Improving integrated depression and non-communicable disease care in Malawi through engaged leadership and supportive implementation climate.

ABSTRACT:

Background

Low- and middle-income countries often lack access to mental health services, leading to calls for integration within other primary care systems. In sub-Saharan Africa, integration of depression treatment in non-communicable disease (NCD) settings is feasible, acceptable, and effective. However, leadership and implementation climate challenges often hinder effective integration and quality of services. The aim of this study was to identify discrete leadership strategies that facilitate overcoming barriers to the integration of depression care in NCD clinics in Malawi and to understand how clinic leadership shapes the implementation climate.

Methods

We conducted 39 in-depth interviews with the District Medical Officer, the NCD coordinator, one NCD provider, and the

SUBMITTER: Sansbury GM 

PROVIDER: S-EPMC10722817 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature