Abstract

ABDULRAHMAN, Hassan et al. A retrospective data analysis of psychiatric cases in Hargeisa, Somaliland between 2019 and 2020. S. Afr. j. psyc. [online]. 2023, vol.29, n.1, pp.1-7. ISSN 2078-6786.  http://dx.doi.org/10.4102/sajpsychiatry.v29i0.1946.

BACKGROUND: In Somaliland, an estimated one person in every two households suffers from psychiatric disorders. Despite this, access to mental health care is limited because of shortages in facilities, human resources, funding and stigma AIM: To present the proportion of psychiatric disorders encountered in outpatient psychiatry clinics SETTING: The University if Hargeisa (UoH), Hargesisa, Somaliland METHODS: De-identified data on patients accessing psychiatric care from doctor trainees in the dual psychiatry-neurology residency program at UoH from January 2019 to June 2020 were included in the analysis. The Institutional Review Board from UoH approved data collection and analysis. The most common psychiatric diagnoses were summarised overall and by sex and age RESULTS: A total of 752 patients were included in the analysis. Most were male (54.7%), with an average age of 34.9 years. The most common psychiatric diagnoses were schizophrenia (28.0%), major depressive disorder (MDD) (14.3%) and bipolar disorder type 1 (BD1) (10.5%). When stratified by sex, patients with schizophrenia and BD1 were more likely to be male (73.5% and 53.3%, respectively), and those with MDD were more likely to be female (58.8%). Trauma- and stressor-related disorders accounted for 0.4% of cases, while 0.8% of patients presented with substance use disorders (alcohol and khat), which is an underestimate of the widespread use in Somaliland CONCLUSION: Additional research using structured clinical interviews is needed to determine the epidemiology of psychiatric disorders and promote policies aiming to decrease neuropsychiatric mortality and morbidity CONTRIBUTION: This work presents the first data collection related to neuropsychiatric disorders in Somaliland

Keywords : global health; mental health; psychiatry; developing countries; Africa; Somaliland; dual residency programs; unmet need.

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