Abstract
Objectives Children in Sub-Saharan Africa (SSA) are burdened by significant unmet mental health needs, but this region has limited access to mental health services to address these needs. Despite the success of numerous interventions for promoting child mental health, most evidencebased programs (EBPs) are not available in SSA. This study utilizes a task-shifting strategy and trains teachers as community health workers (CHWs) to utilize EBP strategies and provide basic child mental health services in schools. This paper focuses on two implementation objectives: 1) investigating the transportability of an EBP (ParentCorps-a school-based mental health program) from a developed country to a SSA country-Uganda by evaluating quality of implementation; and 2) studying the influences of contextual factors (i.e., agency setting, individual characteristics) on implementation processes and outcomes (e.g., CHWs’ level of engagement and utilization of EBP strategies).
Highlights
Use of task-shifting to scale-up child mental health services in low-resource Ugandan schools: role of contextual factors on program implementation
This paper focuses on two implementation objectives: 1) investigating the transportability of an EBP (ParentCorps-a school-based mental health program) from a developed country to a SSA country-Uganda by evaluating quality of implementation; and 2) studying the influences of contextual factors on implementation processes and outcomes (e.g., CHWs’ level of engagement and utilization of EBP strategies)
Implications to dissemination and implementation (D&I) research This study addresses important D&I research gaps by providing evidence to support EBP transportability from a developed country to a low-income country and systematically studying factors that may contribute to effective task shifting
Summary
Use of task-shifting to scale-up child mental health services in low-resource Ugandan schools: role of contextual factors on program implementation Keng-Yen Huang1*, Janet Nakigudde2, Laurie Miller Brotman1 From 7th Annual Conference on the Science of Dissemination and Implementation in Health North Bethesda, MD, USA. Objectives Children in Sub-Saharan Africa (SSA) are burdened by significant unmet mental health needs, but this region has limited access to mental health services to address these needs.
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