ReviewSubstance abuse treatment, prevention, and policy2020
A review of the public sector substance use disorder treatment and prevention systems in Kenya.
Review in Substance abuse treatment, prevention, and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Pilot Study to Evaluate the Feasibility & Acceptability of a Peer-mentor Delivered Substance Use Screening and Brief Intervention for Adolescents in Kenya
Exploring the Clinical Trial Journey of Patients in Substance Abuse Disorder Clinical Trials
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Treatment outcomes for substance use disorders across the African continent: a systematic review.BMC psychology · 2025Pooled it
- Trial
- A qualitative pilot study exploring the acceptability of a peer provider delivered substance use brief intervention from the perspective of youth in Kenya.Substance abuse treatment, prevention, and policy · 2025Trial
- Global practices in adapting cognitive behavioral therapy for ethnoracial populations with substance use disorders: a scoping review of adaptation strategies, treatment outcomes, and geographic gaps.International journal of mental health systems · 2026Article
- Service user and healthcare-worker perspectives on Substance Use Disorder treatment journeys, relapse, and recovery in Sub-Saharan Africa: Evidence from Uganda.PLOS global public health · 2026Article
- Preliminary effectiveness of the youth empowerment digital intervention (YEDI): A pilot clustered community study of a group cognitive behavioral therapy intervention with digital reinforcement among youth in Kenya's informal settlements.Global mental health (Cambridge, England) · 2026Article
- A socioecological examination of father alcohol use in Kenya: Motivation, consequences, and barriers to care.Global public health · 2025Article
- Intimate partner sexual violence is associated with unhealthy alcohol use among Kenyan women engaged in sex work.Drug and alcohol dependence reports · 2025Article
- Substance use among healthcare professionals: A cross-sectional study in Kenya.PLOS global public health · 2025Article
- A scoping review of substance use brief interventions in Africa.PLOS global public health · 2024Article
- Adapting a substance use screening and brief intervention for peer-delivery and for youth in Kenya.SSM. Mental health · 2023Article
- Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya.BMC public health · 2023Article
- Barriers and Facilitators to Father's Engagement in a Depression and Alcohol Use Intervention in Kenya: Father, Family, and Community Factors.International journal of environmental research and public health · 2023Article
- Mechanisms of change for a family intervention in Kenya: An Integrated Clinical and Implementation Mapping approach.Behaviour research and therapy · 2022Article
- Perceived and misperceived norms about khat and/or cannabis use among adults in southwest Uganda.The International journal on drug policy · 2022Article
- Building community-based helping practices by training peer-father counselors: A novel intervention to reduce drinking and depressive symptoms among fathers through an expanded masculinity lens.The International journal on drug policy · 2021Article
- Identifying Community-Sourced Implementation Strategies for Delivering a Task-Shared Mental Health Intervention for Fathers in Kenya.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe burden of substance use disorders in sub-Saharan Africa has been projected to increase by an estimated 130% by 2050. Despite this, little is known about the substance use disorder treatment and prevention systems in the region.
objectivesThe objective of this review is to describe the public sector substance use disorder treatment and prevention systems in Kenya guided by the World Health Organization health systems framework model, with the aim of informing decision-making.
methodsWe reviewed official government documents obtained from hand-searching the websites of relevant governmental organizations including: Ministry of Health, National Authority for the Campaign Against Alcohol and Drug Abuse, Parliament of Kenya, Ministry of Treasury & National Planning, National Law Reporting Council, Kenya National Bureau of Statistics, the National Non-Governmental Organization (NGO) Coordination Board and the 47 County Governments. We augmented those searches with official documents that the authors were aware of by virtue of being practitioners in the field. Draft and retired documents were excluded. The findings of the search are presented as a narrative review. DISCUSSION: The Mental Health Act 1989, the main legislative framework governing substance use disorder treatment and prevention, focuses on institutional care only. While there are only three public health facilities offering substance use disorder treatment in Kenya, several non-public sector actors are involved in SUD treatment and prevention activities. Unfortunately, there is limited cross-sector collaboration. The Ministry of Health has no specific budget for substance use disorder treatment and prevention, while the National Authority for the Campaign Against Alcohol and Drug Abuse has an annual resource gap of about US$ 5,000,000. The substance use disorder workforce in Kenya has not been characterized.
conclusionWe propose five key strategies for strengthening substance use disorder treatment and prevention systems in Kenya including: (1) Enactment of the Mental Health (Amendment) bill 2018. (2) Integration of substance use disorder treatment and prevention into primary health care to increase access to care. (3) Utilization of money from taxation of alcohol, tobacco and betting to increase funding for substance use disorder treatment and prevention. (4) Characterization of the substance use disorder workforce to inform planning. (5) Enhanced collaboration between the government and non-state actors in order to increase access to SUD treatment and prevention.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.