Abstract:
This study aimed at assessing the effect of social health protection on continuity of care for
patients with severe and persistent mental illnesses in Gatsibo district. As a cross-sectional
study, it used both qualitative and quantitative approaches, with a population of 922. Stratified
random sampling was adopted by the study. Documentation, questionnaire, and interview
techniques were used as methods of data collection and both thematic and statistical analysis
using SPSS software were used to analyze both qualitative and quantitative data. The study
reveals significant correlations between continuity of care for Severe and Persistent Mental
Illness (SPMI) patients and various factors. Firstly, a positive and statistically significant
correlation exists between funding allocation and continuity of care, signifying that increased
funding for mental health services is associated with improved care continuity. Secondly, a
similar positive correlation is observed between the size of the mental health workforce and
continuity of care, indicating that a greater number of trained professionals enhances care
continuity. Thirdly, a strong positive correlation exists between continuity of care and the
presence of stigma reduction initiatives, suggesting that effective stigma reduction programs are
linked to better care continuity. Lastly, there is a strong positive correlation between continuity
of care and the integration of support programs, implying that well-integrated community
support and rehabilitation programs contribute to higher care continuity for SPMI patients.
These findings emphasize the multifaceted nature of factors influencing care continuity and
underscore the importance of funding, workforce, stigma reduction, and program integration in
mental health service delivery. In conclusion, the study offers valuable insights into the
effectiveness of social health protection mechanisms for individuals with Severe and Persistent
Mental Illness (SPMI) in Gatsibo District. The findings reveal a mixed but generally positive
perception among respondents.
