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In a paper by Author Nuru Hassen the psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenia was early age of onset, low level of education, unemployment, dismissal, unhappy marriage, lack of insight about the disturbance, stigma, scarce daily income and insufficient family, friends and significant others contribution in the counseling service.
Fig.1-Study site-Adama Hospital Medical college psychiatric department
According to Author Hassen, N the analysis of the study identifies psychosocial, economic support services and demographic factors affecting the prognosis of schizophrenia was picked up. Based on it the majority of clients who were on follow up for schizophrenia disorder at Adama Hospital medical college was unmarried, separated, divorced and widowed. Concerning monthly income majority of schizophrenic client monthly income was below $27. Due this reason some of the clients discontinue their medication; home living is hardly and leads to the destruction of the family. More than half of schizophrenic clients were unemployed, and dismissed from previous functioning. Educational level of schizophrenic client was possible to say at a lower level even though schizophrenia disorder was called illness related to intellectual members of the society. Due to insufficient psychological, social and economic support services schizophrenic clients discontinue their medication. The needs of traditional therapy, unavailability of medication or piling up prices of medication and lack of moneys were among reasons for discontinuation of medication.
Additionally in his recent paper Author Nuru identifies the economic factors that affect the prognosis of schizophrenia were minimal daily and monthly income, discontinuation of the prescribed medication due to lack of money, increased price of antipsychotic medication and insufficient financial support in any important part of the client’s life. Above all when the head of a household who is the sole bread winner of the family develop schizophrenia the whole family drifts to extreme poverty and destitution.
Frustrating to the disturbance as an Author Nuru Hassen identified stigma was a major problem among some schizophrenia disorder in this outpatient setting at the Adama Hospital Medical College that has the potential to substantially affect adherence to medication and is likely to affect the recovery process.
In his paper majority of schizophrenic clients response psychological, social and economic support at medium level that approve the psychosocial and economic supports were better in the study area than developed countries as stated in the international study of schizophrenia literature. The patterns of Social connectedness in Ethiopia for schizophrenic client put the prognosis of schizophrenia in a better position. Even though the sitation in Ethiopia was remarkable, the bottle neck to overcome the prognosis of schizophrenic clients with providing psychosocial and economic support services have got two extreme. On one hand families, relatives and significant others were bored as a result of life long support due to the nature of the illnesses and the second extreme was inappropriate consumption of schizophrenic clients the intended support given to them. That is why Auther Nuru worried for the headache of scientific community when an attempt made to facilitate the prognosis of schizophrenia disorder.
“Indeed the prescription of antipsychotic medication needs to be accompanied by psychosocial and economic support service by taking the demographic variable into account as Author Nuru recommended”.
Nuru Hassen, Director of student social affairs and lecturer, Department of social and public health, Prognosis of schizophrenia Research, Adama city, Ethiopia
A paper about the study appeared recently in the prognosis of schizophrenia, published by the American journal of psychiatry and neuroscience