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eMagazine April 2023

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OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>April</strong> <strong>2023</strong><br />

Perspectives<br />

Reports from the Field<br />

Highlights<br />

Reflections<br />

Nursing Division<br />

Women’s Health Education<br />

Hispanic/Latinx Community<br />

Ugandan Voices<br />

Innovation and Technology<br />

Our Beautiful Planet<br />

Art to Remind Us of<br />

Who We Can Be<br />

Video of the Month<br />

Announcement<br />

New Publications<br />

Article of the Month<br />

Welcome<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Global Health Family<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

The Voice of<br />

Ugandan Students<br />

Section Editor: Joshua Matusuko<br />

Mental Health in Uganda<br />

Written by Joshua Matusuko<br />

Medical student at MaKCHS<br />

A middle aged woman is admitted to the A&E ward of<br />

Mulago National Referral Hospital with complaints of<br />

abdominal pain, non-bilious vomiting, and progressive<br />

weight loss. This is not the first time she is presenting with<br />

similar presentations to the A&E ward of the Hospital.<br />

In 2021, she presented with similar presentations after<br />

multiple admissions in different private hospitals. Then, several investigations<br />

were first done with inconclusive results. Upper GI endoscopy revealed multiple<br />

foreign bodies in the stomach causing gastric outlet obstruction and an erect<br />

abdominal x-ray was then done to rule out distal gastrointestinal involvement<br />

and/or perforation. Her uncle reported that most of these objects she could<br />

have picked from his store at home since he is an electrician. Her past psychiatric<br />

history as per the 2021 admission revealed a diagnosis of schizophrenia which<br />

was made 4 years before this admission from Butabika National Referral<br />

Hospital where she was managed as an Out-Patient on antipsychotics for six<br />

weeks. Unfortunately, documents detailing this were not carried along with the<br />

patient and therefore, we couldn’t ascertain the antipsychotics she was given.<br />

However, it was reported that following the initiation of this therapy relatives<br />

noted that she spent most of her time sleeping and showed no improvement.<br />

For this reason, they sought a second opinion from a family friend, a Psychologist<br />

who upon the patient’s reassessment advised discontinuation of antipsychotics.<br />

He, however, recommended patient counseling which they did but was not<br />

helpful. Unfortunately, no further interventions have been tried since then. She<br />

had normal developmental milestones and started school at the age of 5 years.<br />

However, in her primary 2 and<br />

4, she lost her mother and<br />

father respectively. Since then,<br />

she has lived in different homes<br />

including her grandparents’,<br />

her uncle’s in Uganda, and her<br />

aunt’s in Kenya. An emergency<br />

laparotomy was performed<br />

and over 170 different metallic<br />

objects of varying sizes were<br />

evacuated.<br />

19<br />

Ugandan Voices continued on next page >>

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