Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

Prevalence of depressive symptoms amongst highly active antiretroviral therapy (HAART) patients in AIDSRelief Uganda

There is need for in-depth evaluation to find out the root causes of depressive symptoms among HAART patients in AIDSRelief clinics. There is need to integrate mental health management in HIV care and treatment as well as training the existing health workers on mental health management.  (2013)

Integrating Mental Health into HIV Services: Standard Operating Procedures & Training Manual

Integration of mental health and HIV programs has the potential to significantly improve health outcomes for PLHIV. This training package, which is comprised of a training-of-trainers manual, an accompanying presentation, and a standard operating procedure, was developed to support a pilot project for MH and HIV integration at the community level such that health facilities, community-based organizations (CBOs), and traditional medical practitioners (TMPs) can collaborate to support MH screening and service provision for PLHIV in Zimbabwe.

Thinking outside the box: Addressing the mental health needs of PLHIV

Emerging evidence is demonstrating the accuracy of this statement particularly in the lives of people living with HIV (PLHIV). The occurrence of mental health problems among PLHIV is truly alarming; the prevalence of depression is estimated up to 72%, and anxiety rates are five times higher when compared to those not diagnosed with HIV. Aggravating an already difficult situation, more than 76% of all people with severe mental health issues go without treatment in low- and middle-income countries.  (2014)

Improved Retention Associated With Community-Based Accompaniment for Antiretroviral Therapy Delivery in Rural Rwanda

Minimizing death and ensuring high retention and good adherence remain ongoing challenges for human immunodeficiency virus (HIV) treatment programs. We examined whether the addition of community-based accompaniment (characterized by daily home visits from a community health worker, directly observed treatment, nutritional support, transportation stipends, and other support as needed) to the Rwanda national model for antiretroviral therapy (ART) delivery would improve retention in care, viral load suppression, and change in CD4 count, relative to the national model alone. (2013)

Task shifting explained: a viable solution to health worker shortage?

Task shifting is a low-cost solution to tackling gaps in health services in the developing world, for example those in HIV and mental health treatment. The need for both is ever present.  (2014)

Community-based accompaniment and psychosocial health outcomes in HIV-infected adults in Rwanda: a prospective study

We examined whether the addition of community-based accompaniment to Rwanda's national model for antiretroviral treatment (ART) was associated with greater improvements in patients' psychosocial health outcomes during the first year of therapy. We enrolled 610 HIV-infected adults with CD4 cell counts under 350 cells/μL initiating ART in one of two programs. Both programs provided ART and required patients to identify a treatment buddy per national protocols.

Detection of antenatal depression in rural HIV-affected populations with short and ultrashort versions of the Edinburgh Postnatal Depression Scale (EPDS)

Approaches that incorporate CHWs in the detection and management of perinatal mental disorders have shown potential, with research demonstrating the capacity of CHWs to deliver treatment for both HIV (Selke et al. 2010) and maternal depression (Rahman 2005; Rahman et al. 2008).

Positive Outlook: Working with HIV, Depression and Rehabilitation

Developing a new curriculum and interventions for front line workers related to depression among people living with or vulnerable to HIV and other episodic disabilities, to be integrated into an existing interprofessional learning course offered by CWGHR, focusing on rehabilitation in the context of HIV. (2011)

Lessons from case studies of integrating mental health into primary health care in South Africa and Uganda

Community level self-help groups in South Africa focused on CMDs, with CHWs using the training received to establish these groups. The majority were formed to assist HIV infected and affected women. (2011)

Mental Health and HIV

Highlights the key mental health issues in the continuum of HIV care and reviews promising programmatic practices for addressing these issues in resource-constrained settings. This tool provides links to important resources and tools for program planners and health care providers concerned about mental health issues in HIV care and support.  (2009)

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