By Pauline Luba
(second of four parts – UCU postgraduate focus)
“Men are doctors, while women are nurses.”
These words were told to Otim Douglas Tonny repeatedly as he worked as a nurse in Northern Uganda, working against a stereotype and stigmatization in the field of medicine.
Today, the 41-year-old Otim is not only a married father of four, but also a registered nurse with an ardent desire to care for others.
A July 2024 graduate with a Masters in Nursing from Uganda Christian University (UCU), Otim has a 2008 diploma from Butabika School of Psychiatric Nursing and a 2016 Bachelor of Science of Nursing Science from Mbarara University of Science and Technology (MUST).
Otim, a member of the Lango tribe from Northern Uganda’s Lira District, has a passion for caring for those with deep-seated issues in mental health, cancer and HIV/AIDS, among other chronic and non-chronic conditions. His desire to improve the health of others stemmed from a childhood punctuated with fear of kidnapping and lack of food related to the Lord’s Resistance Army (LRA) insurgency.
“How you grow up may not define who you will be in life,” he said.
Such is the story of Otim, who grew up within the Joseph Kony LRA (1986-2006) insurgency as well as the widespread food insecurity from Karamojong home raids. He often found himself on the run, sleeping in bushes and trying to stay alive. This was not easy for him and his large family. His father, now a retired accountant, had two wives who produced a total of 18 children.
Despite obstacles, Otim met university admission requirements. He attended Te-Lala Primary School, Kangai Senior Secondary School (O’ Level) and Amuca Seventh Day Adventist Secondary School (A’ Level) in Lira town before engaging in post-secondary studies.
After completing the nursing program at Butabika, Otim worked in a clinic before being employed a year later in the Amuru district local government as a nursing officer in psychiatry. His other employment involved St. Mary’s Lacor Hospital, Gulu, where he was engaged in learning and helping patients with chronic illness; and with local government as a mental health officer and HIV/AIDS wellness worker with Lamwo Refugee Settlement.
With a new master’s degree, he has integrated significant knowledge into his work as a nurse and as a teaching assistant in Muni University in Arua City. For his master’s research project, Otim explored the effect of clinical coaching on the health worker’s knowledge, attitudes, and practice towards the use of the patient health questionnaire-9 (PHQ-9) tool in HIV care at Atiak Health Centre IV in Amuru District, Northern Uganda.
“I chose this topic area after realizing that clients were having several challenges such as struggling mentally and physically after consumption of a drug,” Otim said.
His research addressed the importance of not rushing healthcare by medical personnel as well as the intense mental and physical effects of HIV and how these can be resolved. He noticed that several individuals with HIV struggled to live a normal life due to mental health challenges such as depression.
“I wanted to do an interventional study that would strengthen others,” said Otim, “I realized I can get a tool that teaches and supports nurses through training (clinical coaching) that would allow them room for learning, be independent and engaged.”
With the guidance of supervisors, Prof. Karen Drake and Dr. Faith Ssebuliba, Otim engaged in his postgraduate study that included use of a tool to recognise patients of mental health illness and depression. This questionnaire (PHQ-9 Tool) allows nurses to screen, diagnose, classify and monitor patients who have depression among other mental health issues, allowing better care and treatment. According to the research, the tool deepens healthcare worker understanding of depression assessment that leads to improved knowledge, practice, and attitude.
Otim plans to do a similar study on a larger population and longer time frame with hopes to pursue a PhD in this area.
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