Addressing the unmet mental health needs of people living with HIV: a scoping review of interventions in sub-Saharan Africa.

Journal: AIDS care

Volume: 35

Issue: 11

Year of Publication: 2023

Affiliated Institutions:  Department of Psychology, University of Nigeria, Nsukka, Enugu, Nigeria. Center for Translation and Implementation Research (CTAIR), College of Medicine, University of Nigeria, Nsukka, Enugu, Nigeria. Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada. J. W. Scott Library, University of Alberta, Edmonton, Canada. Department of Health Sciences, Northeastern University, Boston, MA, USA. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. Department of Mental Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. Department of Psychiatry, University of Abuja, Abuja, Nigeria. National AIDS, Viral Hepatitis and STIs Control Programme (NASCP), Abuja, Nigeria.

Abstract summary 

Some mental health interventions have addressed mental health among people living with HIV (PLWH) using a variety of approaches, but little is known about the details of such interventions in sub-Saharan Africa (SSA), a region that bears the largest burden of HIV in the world. The present study describes mental health interventions for PLWH in SSA regardless of the date and language of publication. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) reporting guidelines, we identified 54 peer-reviewed articles on interventions addressing adverse mental health conditions among PLWH in SSA. The studies were conducted in 11 different countries, with the highest number of studies in South Africa (33.3%), Uganda (18.5%), Kenya (9.26%), and Nigeria (7.41%). While only one study was conducted before the year 2000, there was a gradual increase in the number of studies in the subsequent years. The studies were mostly conducted in hospital settings (55.5%), were non-pharmacologic (88.9%), and interventions were mostly cognitive behavioural therapy (CBT) and counselling. Task shifting was the primary implementation strategy used in four studies. Interventions addressing the mental health needs of PLWH that incorporates the unique challenges and opportunities in SSA is highly recommended.

Authors & Co-authors:  Chukwuorji Ezeonu Ude Itanyi Eboreime Kung Dennett Olawepo Iheanacho Ogidi Rositch Nonyane Bass Ojo Ikpeazu Ezeanolue

Study Outcome 

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Statistics
Citations : 
Authors :  16
Identifiers
Doi : 10.1080/09540121.2023.2176428
SSN : 1360-0451
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Mental health;people living with HIV;sub-Saharan Africa;task shifting
Study Design
Study Approach
Country of Study
Uganda
Publication Country
England