Mr. Museka Evariste, Dr. Irechukwu Eugenia Nkechi, Mr. Michael and Mr. Gato Fulgence
Abstract- Rwanda has three public rehabilitation centers and various private and public facilities supporting substance misuse recovery. Unfortunately, many individuals relapse after treatment. At the Iwawa Rehabilitation Center, which hosts over 5000 trainees from all provinces and districts, now about 24.92% of patients ae relapsed cases, requiring two to nine treatments on average. The reasons for these relapses are not well understood. This study aims to identify factors contributing to substance use relapses among trainees at Iwawa Rehabilitation Center. It is a cross-sectional study with a quantitative approach, involving 212 drug abusers who underwent multiple rehabilitation rounds. Data was collected using a structured questionnaire through face-to-face computer-based interviews and analyzed with SPSS version 28. This study demonstrates that substance use, social support, and post-rehabilitation circumstances significantly influence relapse risks. Alcohol and cannabis use, unemployment, and financial instability are major predictors of relapse, while strong family support and addressing perceived reputation loss can mitigate these risks. Enhancing family support and addressing perceived reputation loss are vital. Employment support post-rehabilitation is essential, along with strategies to manage anxiety without substance abuse and ensuring financial stability. Tailored programs for cohabitants and those who have experienced personal loss should also be considered.
