Development of a brief telehealth-delivered counseling intervention to reduce suicidality and improve HIV care engagement in Kilimanjaro, Tanzania
Evaluation and Program Planning,
Год журнала:
2025,
Номер
111, С. 102583 - 102583
Опубликована: Март 8, 2025
Язык: Английский
HIV and mental health provider experiences of implementing brief depression and suicide screening among people living with HIV in Tanzania: A qualitative study
PLOS mental health.,
Год журнала:
2025,
Номер
2(3), С. e0000268 - e0000268
Опубликована: Март 13, 2025
Depression
and
suicidal
thoughts
behaviour
are
remarkably
common
among
people
living
with
HIV
worldwide,
leading
to
a
higher
burden
of
disease,
poor
care
engagement,
death.
Suicidal
is
criminalized
in
20
countries
including
Tanzania,
where
culturally
appropriate
interventions
lacking.
We
describe
the
experiences
counsellors
who
screened
patients
as
initial
procedure
randomized
controlled
clinical
trial
aimed
reduce
suicide
depression,
improve
engagement
Kilimanjaro,
Tanzania.
The
was
registered
at
clinicaltrials.gov
(ID:
NCT04696861).
conducted
in-depth
interviews
(IDIs)
10
four
mental
health
workers.
Interviews
were
held
3
months
post-enrollment
participants.
Data
collected
from
March
August
2023.
referred
brief
screener
developed
for
trial,
combining
PHQ-2
depression
one
question
on
ideation.
IDIs
focused
frequency
assessments
before
after
trial;
nature
referrals;
perceived
significance,
acceptability,
feasibility
screening
process;
opinions
criminalization
suicide.
analyzed
using
NVivo.
Themes
identified,
collected,
compared,
combined,
tabulated.
Differences
resolved
by
first
three
final
authors.
Our
findings
revealed
an
increased
focus
referrals
since
start
high
necessity
integration
screening,
acceptability
screening.
Participants
consistently
reported
awareness
positive
overall
experience
Counsellors
favoured
abolishment
laws
against
due
their
hindering
support-seeking.
In
resource-limited
setting,
these
highlight
need
targeted
integrated
non-specialist
interventions.
Feedback
indicated
that
acceptable
feasible;
further
research
needed
assess
sustainability
Язык: Английский
HIV Stigma and Discrimination in Colombian Healthcare: Insights from a National Cross-Sectional Analysis of General Practitioners
Healthcare,
Год журнала:
2025,
Номер
13(9), С. 1013 - 1013
Опубликована: Апрель 28, 2025
Background/Objectives:
HIV-related
stigma
and
fear
among
healthcare
professionals
represent
significant
barriers
to
effective
patient
care,
contributing
delayed
diagnosis
suboptimal
treatment
for
people
living
with
HIV
(PLHIV).
Although
these
issues
have
been
studied
in
various
settings,
there
is
a
lack
of
evidence
on
how
they
manifest
general
practitionersin
Colombia—a
key
group
the
system.
This
study
investigated
prevalence
Colombian
practitioners
identified
associated
factors.
Methods:
A
cross-sectional,
observational
was
conducted
between
February
May
2024,
using
self-administered
online
survey
targeting
practitioners.
validated
28-question
instrument
adapted
from
Health
Policy
Project
assessed
fear,
stigma,
related
Results:
Among
579
participants,
68.6%
exhibited
low
levels;
however,
specific
clinical
tasks,
such
as
taking
blood
samples,
elicited
greater
concern.
Stigmatizing
beliefs—such
associating
irresponsible
behavior—were
reported
by
25%
participants.
Prior
training
care
inversely
(OR
=
0.681;
95%
CI:
0.489–0.949),
while
older
age
heterosexual
orientation
correlated
higher
levels.
Conclusions:
Despite
generally
levels
gaps
physicians
highlight
need
targeted
educational
initiatives.
Promoting
comprehensive
education
medical
curricula
continuing
professional
development
can
reduce
enhance
confidence
foster
more
inclusive
environment.
Язык: Английский
Social and Psychological Complexity Among Adolescents Living with HIV in Targeted Treatment Health Facilities in Kwara State, Nigeria – A Qualitative Study
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 29, 2024
Abstract
Background
There
is
growing
concern
about
the
rising
prevalence
of
HIV
infection
among
adolescents
and
young
people
worldwide
various
challenges
that
accompany
living
with
this
population.
This
study
investigated
social
psychological
complexities
in
selected
treatment
health
facilities
Kwara
State,
Nigeria.
Methods
Study
adopted
qualitative
data
collection
method
six
focus
group
discussions
(FGDs)
conducted
across
three
facilities,
sessions
each
for
both
males
females.
Discussions
were
English
Yoruba
languages,
audio-recorded,
transcribed,
translated
into
English.
Content
analysis
was
performed
using
MAXQDA
Analytic
Pro
2020.
Results
A
total
44
participants,
comprising
24
20
females
aged
10
to
19,
participated
FGDs.
More
than
ninety
percent
had
not
disclosed
their
status
anyone
beyond
care
providers,
parents/caregivers,
a
few
immediate
family
members.
Keeping
private
helped
mitigate
stigma
discrimination.
Common
reactions
disclosure
included
sadness,
hopelessness,
bitterness.
However,
Operation
Triple
Zero
program,
which
offered
peer-to-peer
learning
effective
mental
services
has
been
very
helpful.
Also,
sexual
risk
behavior
still
high
sexually
active
despite
HIV-positive
status.
Conclusion
Adolescents
face
numerous
challenges,
including
sadness
exposes
them
disorders.
acknowledged
as
most
platform
meeting
psychosocial
needs.
Язык: Английский
Qualitative assessment of psychosocial factors influencing adolescents living with HIV in targeted health facilities in Kwara state Nigeria
Discover Psychology,
Год журнала:
2024,
Номер
4(1)
Опубликована: Сен. 6, 2024
Язык: Английский
Predictors of Help-Seeking Behaviour among university students in Tanzania: a cross-sectional study
Counselling Psychology Quarterly,
Год журнала:
2024,
Номер
unknown, С. 1 - 23
Опубликована: Окт. 9, 2024
This
study
examined
the
predictors
of
help-seeking
behaviour
among
university
students
in
Tanzania,
addressing
a
gap
research
that
often
focuses
on
intentions.
Using
cross-sectional
design
and
convenience
sampling,
data
were
collected
from
740
students.
Descriptive
statistics
used
to
summarize
demographic
characteristics
behaviour.
A
Chi-square
test
explored
associations
between
variables
such
as
students'
university,
field
study,
age
group,
sex,
year
Logistic
regression
Results
showed
approximately
half
(49.9%)
who
reported
have
experienced
psycho-social
problems
sought
psychological
help.
Significant
found
behavior,
χ2
(3,
N
=
517)
12.048,
p
0.007,
(1,
19.734,
<
.001.
analysis
revealed
perceived
behavioral
control
(AOR
(95%
CI)
4.7
(2.56–8.75),
.001)
attitude
2.9
(1.47–5.52),
.002)
significantly
predicted
The
concludes
attitudes
are
key
behavior.
Therefore,
implementing
strategies
focus
enhancing
ease
access
services
could
encourage
seek
help
when
facing
problems.
Язык: Английский