Table 4 Availability of WHO listed Readiness tracer items for the management of SUD by health unit type
Variable | *Total = 54 (%) | MRRH (1) | HCIV (4) | HCIII (36) | HCII (13) |
|---|---|---|---|---|---|
Guidelines | |||||
    SUD screening guidelines are available at the health facility | 14 (25.9) | 1 | 1 | 11 | 1 |
    SUD guidelines for diagnosis are available at the health facility | 16 (29.6) | 1 | 1 | 11 | 3 |
    SUD Management guidelines are available | 42 (77.8) | 1 | 3 | 28 | 10 |
Staff Training | |||||
    In-service training of staff | 45 (83.3) | 1 | 3 | 31 | 10 |
    Training in mental health in the last 2 years | 6 (11.1) | 0 | 2 | 4 | 0 |
    Training in pediatric mental health (last 2 years) | 6 (11.1) | 0 | 2 | 4 | 0 |
    Trained in SUD screening (yes in the last 2 years) | 8 (14.8) | 0 | 3 | 5 | 0 |
    Trained in SUD diagnosis and management (in the last 2 years) | 8 (14.8) | 0 | 1 | 7 | 0 |
Diagnostic tests | |||||
    Uri-sticks are available | 46 (85.2) | 1 | 4 | 34 | 7 |
    Blood tests for alcohol and drugs available at health facility | 11 (20.4) | 1 | 0 | 10 | 0 |
Medicines | |||||
    Substance withdrawal and treatment drugs | 49 (90.7) | 1 | 4 | 35 | 9 |
    Benzodiazepines e.g.Diazepam | 47 (87.0) | 1 | 4 | 33 | 9 |
    Vitamins e.g. Thiamine (Vitamin B1) | 10 (18.5) | 1 | 0 | 7 | 2 |
    Acamprosate | 0 | 0 | 0 | 0 | 0 |
    Naltrexone | 0 | 0 | 0 | 0 | 0 |
    Disulfiram | 0 | 0 | 0 | 0 | 0 |
    Antipsychotics | 29 (53.7) | 1 | 3 | 20 | 5 |
    Haloperidol | 11 (20.4) | 1 | 3 | 5 | 2 |
    Risperidone | 0 | 0 | 0 | 0 | 0 |
    Olanzapine | 0 | 0 | 0 | 0 | 0 |
    Baclofen | 1 (1.8) | 0 | 0 | 1 | 0 |
    Chlorpromazine | 22 (40.7) | 1 | 3 | 16 | 2 |
    Haloperidol | 9 (16.7) | 1 | 2 | 5 | 1 |
    Benzhexol | 11 (20.4) | 1 | 2 | 7 | 1 |
    Fluphenazine | 3 (5.6) | 1 | 0 | 1 | 1 |
    Anti-depressants | 46 (85.2) | 1 | 4 | 34 | 7 |
    Fluoxetine | 9 (16.7) | 1 | 1 | 7 | 0 |
    Imipramine | 4 (7.4) | 1 | 0 | 2 | 1 |
    Amitriptyline | 45 (83.3) | 1 | 4 | 33 | 7 |
    Anticonvulsants | 41 (75.9) | 1 | 4 | 30 | 6 |
    Phenobarbital | 30 (55.6) | 0 | 3 | 24 | 3 |
    Carbamazepine | 29 (53.7) | 1 | 3 | 23 | 2 |
    Sodium valproate | 1 (1.8) | 1 | 0 | 0 | 0 |
    Ethosuximide | 0 | 0 | 0 | 0 | 0 |
    Phenytoin | 27 (50.0) | 1 | 2 | 21 | 3 |
    Drug stockouts in the last month (tracer drugs) | 36 (66.7) | 1 | 2 | 23 | 10 |
Private room/ privacy | |||||
    Private room for screening | 33 (61.1) | 1 | 3 | 20 | 8 |
    Space for managing Mental health conditions | 20 (37.0) | 1 | 3 | 12 | 3 |