Reported end date passed· Health
Problem Management Plus (PM+) for violence prevention and management of mental health problems among women experiencing partner violence in Nepal
Women from low and middle-income countries (LMICs) are at increased risk of both intimate partner violence (IPV) and mental health disorders. Earlier interventions to address mental health consequences of IPV in high-income settings have poor transferability in LMICs since they require specialists and treatment durations that are unaffordable. To address this, WHO has developed a brief behavioural intervention called Problem Management Plus (PM+) for IPV victims.We plan a cluster randomised trial to assess the effectiveness of PM+ in Nepal with high prevalence of both IPV and poor health outcomes among women. A total of 72 health centres (clusters) (N=1420 individual women) will be randomly allocated in a 1:1 ratio providing PM+ versus standard care (control). There will be three data collection points over 18 months preceded by formative research to adapt the PM+ module to the local context. Qualitative interviews will explore feasibility and acceptability among service providers and participants. Descriptive statistics, multilevel analysis and intention to treat analysis will be applied. Qualitative data will be thematically analyzed.This trial will contribute real-life evidence of scalability for informed decision-making by providing innovative large-scale evidence of task-shifting mental health service provision to lower cadre workers, for more affordable, culturally acceptable and effective management to mitigate the huge unmet need in IPV-exposed women in this region.
Source-reported status: completed. Timeline labels use reported dates and do not verify current activity.
Reported by Sida / Sweden
Overview
About this project
Women from low and middle-income countries (LMICs) are at increased risk of both intimate partner violence (IPV) and mental health disorders. Earlier interventions to address mental health consequences of IPV in high-income settings have poor transferability in LMICs since they require specialists and treatment durations that are unaffordable. To address this, WHO has developed a brief behavioural intervention called Problem Management Plus (PM+) for IPV victims.We plan a cluster randomised trial to assess the effectiveness of PM+ in Nepal with high prevalence of both IPV and poor health outcomes among women. A total of 72 health centres (clusters) (N=1420 individual women) will be randomly allocated in a 1:1 ratio providing PM+ versus standard care (control). There will be three data collection points over 18 months preceded by formative research to adapt the PM+ module to the local context. Qualitative interviews will explore feasibility and acceptability among service providers and participants. Descriptive statistics, multilevel analysis and intention to treat analysis will be applied. Qualitative data will be thematically analyzed.This trial will contribute real-life evidence of scalability for informed decision-making by providing innovative large-scale evidence of task-shifting mental health service provision to lower cadre workers, for more affordable, culturally acceptable and effective management to mitigate the huge unmet need in IPV-exposed women in this region.
Field coverage
75% complete
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Not reported by the available sources: budget, disbursement, partner organizations. This is intentionally shown as unavailable rather than estimated.
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Original project evidence
1 distinct source feed across 2 recorded evidence versions. These are not independent confirmations. Links below show the latest available version for each source page, up to 50 pages.
Alignment