Addressing Adolescent Depression in Tanzania: Positive Primary Care Workforce Outcomes Using a Training Cascade Model.

Journal: Depression research and treatment

Volume: 2017

Issue: 

Year of Publication: 

Affiliated Institutions:  Dalhousie University and the IWK Health Centre, University Avenue, P.O. Box , Halifax, NS, Canada BK R. Sun Life Financial Chair in Adolescent Mental Health Team, IWK Health Centre, Halifax, NS, Canada. Farm Radio International, Ottawa, ON, Canada. Muhimbili National Hospital, Kalenga Street, P.O. Box , Dar es Salaam, Tanzania. Muhimbili University of Health and Allied Sciences, P.O. Box , Dar es Salaam, Tanzania. Mental Health and Substance Abuse, Ministry of Health, P.O. Box , Dar es Salaam, Tanzania. Non-Communicable Disease, Ministry of Health, P.O. Box , Dar es Salaam, Tanzania.

Abstract summary 

This is a report on the outcomes of a training program for community clinic healthcare providers in identification, diagnosis, and treatment of adolescent Depression in Tanzania using a training cascade model.Lead trainers adapted a Canadian certified adolescent Depression program for use in Tanzania to train clinic healthcare providers in the identification, diagnosis, and treatment of Depression in young people. As part of this training program, the knowledge, attitudes, and a number of other outcomes pertaining to healthcare providers and healthcare practice were assessed.The program significantly, substantially, and sustainably improved provider knowledge and confidence. Further, healthcare providers' personal help-seeking efficacy also significantly increased as well as the clinicians' reported number of adolescent patients identified, diagnosed, and treated for Depression.To our knowledge, this is the first study reporting positive outcomes of a training program addressing adolescent Depression in Tanzanian community clinics. These results suggest that the application of this training cascade approach may be a feasible model for developing the capacity of healthcare providers to address youth Depression in a low-income, low-resource setting.

Authors & Co-authors:  Kutcher Stan S Wei Yifeng Y Gilberds Heather H Brown Adena A Ubuguyu Omary O Njau Tasiana T Sabuni Norman N Magimba Ayoub A Perkins Kevin K

Study Outcome 

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Statistics
Citations :  National Research Council. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, D.C., Wash, USA: National Academies Press; 2009.
Authors :  9
Identifiers
Doi : 9109086
SSN : 2090-1321
Study Population
Male,Female
Mesh Terms
Other Terms
Study Design
Study Approach
Country of Study
Tanzania
Publication Country
United States