TECHNOLOGY ASSISTED TRAINING AND SUPERVISION TO … · based Thinking Healthy Program (THP) for...
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Shamsa Zafar (PI) Health Services Academy, Pakistan , Siham Sikander (PI) Human Development Research Foundation Pakistan, Joanna Maselko (CI) Duke Global Health Institute, USA, Atif Rahman (CI) Child Psychiatry, University of Liverpool, UK • Mean prevalence of depression in Pakistan is 33% • Women living in post-conflict areas are at a higher risk • Untreated maternal depression has child health, economic and trans-generational impact • THP is a cognitive behavior therapy based intervention for maternal depression, delivered by non-specialists, with proven impact on maternal depression • THP is being considered by the WHO for global dissemination through its mhGAP programme Thinking Healthy Program (THP) A major challenge in the scale-up of THP intervention, especially where health systems are weak, is providing quality training and supervision at scale. Stakeholder Engagement • The Lady Health Workers Program Pakistan and Provincial Health Department will be kept engaged through a concrete engagement plan • Scoping for potential Partner for a future Transition to scale grant Screening for Maternal Depression via Interactive Voice Response (IVR) We aim to meet the challenge of scaling up of evidence based Thinking Healthy Program (THP) for maternal depression by providing technology based solutions for training and supervision. STUDY AREA Ÿ Swat-Northern Pakistan Ÿ Population- 1,257,602 Ÿ Multiple humanitarian crisis (Taliban movement -2004, Military intervention in 2009, displacement of residents and Floods-2010) Ÿ Fragile health infrastructure Ÿ Non existent specialist services for mental health Ÿ Human Development Research Foundation (NIH funded Regional Hubs in South Asia in Swat) engaged in building capacity of researchers. Development of Technology-assisted Assessment, Cascade Training and Supervision - Derived from FaNs for Kids project (GCC Round 1- Grant # 0085-04) Technology Assisted Cascade Training and Supervision (TACTS) © Evaluation through a feasibility trial (CRCT) • To develop Technology Assisted Cascade Training and Supervision (TACTS) for Thinking Healthy Programme (THP) addressing maternal depression • To evaluate the feasibility of TACTS through a feasibility trial in Swat TECHNOLOGY ASSISTED TRAINING AND SUPERVISION TO ASSIST SCALE UP OF EVIDENCE BASED INTERVENTION FOR MATERNAL DEPRESSION IN A POST CONFLICT AREA OF PAKISTAN BACKGROUND PHASE 1: Development Phase AIM OBJECTIVES PHASE 2: Evaluation Phase Plan for Potential Scale up
Transcript of TECHNOLOGY ASSISTED TRAINING AND SUPERVISION TO … · based Thinking Healthy Program (THP) for...
Shamsa Zafar (PI) Health Services Academy, Pakistan , Siham Sikander (PI) Human Development Research Foundation Pakistan, Joanna Maselko (CI) Duke Global Health Institute, USA, Atif Rahman (CI) Child Psychiatry, University of Liverpool, UK
• Mean prevalence of depression in Pakistan is 33%• Women living in post-conflict areas are at a higher risk• Untreated maternal depression has child health,
economic and trans-generational impact
• THP is a cognitive behavior therapy based intervention for maternal depression, delivered by non-specialists, with proven impact on maternal depression
• THP is being considered by the WHO for global dissemination through its mhGAP programme
Thinking Healthy Program (THP)
A major challenge in the scale-up of THP intervention, especially where health systems are weak, is providing
quality training and supervision at scale.
Stakeholder Engagement• The Lady Health Workers Program Pakistan and Provincial
Health Department will be kept engaged through a concrete engagement plan
• Scoping for potential Partner for a future Transition to scale grant
Screening for Maternal Depression viaInteractive Voice Response (IVR)
We aim to meet the challenge of scaling up of evidence based Thinking Healthy Program (THP) for maternal
depression by providing technology based solutions for training and supervision.
STUDY AREA
ŸSwat-Northern PakistanŸPopulation- 1,257,602ŸMultiple humanitarian crisis
(Taliban movement -2004, Military intervention in 2009, displacement of residents and Floods-2010)
ŸFragile health infrastructure ŸNon existent specialist services for
mental healthŸHuman Development Research
Foundation (NIH funded Regional Hubs in South Asia in Swat) engaged in building capacity of researchers.
Development of Technology-assisted Assessment, Cascade Training and Supervision - Derived from FaNs for Kids
project (GCC Round 1- Grant # 0085-04)
Technology Assisted Cascade Training and Supervision (TACTS) ©
Evaluation through a feasibility trial (CRCT)
• To develop Technology Assisted Cascade Training and Supervision (TACTS) for Thinking Healthy Programme (THP) addressing maternal depression
• To evaluate the feasibility of TACTS through a feasibility trial in Swat
TECHNOLOGY ASSISTED TRAINING AND SUPERVISION TO ASSIST SCALE UP OF EVIDENCE BASED INTERVENTION
FOR MATERNAL DEPRESSION IN A POST CONFLICT AREA OF PAKISTAN
Intervention 2 Union Councils
Control 2 Union Councils
OUTCOMES OUTCOMES
BACKGROUND
PHASE 1: Development Phase
AIM
OBJECTIVES
PHASE 2: Evaluation Phase
Plan for Potential Scale up
Intervention2 Union Councils
IVR to screen maternal depression
Tablet based training and supervision
40 Health Workers
THP delivery in the community through
original THP manual and calender
35 Health Workers
Tablet based Multimedia manual
5 Health Workers
Intervention2 Union Councils
IVR to screen maternal depression
Tablet based training and supervision
40 Health Workers
THP delivery in the community through
original THP manual and calender
35 Health Workers
Tablet based Multimedia manual
5 Health Workers
Intervention2 Union Councils
Door to Door Survey to screen maternal
depression
Training and supervision by Specialists
40 Health Workers
THP delivery in the community through
original THP manual and calender
40 Health Workers
OUTCOMES
Detection rate of maternal depression
Health Worker competence
Cost
OUTCOMES
Detection rate of maternal depression
Health Worker competence
Cost
OUTCOMES
In-depth interviews and focus groups to assess
feasibility
OUTCOMES
Control2 Union Councils
Intervention2 Union Councils
IVR to screen maternal depression
Tablet based training and supervision
40 Health Workers
THP delivery in the community through
original THP manual and calender
35 Health Workers
Tablet based Multimedia manual
5 Health Workers
Intervention2 Union Councils
Door to Door Survey to screen maternal
depression
Training and supervision by Specialists
40 Health Workers
THP delivery in the community through
original THP manual and calender
40 Health Workers
OUTCOMES
Detection rate of maternal depression
Health Worker competence
Cost
OUTCOMES
Detection rate of maternal depression
Health Worker competence
Cost
OUTCOMES
In-depth interviews and focus groups to assess
feasibility
OUTCOMES
Control2 Union Councils
OUTCOMES OUTCOMES
Control2 Union Councils
Intervention2 Union Councils
