Exploring the prevalence of depression in adolescents attending teen clubs in Blantyre urban and rural facilities with a view to improve mental health of adolescent in teen clubs

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Date
2021-12-16
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Kamuzu University of Health Sciences
Abstract
Type of research study: Mixed method study design which will employ both quantitative and qualitative data collection methods. The problem: In 2015/16, the latest available data, it is estimated that 54% of young people living with HIV had been diagnosed (45% of HIV positive young men and 58% of HIV-positive young women). Among those diagnosed, 86% were on treatment, of whom 81% were virally suppressed. However, most ALHIV in care are subjected to depression due fact that they are HIV positive and they often times feel offended when their status is known in their community (Ministry of Health Malawi/PEPFAR (2018)). HIV Teen club is one of the HIV service delivery models that has shown potential to improve ART adherence and viral suppression among ALHIVs participating in teen club. However, to what extent, depression affects adolescents in teen clubs is not known despite being supported psychologically and mentally through coaching by Club facilitators. Such kind of information would help if revealed to effectively induce policy and programming in as far as health management and psychosocial support among adolescent is concerned. Broad Objective: Exploring the prevalence of depression in adolescents attending Teen Clubs in Blantyre urban and Rural facilities. The specific objectives of the study are: Primary Objective 1. To estimate prevalence of depression among ALHIV who have been in the Club for at list more than 6 months in Blantyre. Secondary Objective 2. To identify characteristics of adolescents (social, demographic) associated with Depression in the Teen Clubs. Methodology: The study will employ a mixed method study design to address the primary and Secondary objective and qualitative study design to address objective. For the primary objective, we plan to recruit 145 eligible ALHIV from HIV Teen Clubs. The study will be conducted from October to December 2021 in Blantyre district in 15 primary health facilities that have operational HIV Teen Clubs. For the secondary 1st and 3rd are currently in teen clubs and have stayed for more than 3 months. Data will be extracted and verified from the HIV Teen Club register and health facility Electronic Medical Records (EMR)1. In-depth Interviews and structured observation using checklist/score card, adapted from Baylor Children ‘s Hospital, will be conducted to address objective 2 and 4.
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depression in adolescents attending Teen Clubs
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