Evidence map›Paper›PMID 35568902›Full record

ArticleBMC health services research2022

A descriptive survey of substance use treatment facilities in Uasin Gishu County Kenya.

Florence Jaguga, Matthew Turissini, Julius Barasa, Mercy Kimaiyo, Joash Araka, Lily Okeyo, Edith Kwobah

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Florence JagugaMoi Teaching & Referral Hospital, P.O. BOX 3-30100, Eldoret, Kenya. flokemboi@gmail.com.
Matthew TurissiniDepartment of Internal Medicine, Indiana University, Bloomington, USA.
Julius BarasaAcademic Model Providing Access to Healthcare, PO BOX 4606, Eldoret, Kenya.
Mercy KimaiyoAcademic Model Providing Access to Healthcare, PO BOX 4606, Eldoret, Kenya.
Joash ArakaAcademic Model Providing Access to Healthcare, PO BOX 4606, Eldoret, Kenya.
Lily OkeyoAcademic Model Providing Access to Healthcare, PO BOX 4606, Eldoret, Kenya.
Edith KwobahMoi Teaching & Referral Hospital, P.O. BOX 3-30100, Eldoret, Kenya.
AMPATH · KEMoi University · KEIndiana University Bloomington · US

Funding

Astellas Global Health Foundation 421
6 · The paper itself

Abstract

backgroundSubstance use disorders are a major problem in Uasin Gishu County, Kenya. The objective of this study was to describe the existing resources within substance use treatment facilities in the County, with the aim of guiding policy and interventions.

methodsThis was a cross-sectional study. We collected data from six substance use treatment facilities within Uasin Gishu County between August and November 2021. We used a researcher-designed questionnaire to collect information on: availability of in-patient and out-patient services; facility ownership (private-for-profit vs government-run); bed capacity; mode of payment for services; cost of services; availability of medicines for substance use treatment; and staffing characteristics. Descriptive statistics were used to summarize the data.

resultsOne facility was run by the National government and the rest were private-for-profit. Uasin Gishu County government had no substance use treatment facility of its own. The total number of beds available within the six facilities was 174 against a population of 1.1 million. All six facilities had stocked at least one medication for substance use disorder treatment. None of the facilities had buprenorphine, buprenorphine naloxone, or methadone. Out-of pocket was the most common mode of payment for services with patients paying using this mode in all the six facilities. Only one facility was accredited by the National Hospital Insurance Fund (NHIF). All facilities had at least one certified addiction counselor and at least one psychologist. Half of the facilities did not have a nurse and two did not have a doctor. The qualification held by most staff was addiction counseling with 41.3% of them having achieved this qualification.

conclusionThe facilities were well staffed with psychologists and addiction counselors. Gaps were found as regards bed capacity, use of pharmacotherapy, insurance coverage and availability of nursing staff and doctors. We recommend that the County government in collaboration with key stakeholders invests in substance use treatment in order to address the high burden of substance use disorders in Uasin Gishu County.

Indexed as

Local GovernmentSubstance-Related DisordersCross-Sectional StudiesHumansKenyaSurveys and QuestionnairesFacilitiesKenyaSubstance useTreatment

Identifiers

PMID35568902
PMCPMC9107223
OpenAlexW4280541996

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.