Table of Contents
DECLARATION......................................................................................................................................... ii
APPROVAL ............................................................................................................................................... iii
DEDICATION............................................................................................................................................ iv
ACKNOWLEDGEMENT.......................................................................................................................... v
LIST OF ABBREVIATIONS ................................................................................................................... xi
ABSTRACT............................................................................................................................................... xii
CHAPTER ONE...........................................................................................................................................1
1.0 Introduction.............................................................................................................................................1
1.1 Background of the Study ......................................................................................................................1
1.2 Statement of the Problem..................................................................................................................2
1.3 Purpose of the Study .........................................................................................................................2
1.4 Specific Objectives of Study.............................................................................................................2
1.5 Research Questions...........................................................................................................................2
1.6 Scope of Study ..................................................................................................................................3
Geographical scope.......................................................................................................................................3
Content scope................................................................................................................................................3
Time ..............................................................................................................................................................3
Significance of the study...............................................................................................................................4
CHAPTER TWO ..........................................................................................................................................5
2.0. LITERATURE REVIEW ......................................................................................................................5
2.1Introduction..............................................................................................................................................5
2.2 MENTAL HEALTH PROBLEMS IN HIV/AIDS POSITIVE INDIVIDUALS....................................5
2.3 Stress is Suspect.....................................................................................................................................7
2.4 Interaction between HIV/AIDS and Mental illness .....................................................................8
2.5 Measures taken to reduce on the Mental Health Problems. .......................................................8
2.5.1. Initiation of the mental health outreach service.............................................................................8
5.5.2. The Mental health outreach service ................................................................................................9
2.5.3. Awareness raising activities .............................................................................................................9
2.5.4. Medication supply...........................................................................................................................10
2.5.5. Working with traditional healers ..................................................................................................10
CHAPTER THREE..................................................................................................................................11
vii
3.0. METHODOLOGY ............................................................................................................................11
3.1. Introduction:.........................................................................................................................................11
3.3. Study Area ...........................................................................................................................................11
3.4. Study Population................................................................................................................................12
3.5. Sample Size.........................................................................................................................................12
3.6 SAMPLING PROCEDURE...............................................................................................................12
3.7. INCLUSION AND EXCLUSION CRITERIA................................................................................12
3.7.1. INCLUSION CRITERIA...............................................................................................................12
3.7.2. EXCLUSION CRITERIA..............................................................................................................12
3.8. DATA COLLECTION TOOLS .......................................................................................................12
3.9. QUALITY CONTROL......................................................................................................................13
3.9.1. DATA ANALYSIS AND PRESENTATION................................................................................13
3.9.2. ETHICAL CONSIDERATION. ....................................................................................................13
3.10. Data Analysis and Presentation......................................................................................................13
CHAPTER FOUR.....................................................................................................................................14
4.0. DATA PRESENTATION, INTERPRETATION AND ANALYSIS.............................................14
4.2.1 Sex of the respondents..............................................................................................................14
4.2.2 Age of the respondents..............................................................................................................15
4.2.3 Education level of the respondents..........................................................................................16
4.2.4 Number of Male HIV/AIDS positive among Mental illness persons....................................18
Number of Female HIV/AIDS positive among mentally ill patients....................................................20
4.3.1 Relationship between HIV/AIDS and mental illness .............................................................22
4.3.3 Some Factors that predispose HIV/AIDS to Mental illness ..................................................23
4.3.4. Mental illness a cause for HIV/AIDS ......................................................................................24
4.3.5. Knowledge of factors that predispose mentally ill patient to HIV/AIDS infections ...........26
4.3.6 Factors that predispose mentally ill people to HIV/AIDS.....................................................27
HIV/AIDS ..................................................................................................................................................27
4.4 Measures taken to reduce Mental Illness among HIV/AIDS Patients............................................28
4.4.1 Places where patients receive treatment .................................................................................28
4.4.2 Do you offer HIV/AIDS services?............................................................................................29
4.4.3 Reasons why HIV/AIDS service are not offered ....................................................................30
4.4.4 Management of HIV/AIDS Positive with Mental illness .......................................................31
viii
4.4.5 Some common mental Illnesses among HIV/AIDS................................................................32
4.4.6 Individual measures to reduce mental illnesses among HIV/AIDS......................................33
4.4.7 Community measures...............................................................................................................34
4.4.8 How Effectiveness of the Measures used to manage mental illness among HIV/AIDS
patients. 35
4.4.9 Why Mental Illness and HIV/AIDS still Prevalent................................................................36
CHAPTER FIVE ......................................................................................................................................38
5.0. DISCUSSIONS, CONCLUSIONS AND RECOMMENDATIONS ..............................................38
5.2. Discussion............................................................................................................................................38
5.2.1. Number of people who are mentally ill with HIV/AIDS infection...................................................38
5.2.2. Relationship between HIV/AIDS and mental illness..................................................................39
5.2.3 Management of HIV/AIDS Positive with Mental illness ...........................................................39
5.3. Conclusion ...........................................................................................................................................40
References..................................................................................................................................................41
Appendix I: QUESTIONNAIRE SCHEDULE FOR PATIENTS CARE PROVIDER, KAMPALA
....................................................................................................................................................................42
INTERNATIONAL UNIVERSITY TEACHING HOSPITAL............................................................42
Appendix II: WORK PLAN.....................................................................................................................47
Appendix V: BUDGET.............................................................................................................................48
ABSTRACT This research carried out an investigation into the prevalence of HIV among the mentally ill patients, a case study of Kampala international University teaching hospital western campus. The purpose of study was to investigate on the prevalence of HIV/AIDS among the mentally ill patients; the specific objectives of the study were identifying the number of mentally ill patients who are HIV/AIDS positive; establishing the relationship between mental illness and HIV/AIDS infection and explore the measures taken to reduce on the mental health problems. The significance of the study was that study would create awareness to the ministry of health and the community and the increasing number of the people with cases related to the mental illness. This help in designing possible means to address this problem and that the study would be important to the student himself because it is a partial fulfillment of the award of bachelor in medicine and surgery. The methods which were used to collect the data from the field involved questionnaire and guided discussion. The findings revealed that finding revealed that the number of people with mental illness and HIV/AIDS infection was (11%) which is an indication of the prevalent of HIV/AIDS among psychiatric patients with HIV/AIDS infection and was due to drug abuse, stress and poverty. Further findings found out that there is relationship between HIV/AIDS as evidenced by the fact that HIV/AIDS results into stress, isolation which are the major drivers to mental illness. The findings revealed further that some measures can be taken to reduce mental illness among the HIV/AIDS patients and these included health education, stopping drug abuse and stigma by the community. It was therefore recommended that there should health education to community by health government personnel about the need of the community to always go for blood testing from recognized health places and that the community should be cautioned to stop relying on traditional doctors on health issue.