Formative research to develop an intervention for addressing mental health/psychosocial issues and HIV vulnerability of marginalized adolescents in Addis Ababa, Ethiopia

Jani, Nrupa; Schenk, Katie D.

doi:10.31899/hiv9.1003

Cited by 3 publications

(11 citation statements)

References 18 publications

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“…It was a formative study that included a qualitative needs assessment to determine the type and extent of mental health and psychological needs among adolescent migrants living in Addis Ababa. This study found sexual abuse among migrant adolescents linked to psychological trauma (Jani and Schenk 2014). In addition, the majority of young migrants experienced social isolation and unstable living situations and engaged in high risk sexual behavior.…”

Section: Development Of Mental Health Screening Tool and Targeted Intmentioning

confidence: 70%

“…In addition, the majority of young migrants experienced social isolation and unstable living situations and engaged in high risk sexual behavior. Additionally, few migrant adolescents displayed comprehensive HIV prevention knowledge (Jani and Schenk 2014). Based on these findings the study expert committee developed a targeted counseling intervention consisting of individual and group counseling sessions, art and creative therapy, and community engagement events.…”

Section: Development Of Mental Health Screening Tool and Targeted Intmentioning

confidence: 99%

“…Biruh Tesfa (Amharic for "bright future") mentors offer education, lifeskills training, and mentoring to young women as well as referral services to counselors, psychologists, and medical staff as needed. Biruh Tesfa partnered with the Organization for the Prevention, Rehabilitation and Integration of Female Street Children (OPRIFS), to offer medical care, reproductive health services, and shelter to young women aged 7-24 who are victims of violence (Jani and Schenk 2014).…”

Section: Routine Servicesmentioning

confidence: 99%

“…This unique and supportive structure allowed for deeper rooted, emotional problems to surface and be discussed and dealt with among peers who may have been experiencing similar issues. This component of the intervention was developed in direct response to findings from interviews with service providers at Biruh Tesfa and Retrak in the formative study (Phase I), who explicitly requested capacity building training on creative therapies to address the unique problems that their beneficiaries were facing (Jani and Schenk 2014).…”

Section: Description Of the Interventionmentioning

confidence: 99%

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Addressing mental health disorders and HIV vulnerability of marginalized adolescents in Addis Ababa, Ethiopia

Jani¹,

Vu²,

Kalibala³

et al. 2015

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Ethiopia is experiencing an increasingly urban, female-centered HIV epidemic alongside a rise in rural migration of adolescents to Addis Ababa. Often these migrants are confronted by social challenges such as lack of education, inadequate housing, unstable employment conditions, and physical and sexual abuse. These difficult living circumstances contribute to psychological and mental health problems among these vulnerable adolescents, potentially putting them at greater risk of acquiring HIV. However, knowledge about how targeted mental health interventions can impact HIV-related outcomes worldwide, and in Ethiopia, remains limited. OBJECTIVES The goal of this study was to pilot test a strategy for addressing mental health problems, such as stress, anxiety, depression, and emotional and behavioral issues, as well as measure if the provision of a tailormade psychosocial support intervention can affect HIV-related outcomes among vulnerable migrant adolescents in Addis Ababa, Ethiopia. The specific objectives of this study were to pilot test a targeted psychosocial support counseling intervention and document any changes in : 1) psychological and mental health problems of the target population; and 2) responsiveness to HIV programming and services among the target population. METHODS Study design This was a before and after intervention study comprising a cohort of migrant male and female adolescents aged 15 to 18 years old in Addis Ababa, Ethiopia receiving services from two service delivery organizations-Biruh Tesfa and Retrak. Biruh Tesfa works with migrant young women who are predominantly employed as domestic workers, while Retrak works with young men in Addis Ababa who are often engaged in street labor activities. Participants were screened using the Youth Self-report (YSR) tool and a behavioral survey at baseline, then delivered a three-month psychosocial counseling pilot intervention. The intervention was followed by an endline YSR and behavioral survey. Due to ethical concerns, participants with severe mental health issues at baseline (N=24) were referred to clinical services for appropriate treatment and follow-up care, and thus excluded from the study. Description of the intervention The study intervention consisted of the delivery of a client-driven, psychosocial counseling intervention, administered by trained counselors, which discussed adolescent development, psychological wellbeing, mental health problems, and factors increasing vulnerability of marginalized adolescents. Study counselors administered the targeted counseling intervention, which included both individual and group counseling sessions, such as creative art therapies and music, drama, and dance (MDD), to all consenting enrolled participants from the two Addis Ababa-based service delivery organizations of Biruh Tesfa and Retrak.

