Training primary mental health workers in Malawi, to enable them to treat patients with mental health problems and assess the impact on the number of cases treated for malaria and non-specific musculoskeletal pains
Completed
- Conditions
- Common mental disorders i.e. depression and anxiety, malaria and non-specific musculoskeletal painsMental and Behavioural DisordersUnspecified mental disorder
- Registration Number
- ISRCTN66182879
- Lead Sponsor
- Ministry of Health (Malawi)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 2600
Inclusion Criteria
1. All health centres with outpatient services in the designated district
2. All primary health workers working in the health centres
3. Consecutive adult attendees aged 16 years and above at the Health Centres
Exclusion Criteria
1. Health centres with no oupatient services
2. Primary health workers working in health centres with no outpatient services
3. Patients below 16 years and critically ill
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method umber of cases diagnosed with depression, anxiety, malaria and non-specific musculoskeletal pains<br><br>1. The proportion of patients with depression as identified by the SCID who are correctly identified by PHC workers<br>1.1. Before and after intervention training in the intervention arm<br>1.2. Between intervention and control arms after intervention trainings in the intervention arm<br><br>2. The proportion of patients with a diagnosis of anxiety identified and treated by PHC workers<br>2.1. Before and after intervention training in intervention arm<br>2.2. Between intervention and control arms after intervention trainings in the intervention arm<br><br>Integration of mental health in primary care using the specially designed toolkit will directly lead to improvement in other health outcomes in the designated district in the southern region of Malawi.
- Secondary Outcome Measures
Name Time Method The differences in proportion of patients treated for clinically diagnosed malaria and non-specific musculoskeletal pains respectively by PHC workers in control and intervention arms