe and understand the demographics of individuals attending the static and mobile mental health clinics of Nkhoma Mission Hospital, Lilongwe, Malawi. - To establish the distance between Nkhoma Mission Hospital and the 12 outreach clinics and calculate the time taken to travel to each of these clinics. - To use OSM mapping technology to demonstrate the geographical location of the mobile clinics in relation to the static clinic at Nkhoma Mission Hospital. - To determine whether the demographics affect the utilisation of either a mobile clinic or static clinic. - To analyse if, and how, the follow up of patients differs based on the geographical locations of the static and mobile clinics. Methodology This research is a quantitative study which involves the analysis of data which has already been collected. The data was collected as part of routine clinical data collection. The data will be anonymised for the purposes of this study analysis. Expected findings There is likely to be a variation in demographic characteristics of patients attending the different clinics. The static clinic will probably see a wider range of demographics, as there were 415 patients attending the one static clinic at Nkhoma, compared with a combined total of 495patients spread across the 12 mobile clinics. The use of mapping will provide a helpful visual representation which may be used in future by programme organisers when assessing delivery of services to populations living further from the main clinic at Nkhoma Hospital. It is expected that there will be significant differences in the follow up of patients based on whether they attended the static clinic at Nkhoma Hospital or mobile clinics in the surrounding areas. Dissemination of results The findings of the study will be shared with University of Dundee, Scotland and Nkhoma Mission Hospital, Malawi. The data analysis will be used in the researcher’s final dissertation, which will be submitted to the University of Dundee. This will form part of the researcher’s assessment for a Bachelor of Medical Sciences Degree in International Health. Results may be disseminated in peer review journals and presented at medical meetings.