Many families caring for people with mental health conditions are travelling hundreds of kilometers across the North-East to the Gombe State Specialist Hospital in search of treatment. Many of them attribute their decision to quality of care, experienced specialists and improved medical facilities.
While many of the patients and their families said the facility had restored hope, health care workers warn that the growing influx is stretching the hospital’s limited manpower and infrastructure.
The long search
For Zulaihat Sa’ad, the journey from Taraba State was driven by desperation after her husband, Yakubu Adamu, developed severe mental health condition.
She said Adamu’s condition became severe after he disappeared and the family had to search for him for three days. When he was eventually found, he was brought to Gombe.
Nine days after his admission, Zulaihat said her husband had shown remarkable improvement. ‘When we arrived, his condition was frightening and we didn’t know what to expect. But by the grace of God and the commitment of the doctors and nurses, he has improved tremendously,’ she said.
According to her, the family travelled from Taraba to Gombe despite the fact that they do not have any relative or acquaintance in the state.
‘We spent about N300,000 for feeding, medication and other expenses; and we still expect to spend more before we return home.
‘Even with the financial burden, we have no regret because we have seen real improvement,’ she said.
Zulaihat said the family chose Gombe after hearing repeated testimonies about the quality of mental health care provided at the specialist hospital.
She said the professionalism of the medical personnel and the available facilities encouraged them to make the long journey.
Similarly, Khadija Muhammad travelled from Yola, Adamawa State, with her 25-year-old son, Ibrahim Muhammad, after hearing positive accounts from former patients.
She said the dedication of the hospital’s medical team renewed her hope of seeing her son recover.
‘The doctors and nurses take their work seriously. They don’t joke with administering medication or monitoring patients. That is why we have continued to see improvement in my son’s condition,’ she said.
Khadija said the family had been staying within the hospital premises because they had nowhere to stay in Gombe.
‘We came straight to the hospital because we have nowhere else to stay. Once my son is discharged, we will return to Yola,’ she added.
She said they had spent 13 days at the hospital and incurred N113,000 on drugs, injections and feeding.
While thanking the hospital staff for their commitment, Khadija appealed to governments, philanthropists and humanitarian organisations to support families caring for people with mental health conditions.
‘The cost of treatment is becoming unbearable for many families. Without assistance, some patients may not be able to continue their treatment,’ she said.
It is, however, said that the influx of patients from neighbouring states is putting pressure on the hospital’s manpower and infrastructure.
A nursing staff member at the hospital, Asheer Zakayo, said the mental health unit received more than 100 patients daily, including new cases and those returning for follow-up treatment. He said the growing number of patients was placing a heavy workload on the available health care workers.
‘Our biggest challenge is inadequate manpower. The number of patients continues to rise, but the available personnel are not enough to meet the demand,’ Asheer said.
He called for the recruitment of more doctors, psychiatric nurses and other specialists, as well as the expansion of the hospital’s wards to accommodate the increasing number of patients.
Asheer also urged the government to sponsor health care workers for specialist training to help address the shortage of skilled personnel in mental health care.
He said the workload often left health care workers with little time to rest, stressing the need for additional personnel to cope with the increasing demand.
Speaking on the situation, the only consultant psychiatrist serving the entire Gombe State, Dr Shittu Amaya Pisahgi, said the facility had become an important referral centre for patients from Gombe and neighbouring states.
According to him, patients come from Bauchi, Adamawa, Taraba, Yobe and parts of Borno for psychiatric treatment, adding that the department attends to 100 patients daily.
He said: ‘I am the only consultant psychiatrist in the whole of Gombe State. We need at least five additional consultant psychiatrists, nurses, clinical psychologists and social workers to reduce the enormous workload,’ he said.
He also disclosed that the department had only 20 beds – 10 each for male and female patients.
‘Once a patient stabilises, we discharge them for follow-up care so that other patients who need admission can have access to the limited bed spaces,’ he explained.
The department’s outpatient clinic holds every Monday and Tuesday, while Wednesdays to Fridays are devoted to ward rounds, case reviews and professional meetings.
Speaking on the cause of increased mental health case, Dr Pishagi identified epilepsy and substance abuse as major contributors to psychiatric disorders, particularly among youths.
He called on the federal and state governments to recruit more specialised personnel, provide regular professional training and equip the department with modern facilities.
The consultant psychiatrist also urged the federal government to establish a federal neuropsychiatric hospital in Gombe, saying the move would attract more specialists and strengthen mental health care delivery in the North-East.
He further appealed for psychiatric medicines to be provided free of charge or at subsidised rates and included in the Gombe State Health Insurance Scheme to reduce the financial burden on patients and their families.
For relatives such as Zulaihat and Khadija, the long journey to Gombe has, however, been worth the cost, as improvements in their loved ones’ conditions have given them hope.