REP component | Component elements used | Methods: Uganda activities |
---|---|---|
Pre-conditions | 1.1 Identify need for intervention | 1.1 Review of government NS program response highlighted mental health needs of caregivers of children with NS |
1.2 Identify intervention for local setting | 1.2 Desk review of pre-existing literature on EBTs in Uganda led to selection of IPT-G based on prior effectiveness demonstrated in NGO settings | |
1.3 Package intervention for training and assessment | 1.3 Review of literature and consultations with IPT therapists revealed IPT-G materials previously developed with illustrations and Luo language adaptation | |
Pre-implementation | 2.1 Orientation to core elements | 2.1 Stakeholder meeting with government administrative health officials and IPT-G experts refined and agreed on core elements |
2.2 Customize delivery | 2.2 Adaptation of package based on formative research with families affected by NS and contextualization to government health system delivery | |
2.3 Identification of barriers | 2.3 Coordination with existing NS health service delivery | |
2.4 Staff training needs | 2.4 Identification of government health staff to be trained in IPT-G delivery | |
2.5 Technical assistance needs | 2.5 Supervision to be carried out by IPT-G experts in Uganda and study team | |
Implementation | 3.1 Ongoing community partnership | 3.1 Coordination with government health system and local community during delivery of IPT-G |
3.2 Training and technical assistance | 3.2 Training of village health team members to implement IPT-G. Training of government health workers to be field supervisors. Establish weekly supervision meetings between village health teams and their health worker supervisors facilitated by IPT-G experts | |
3.3 Process evaluation | 3.3 Collection of video, audio, and written documentation from trainings, IPT-G weekly sessions, supervision, and coordination meetings; controlled before and after study with evaluation of caregiver and child outcomes | |
3.4 Feedback and refinement of intervention packageand training | 3.4 Post-intervention feedback from government health system workers, village health team members, IPT-G recipients, and community members | |
Maintenance and evolution | 4.1 Organizational and financial changes to sustain intervention | 4.1 Costs of delivering IPT-G for NS affected families estimated |
4.2 Prepare package for national dissemination | 4.2 Intervention manualized, materials and implementation plan modified for integration in national guidelines for NS health services | |
4.3 Re-customize delivery as need arises | 4.3 Plan to conduct validation study to incorporate livelihoods scheme, develop quality assurance and customization guidelines |