A Mixed-Methods Process Evaluation: Integrating Depression Treatment Into HIV Care in Malawi.

ABSTRACT:

Background

Depression is highly prevalent among people living with HIV in Malawi. Depression can undermine engagement in HIV care and worsen HIV morbidity and mortality. The Ministry of Health integrated a pilot depression management program into HIV care at 2 clinics. This program included a measurement-based care protocol for prescribing antidepressants and an adapted Friendship Bench psychotherapy protocol for providing problem solving. Early evaluations indicated successful integration of the initial stages of training and depression screening, diagnosis, and treatment initiation. This follow-up mixed-method investigation contextualizes our previous findings and shares insights from the implementation experience.

Methods

We conducted a mixed-methods process evaluation dr

SUBMITTER: Stockton MA 

PROVIDER: S-EPMC8514021 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature