Come Together to Decrease Depression: Women's mental health, social capital, and participation in a Kenyan combined microfinance program.

Journal: The International journal of social psychiatry

Volume: 67

Issue: 6

Year of Publication: 2022

Affiliated Institutions:  Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA. Sodzo International, Houston, TX, USA.

Abstract summary 

Tools and systems to improve mental health have been understudied in low-resource environments, such as sub-Saharan Africa. This study explores depression amongst women participating in a community-based intervention combining savings- and lending-groups, entrepreneurial training and other skills training.This study aims to determine whether depression decreases with more program participation, and the extent to which social capital variables may explain these changes.Survey data were gathered in June 2018, within 6 months of group formation, and again in June 2019 from 400 women participants in the program. Data between 2018 and 2019 were compared using Wilcoxon rank-sum and Chi square tests. Inferential statistics included random effects regression models and general structural equation models.At 1-year follow-up, depression and loneliness amongst Kenyan women ( = 400) participating in the program had decreased. Social capital remained higher within groups than within the broader community, and mediated the association between program participation and decreased depression.Findings suggest this novel, community-based intervention has the potential to benefit mental health. Future research, including a randomised control trial, is required to establish (1) the extent of the program's benefits and (2) the program's application to particular subject areas and population segments.

Authors & Co-authors:  Goodman Elliott Gitari Keiser Onwuegbuchu Michael Seidel

Study Outcome 

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Statistics
Citations :  Abubakar A, Kalu RB, Katana K, Kabunda B, Hassan AS, Newton CR, & Van de Vijver F (2016). Adaptation and latent structure of the Swahili version of Beck Depression Inventory-II in a low literacy population in the context of HIV. PLoS One, 11(6), e0151030.
Authors :  7
Identifiers
Doi : 10.1177/0020764020966014
SSN : 1741-2854
Study Population
Women
Mesh Terms
Depression
Other Terms
Depression;Kenya;Women;community-based intervention;social capital
Study Design
Study Approach
Country of Study
Kenya
Publication Country
England