SUMMARY OBJECTIVE: To investigate the prevalence and correlates of missed opportunities for addressing reproductive and mental health needs during patients' visits to primary healthcare facilities. METHODS: We selected a random sample of participants from 14 of the 49 clinics in Cape Town's public health sector using stratified, cluster random sampling (n = 2618). Participants were screened to identify those at risk for unsafe sexual behaviour and a mental disorder (specifically substance use, depression, anxiety, and suicide). Information pertaining to whether or not respondents were asked about these issues during clinic visits during the previous year was elicited. The rates and correlates of missed opportunities for providing reproductive and mental health interventions were calculated. RESULTS: The criteria of a strict definition of a missed opportunity for reproductive or mental health care information were fulfilled by 25% of the sample, while 46% met criteria for a looser definition. After adjusting for the effects of other variables in the model, men and Coloured respondents were more likely to have satisfied the definition of a missed opportunity for an intervention, while having completed high school and having children increased the likelihood of receiving an intervention. CONCLUSION: Consultations with primary healthcare providers in which these issues are not discussed may represent missed opportunities. Persons presenting for routine care can be counselled, screened and, if required, treated. Interventions are needed at the patient, provider, and community levels to increase the opportunities to provide reproductive and mental health care to patients during routine visits.
SUMMARY OBJECTIVE: To investigate the prevalence and correlates of missed opportunities for addressing reproductive and mental health needs during patients' visits to primary healthcare facilities. METHODS: We selected a random sample of participants from 14 of the 49 clinics in Cape Town's public health sector using stratified, cluster random sampling (n = 2618). Participants were screened to identify those at risk for unsafe sexual behaviour and a mental disorder (specifically substance use, depression, anxiety, and suicide). Information pertaining to whether or not respondents were asked about these issues during clinic visits during the previous year was elicited. The rates and correlates of missed opportunities for providing reproductive and mental health interventions were calculated. RESULTS: The criteria of a strict definition of a missed opportunity for reproductive or mental health care information were fulfilled by 25% of the sample, while 46% met criteria for a looser definition. After adjusting for the effects of other variables in the model, men and Coloured respondents were more likely to have satisfied the definition of a missed opportunity for an intervention, while having completed high school and having children increased the likelihood of receiving an intervention. CONCLUSION: Consultations with primary healthcare providers in which these issues are not discussed may represent missed opportunities. Persons presenting for routine care can be counselled, screened and, if required, treated. Interventions are needed at the patient, provider, and community levels to increase the opportunities to provide reproductive and mental health care to patients during routine visits.
Authors: Soraya Seedat; D J Stein; A Herman; R Kessler; J Sonnega; S Heeringa; S Williams; D Williams Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2008-08-02 Impact factor: 4.328
Authors: Rebekka Mumm; Sonia Diaz-Monsalve; Eva Hänselmann; Johanna Freund; Michael Wirsching; Jan Gärtner; Richard Gminski; Katrin Vögtlin; Mirjam Körner; Lena Zirn; Ursula Wittwer-Backofen; Tolu Oni; Axel Kroeger Journal: Pathog Glob Health Date: 2017-01-17 Impact factor: 2.894
Authors: Claire van der Westhuizen; Gail Wyatt; John K Williams; Dan J Stein; Katherine Sorsdahl Journal: J Nerv Ment Dis Date: 2014-09 Impact factor: 2.254
Authors: Graham F Bresick; Abdul-Rauf Sayed; Cynthia Le Grange; Susheela Bhagwan; Nayna Manga; Derek Hellenberg Journal: Afr J Prim Health Care Fam Med Date: 2016-05-19
Authors: Peter Decat; Erica Nelson; Sarah De Meyer; Lina Jaruseviciene; Miguel Orozco; Zoyla Segura; Anna Gorter; Bernardo Vega; Kathya Cordova; Lea Maes; Marleen Temmerman; Els Leye; Olivier Degomme Journal: BMC Public Health Date: 2013-01-14 Impact factor: 3.295
Authors: Kathryn L Lovero; Samantha L Lammie; André van Zyl; Sharon N Paul; Phuti Ngwepe; Jennifer J Mootz; Catherine Carlson; Annika C Sweetland; Rachel C Shelton; Milton L Wainberg; Andrew Medina-Marino Journal: BMC Health Serv Res Date: 2019-01-31 Impact factor: 2.655