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Section: Development Of Mental Health Screening Tool and Targeted Intmentioning

confidence: 70%

Section: Development Of Mental Health Screening Tool and Targeted Intmentioning

confidence: 99%

Section: Routine Servicesmentioning

confidence: 99%

Section: Description Of the Interventionmentioning

confidence: 99%

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Addressing mental health disorders and HIV vulnerability of marginalized adolescents in Addis Ababa, Ethiopia

Jani¹,

Vu²,

Kalibala³

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…Formative research enables understanding of the nature of the problem and the programme responses to address it [1,13,14] and determination of the priority target population [15,16], as well as assessing their needs and perceptions regarding the problem and the proposed intervention. Formative research also fosters an understanding of how the new intervention will be introduced into existing services [6,17,18], the potential role of various actors in delivering the intervention and additional elements required for the intervention [19].…”

Section: Formative Researchmentioning

confidence: 99%

Experiences in implementation and publication of operations research interventions: gaps and a way forward

Kalibala

Woelk

Gloyd

et al. 2016

Journal of the International AIDS Society

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IntroductionAccording to UNAIDS, the world currently has an adequate collection of proven HIV prevention, treatment and diagnostic tools, which, if scaled up, can lay the foundation for ending the AIDS epidemic. HIV operations research (OR) tests and promotes the use of interventions that can increase the demand for and supply of these tools. However, current publications of OR mainly focus on outcomes, leaving gaps in reporting of intervention characteristics, which are essential to address for the utilization of OR findings. This has prompted WHO and other international public health agencies to issue reporting requirements for OR studies. The objective of this commentary is to review experiences in HIV OR intervention design, implementation, process data collection and publication in order to identify gaps, contribute to the body of knowledge and propose a way forward to improve the focus on “implementation” in implementation research.DiscussionInterventions in OR, like ordinary service delivery programmes, are subject to the programme cycle, which continually uses insights from implementation and the local context to modify service delivery modalities. Given that some of these modifications in the intervention may influence study outcomes, the documentation of process data becomes vital in OR. However, a key challenge is that study resources tend to be skewed towards documentation and the reporting of study outcomes to the detriment of process data, even though process data is vital for understanding factors influencing the outcomes.ConclusionsInterventions in OR should be viewed using the lens of programme evaluation, which includes formative assessment (to determine concept and design), followed by process evaluation (to monitor inputs and outputs) and effectiveness evaluation (to assess outcomes and effectiveness). Study resources should be equitably used between process evaluation and outcome measurement to facilitate inclusion of data about fidelity and dose in publications in order to enable explanation of the relationship between dosing and study outcomes for purposes of scaling up and further refinement through research.

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Lessons learned and study results from HIVCore, an HIV implementation science initiative

Rutenberg¹,

Tun²

2016

Journal of the International AIDS Society

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Formative research to develop an intervention for addressing mental health/psychosocial issues and HIV vulnerability of marginalized adolescents in Addis Ababa, Ethiopia

Cited by 3 publications

References 18 publications

Addressing mental health disorders and HIV vulnerability of marginalized adolescents in Addis Ababa, Ethiopia

Addressing mental health disorders and HIV vulnerability of marginalized adolescents in Addis Ababa, Ethiopia

Experiences in implementation and publication of operations research interventions: gaps and a way forward

Lessons learned and study results from HIVCore, an HIV implementation science initiative

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