RecruitingNot ApplicableNCT06399991

Aligning Facility Leadership and Climate to Advance Mental Health Services Integration in Malawi

Aligning Facility Leadership and Climate to Advance Mental Health Services Integration in Malawi (ALIGN)


Sponsor

University of North Carolina, Chapel Hill

Enrollment

1,080 participants

Start Date

Apr 8, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The main objective of the proposed study is to evaluate the impact of the combined leadership alignment + champion implementation strategy compared to a champion strategy alone, on integration of an evidence-based mental health treatment model into multiple medical care settings.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study in Malawi is looking at how hospital leadership and workplace culture affect whether mental health services get integrated into general medical care. It aims to improve access to mental health treatment within regular healthcare settings in a low-income country. **You may be eligible if...** - You are 18 or older - You are currently receiving medical care at a participating health facility in Malawi - You recently screened positive for elevated mental health symptoms **You may NOT be eligible if...** - You are under 18 - You are not a current patient at a participating health facility - You have not screened positive for mental health symptoms Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALChampion strategy

The champion strategy involves identifying champions within each district who are trained and supported as change agents through training and supervision.

BEHAVIORALAdapted LOCI leadership and climate alignment strategy plus champion strategy

The LOCI strategy involves engaging with district health leadership through data and feedback, leadership development trainings, coaching, and alignment strategy activities to align leadership and climate in support of implementing the evidence-based mental health package. The champion strategy involves identifying champions within each district who are trained and supported as change agents through training and supervision.


Locations(12)

Chiradzulu District Hospital

Chiradzulu, Malawi

Dedza District Hospital

Dedza, Malawi

Kasungu District Hospital

Kasungu, Malawi

Machinga District Hospital

Machinga, Malawi

Mangochi District Hospital

Mangochi, Malawi

Mchinji District Hospital

Mchinji, Malawi

Mulanje District Hospital

Mulanje, Malawi

Mzimba South District Hospital

Mzimba, Malawi

Nkhata Bay District Hospital

Nkhata Bay, Malawi

Ntcheu District Hospital

Ntcheu, Malawi

Phalombe District Hospital

Phalombe, Malawi

Salima District Hospital

Salima, Malawi

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NCT06399991


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