Wednesday, June 20, 2012

DAY 4 JUNE 20, 2012


Tour of Zomba Mental Health Hospital

Treatment of mental illness is challenging in Malawi as it is everywhere.  Medications are minimal.  Today we visited the one and only mental health hospital in Malawi.  Out tour guide is one of our Global Health Profession scholars Genesis who is a mental health nurse.  

There are adult and adolescent patients.  The building is clean and neat and of course the care appears to be very good.  There is only one psychiatrist in country, several nurses who can care for the patients but it is an area that needs to be developed.  Mental health medications are very expensive therefore in Malawi the health care providers still use first generation of antipsychotics such as Thorazine.  The pharmacy is managed by a nurse because there are no pharmacists in country who are interested in working at the hospital.  The medications have horrible side effects and one could argue that it is better than nothing.  Most of the patients appear to be walking around in a medication fog.  It is the only way to try to treat symptoms and control behavior. 

The stigma of mental illness plagues villages, communities and the country at large.  The Malawian healthcare providers who choose to work with this population of patients are quite dedicated and do all that is humanly possible to provide quality care. 

It makes my head hurt to think that there is one mental health hospital that is available to serve a total population of about 15 million people.   The need is tremendous however in talking with the hospital staff there is hope…



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