Depression is a global problem, affecting populations worldwide, but too often under-diagnosed. The identification of depression among patients with diabetes important because prevalent in this group and can complicate management. aim the study was to determine sensitivity specificity PHQ-9 detection type-2 mellitus attending non-communicable diseases (NCD) clinics Malawi. We conducted validation Patient Health Questionnaire (PHQ-9) 323 who attended two NCD one 28 districts participants were...

Depression is highly prevalent among patients newly starting antiretroviral treatment (ART) in Malawi and many other countries. Untreated depression at ART initiation can disrupt the HIV care continuum. Effective approaches for screening exist low-resource settings, but they are rarely applied. Identifying effective implementation strategies critical.A pilot program integrated into routine using existing staff two public health clinics phases; a screening-only "control" phase an active...

Addressing Depression in adolescents is a healthcare policy need Sub-Saharan Africa. There exists poor mental health literacy, high levels of stigma, and weak capacity at the community level to address this need. These challenges are significant barriers accessing care for Depression, soon be largest single contributor global burden disease. We here describe an innovative approach that addresses these issues simultaneously while concurrently strengthening key components existing education...

Of the 1.8 million adolescents between ages of 10 and 19 living with HIV globally in 2020; approximately 1.5 these live sub-Saharan Africa. These (ALHIV) are at higher risk experiencing mental health problems than those without; Malawi, 18.9% have a depressive disorder. ALHIV can face numerous psychosocial challenges, but little is known about how Malawi perceive stressors. Understanding challenges key step ensuring good care. The aim this study was to assess faced by attending...

In Malawi, early retention in HIV care remains challenging. Depression is strongly associated with reduced anti-retroviral therapy (ART) adherence and viral suppression. Appropriate depression for people initiating ART likely to be supportive of continued engagement the continuum. This paper aims provide an overview a task-shifting program that integrates screening treatment into strategy used evaluate this program, describes implementation process, discusses key challenges lessons learned...

People living with HIV experience psychosocial needs that often are not addressed. We designed an innovative low-resource model of phone-based counseling (P-PSC). describe cohort characteristics, acceptability, feasibility and utilization P-PSC at health facilities supported by Baylor Foundation Malawi. Staff were virtually oriented 120 sites concurrently. From facility-based phones, people new diagnosis, high viral load, treatment interruption or mental concerns referred without...

Despite widespread HIV screening and treatment programs across sub-Saharan Africa, many countries are not on course to meet the Joint United Nations Program HIV/AIDS 90–90–90 targets. As mental health disorders such as depression prevalent among people living with HIV, investment in understanding addressing comorbid is increasing. This manuscript aims assess management Africa using a lens through discussion of: care continuum; state of treatment; innovations task-shifting strategies for...

Commercial gambling markets have undergone unprecedented expansion and diversification in territories across Sub-Saharan Africa (SSA). This boom has popularised the uptake of products existing circuits popular culture, sport leisure raised concerns about extent to which state legislation is equipped regulate differentiated impacts on public health.Comparative policy analysis.This article provides a systematic mapping regulatory environment pertaining SSA. The review was conducted by...

BackgroundAlthough evidence-based treatments for depression in low-resource settings are established, implementation strategies to scale up these remain poorly defined. We aimed compare two achieving high-quality integration of care into chronic medical and improving mental health outcomes patients with hypertension diabetes.MethodsWe conducted a parallel, cluster-randomised, controlled, trial ten facilities across Malawi. Facilities were randomised (1:1) by covariate-constrained...

Depression is a major contributor to morbidity and mortality in sub-Saharan Africa. Due low system capacity, three four patients with depression Africa go untreated. Despite this, little attention has been paid the cost-effectiveness of implementation strategies scale up evidence-based treatment region. In this study, we investigate two different integrate Friendship Bench approach measurement-based care non-communicable disease clinics Malawi.

<title>Abstract</title> <bold>Background</bold> Mental health literacy (MHL) in Malawi is low. illness often attributed to substance abuse or spirit possession, resulting stigma, maltreatment, and discrimination towards people with mental problems. Inadequacies Malawi's services workforce increase limited treatment access, knowledge, negative attitudes, causing an epidemic of use suicides. MHL foundational for promotion, prevention illness, stigma reduction. Educational settings are ideal...

Background: Paramedics dominate primary health care in Malawi where native healers also play a major role the provision of and psychiatric nurses are backbone district mental services. Aim: The aim is to improve understanding prior care-seeking treatment new patients seen at services developing country like Malawi. Method: For one calendar month, 128 newly referred three units were interviewed using an encounter form. Results: Most went through first carer before attending unit with only...

Globally, mental health disorders rank as the greatest cause of disability. Low and middle-income countries (LMICs) hold a disproportionate share burden, especially it pertains to depression. Depression is highly prevalent among those with non-communicable diseases (NCDs), creating barrier successful treatment. While some treatments have proven efficacy in LMIC settings, wide dissemination challenged by multiple factors, leading researchers call for implementation strategies overcome...

Recent decades have seen gambling become a highly lucrative industry across sub-Saharan Africa. Fuelled by the democratisation of access to digital finance and internet technologies, this boom has been concentrated in Africa’s urban economies, where expanding youth populations are increasingly connected global circuits sport, popular culture speculative forms consumption. This engendered growing interest as distinct emerging field academic enquiry To date, psychiatric, epidemiological...

The sub-Saharan African Regional Partnership for mental health and capacity building (SHARP) study was a clinic-randomized trial of two implementation strategies integrating depression screening treatment into non-communicable diseases' (NCD) clinics in Malawi between 2019 2022. We report on the barriers to implementing care integration at SHARP sites potential solutions. N = 39 in-depth interviews with participants from all ten were conducted, recorded, transcribed, coded NVivo 12 analyzed...

Background Adolescents in Sub-Saharan Africa are disproportionately affected by the HIV epidemic. Comorbid depression is prevalent among adolescents living with (ALWH) and poses numerous challenges to care engagement retainment. We present a pilot trial designed investigate feasibility, fidelity, acceptability of an dapted e nhanced F riendship B ench intervention (henceforth: AFB EFB) reducing improving ALWH Malawi. Methods Design: Participants will be randomized one three conditions:...

Major depressive disorder (MDD) frequently co-occurs with other medical conditions. Care integration and task shifting are two frameworks that may strengthen person-centered care among individuals MDD comorbid diagnoses, including for adults limited access to healthcare resources living in rural settings within sub-Saharan Africa. We assessed the acceptability feasibility of group psychotherapy (Problem Management Plus [PM+]) integrated into chronic services Neno District, based on key...

Abstract Background Integration of depression services into infectious disease care is feasible, acceptable, and effective in sub-Saharan African settings. However, while the region shifts focus to include chronic diseases, additional information required integrate We assessed service providers’ views on concept integrating non-communicable diseases’ (NCD) clinics Malawi. The aim this analysis was better understand barriers, facilitators, solutions NCD services. Methods Between June August...

Background: There has been no study carried out to assess health service utilization by people with common mental disorder (CMD) in Malawi. Aim: The aim of the was evaluate patterns patients CMD primary care (PHC) clinics. Methods: conducted two PHC clinics one 28 districts Face-to-face interviews Self-Reporting Questionnaire (SRQ-20) were a sample 323 attendees aged 18 years and older who attended for any reason. Results: prevalence probable 20.1%. People had higher mean number facility...

Depression, prevalent among people living with HIV (PLWH) in Malawi, is associated negative patient outcomes and likely affects medical management. Despite the high prevalence of depression, its management has not been integrated into care Malawi or most low-income countries.

Mental health (MH) disorders in low and middle-income countries (LMICs) account for a large proportion of disease burden. While efficacious treatments exist, only 10% those need are able to access care. This treatment gap is fueled by structural determinants including inadequate resource allocation prioritization, both rooted lack research policy capacity. The goal the Sub-Saharan Africa Regional Partnership Health Capacity Building (SHARP), based Malawi Tanzania, address policy-based...