The Role of Depression Screening and Treatment in Achieving the UNAIDS 90-90-90 Goals in Sub-Saharan Africa.

Journal: AIDS and behavior

Volume: 23

Issue: Suppl 2

Year of Publication: 2019

Affiliated Institutions:  Department of Mental Health, College of Medicine, University of Malawi, Private Bag , Blantyre, Malawi. kkulisewa@yahoo.com. Epidemiology Department, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Dauer Dr, Chapel Hill, NC, , USA. Tidziwe Centre, University of North Carolina Project-Malawi, Private Bag A-, Lilongwe, Malawi. Department of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, S Columbia St, Chapel Hill, NC, , USA. NCDs & Mental Health Unit, Ministry of Health, Malawi, Ministry of Health, Capital City, P. O. Box , Lilongwe , Malawi.

Abstract summary 

Despite widespread HIV screening and treatment programs across sub-Saharan Africa, many countries are not on course to meet the Joint United Nations Program on HIV/AIDS 90-90-90 targets. As mental health disorders such as depression are prevalent among people living with HIV, investment in understanding and addressing comorbid depression is increasing. This manuscript aims to assess depression and HIV management in sub-Saharan Africa using a 90-90-90 lens through a discussion of: depression and the HIV care continuum; the state of depression screening and treatment; and innovations such as task-shifting strategies for depression management. Due to the lack of mental health infrastructure and human resources, task-shifting approaches that integrate mental health management into existing primary and community health programs are increasingly being piloted and adopted across the region. Greater integration of such mental health care task-shifting into HIV programs will be critical to realizing the 90-90-90 goals and ending the HIV epidemic.

Authors & Co-authors:  Kulisewa Kazione K Stockton Melissa A MA Hosseinipour Mina C MC Gaynes Bradley N BN Mphonda Steve S Udedi Michael M MM Pence Brian W BW

Study Outcome 

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Statistics
Citations :  Brandt R. The mental health of people living with HIV/AIDS in Africa: a systematic review. Afr J AIDS Res. 2009;8(2):123–133.
Authors :  7
Identifiers
Doi : 10.1007/s10461-019-02593-7
SSN : 1573-3254
Study Population
Male,Female
Mesh Terms
Africa South of the Sahara
Other Terms
Depression;HIV/AIDS;Mental health disorders;Sub-Saharan Africa;UNAIDS 90–90–90
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States