SOCIAL HEALTH PROTECTION AND CONTINUITY OF CARE FOR PATIENTS WITH SEVERE AND PERSISTENT MENTAL ILLNESSES A CASE STUDY OF GATSIBO DISTRICT.

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.