Publications by authors named "Emmanuel Musoni-Rwililiza"
Article Synopsis
- - Life expectancy for people with HIV is improving, but the prevalence of non-communicable diseases, especially mental health disorders, is increasing, prompting a study in Rwanda to assess this issue.
- - The study involved 428 participants from 12 HIV clinics, revealing that 16.4% had mental health disorders, with major depression being the most common; however, most were unaware or not receiving treatment.
- - Mental health issues were tied to experiences of stigma and discrimination related to HIV, suggesting the need for better integration of mental health care in HIV services, potentially using trained HIV nurses for diagnosis.
Article Synopsis
- Psychoeducation is important for treating bipolar disorder, especially alongside medication, but its effectiveness in low-resource areas like Rwanda is not well-studied.
- A trial was conducted with 154 participants, randomly assigned to receive structured group psychoeducation or to be on a waiting list, showing that the psychoeducation significantly reduced hospitalizations over 12 months.
- Despite the positive outcomes, such as halving hospitalization risks, no improvement in medication adherence was noted, highlighting the need for further research in less supported environments.
Article Synopsis
- Most data on bipolar disorder comes from wealthy areas, with little known about mental health care access for those in low-resource settings like Rwanda.
- A study showed that 93% of outpatients in Rwanda received medication, mostly first-generation antipsychotics, but only 3% were on lithium, and many lacked psychosocial support, risking awareness of their diagnosis.
- The findings highlight a significant gap in mental health services, suggesting the need for better treatments, psychoeducation, and a stronger focus on patients’ involvement in their care.
Access to palliative care, and more specifically the alleviation of avoidable physical and psychosocial suffering is increasingly recognized as a necessary component of humanitarian response. Palliative approaches to care can meet the needs of patients for whom curative treatment may not be the aim, not just at the very end of life but alleviation of suffering more broadly. In the past several years many organizations and sectoral initiatives have taken steps to develop guidance and policies to support integration of palliative care.
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