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

Inclusion Criteria2

  • years old or older
  • Patient receiving medical care in participating district who screened positive for elevated common mental disorder symptoms that day or in the preceding month.

Exclusion Criteria2

  • \<18 years old
  • Not currently a patient receiving medical care in participating district who screened positive for elevated common mental disorder symptoms that day or in the preceding month.

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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