Health Alliance International

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A Systems Approach to Mental Healthcare Provision and Suicide Prevention

Depression, anxiety, and drug use are principal drivers of disability globally, and suicide is among the leading causes of death among those aged 15-44. However, even with this, in Mozambique, only 0.29% of the population is estimated to have access to basic mental health services. The lack of data on clinical capacity, care practices, sociocultural factors, prevalence and risk/protective factors of common mental disorders limit opportunities to design, advocate for, and integrate mental healthcare in primary care settings in Mozambique.

This project is the first to collect foundational mixed-methods data on common mental disorders and suicidal behavior in Mozambique, while also developing a locally-relevant screening tool for use in epidemiologic monitoring and delivery of mental healthcare.

Aim 1 examines current health-facility and  community-level  explanatory  models,  idioms,  beliefs,  and  practices  regarding  common  mental disorders  using  in-depth-interviews  and  focus  group  discussions.

Aim 2 will adapt the patient health questionnaire (PHQ) to the sociocultural context of Mozambique and pilot test its reliability and validity.

Aim 3 will apply the adapted PHQ in a population-based epidemiologic survey of population prevalence, care-seeking  pathways,  and  risk/protective  factors  of  depression,  anxiety,  alcohol  abuse,  and suicidal behavior.

Results from this study will inform the design of subsequent implementation research projects related to the provision of mental health services and support advocacy for enhanced services in Mozambique.

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Mozambique Projects

  • Strengthening Primary Health Care
  • Evaluation of the Evidence-to-Action Approach
  • Increasing Access to TB Diagnostics
  • GAVI Full Country Evaluation
  • Early ART Initiation Among HIV+ Pregnant Women
  • HIV Testing and Counseling Linkages
  • Systems Analysis to Optimize PMTCT
  • Assessing Tablet-Based Clinical Training for Option B+ Services
  • Cost and Effectiveness of Systems Analysis
  • Strengthening Data Systems to Improve Health Services
  • Mental Health and Suicide Prevention
  • MDR-TB Treatment Program
  • Routine Health Data for Impact Evaluation
  • HIV/TB/MDR-TB Care Cascade

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