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Background <p>Depression is highly prevalent in people living with HIV (PWH), affecting their daily life and HIV outcomes. Following a successful pilot study to treat depression in PWH with Group Interpersonal Therapy, we examined its implementation potential. Despite a strong willingness for its adoption routine practice, formal integration of mental health services into HIV care remained challenging. Using Implementation Mapping, we aimed to select and specify a set of implementation strategies to integrate depression services into Senegalese HIV care.</p> Methods <p>For each step of depression services (i.e. screening, diagnostic confirmation/referral, and treatment), we selected potential implementation strategies using the Expert Recommendations for Implementing Change (ERIC). During a 3-day workshop, 14 different stakeholders, including doctors, social workers, community health workers, a psychiatrist, a socio-anthropologist and local health officials, reviewed and discussed strategies selected for each implementation step. Each participant also voted on the importance and feasibility of each strategy, using a Likert scale from 1 to 5 (5 = very high importance or feasibility). Scores were then plotted on a 'go-zone' graph. Details of strategies ranked as important and feasible were then specified by stakeholders<b>.</b></p> Results <p>Forty-eight strategies were identified. Among them, 62,5% were considered as highly important and feasible, 31,3% as important but with concerns about feasibility, 6,2% as not very important or feasible. A total of 46 distinct implementation strategies, derived from 21 ERIC strategies and corresponding to 8 ERIC thematic clusters, were selected for the final implementation plan. Materials needed to implement and monitor implementation (i.e. registers, decision tree, patient’s record) were validated during the workshop. Finally, a summary of the implementation plan for integrating depression management into HIV care services in Senegal was elaborated.</p> Conclusions <p>A systematic approach was used to collaboratively develop an implementation plan to integrate depression management into HIV care in Senegal. Informed by various stakeholders, this work can facilitate a national dissemination of the integration program and may offer a useful reference for developing similar programs for PWH in other settings.</p>

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Stakeholder engagement to co-design implementation strategies for integrating depression management into HIV care services in Senegal

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月17日

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  • Charlotte Bernard,
  • Keitly Mensah,
  • Kathryn L. Lovero,
  • Hawa Abou Lam,
  • Hélène Font,
  • Judicaël Malick Tine,
  • Salaheddine Ziadeh,
  • Ibrahima Ndiaye,
  • Awa Diagne,
  • Maguatte Ndiaye,
  • Jean Augustin Diégane Tine,
  • Antoine Jaquet,
  • Ndeye Fatou Ngom,
  • Moussa Seydi,
  • Armel Poda,
  • Bobo Dioulasso,
  • Oliver Ezechi,
  • Eugene Messou,
  • Henri Chenal,
  • Kla Albert Minga,
  • Aristophane Tanon,
  • Ephrem Mensah,
  • Caroline Yonaba,
  • Lehila Bagnan Tossa,
  • Jocelyn Dame,
  • Sylvie Marie N’Gbeche,
  • Kouadio Kouakou,
  • Madeleine Amorissani Folquet,
  • François Tanoh Eboua,
  • Fatoumata Dicko Traore,
  • Agatha David,
  • Elom Takassi,
  • Didier Koumavi Ekouevi,
  • François Dabis,
  • Renaud Becquet,
  • Karen Malateste,
  • Olivier Marcy,
  • Marie Kerbie Plaisy,
  • Elodie Rabourdin,
  • Thierry Tiendrebeogo,
  • Désiré Dahourou,
  • Sophie Desmonde,
  • Julie Jesson,
  • Valeriane Leroy,
  • Raoul Moh,
  • Jean-Claude Azani,
  • Jean Jacques Koffi,
  • Eric Komena,
  • Maika Bengali,
  • Abdoulaye Cissé,
  • Guy Gnepa,
  • Apollinaire Horo,
  • Simon Boni,
  • Eulalie Kangah,
  • Corinne Moh,
  • Jeanne Eliam,
  • Ighovwerha Ofotokun,
  • Chris Martin,
  • Noelle Benzekri,
  • Geoffrey Goettlieb,
  • Olivia Keiser

摘要

Background

Depression is highly prevalent in people living with HIV (PWH), affecting their daily life and HIV outcomes. Following a successful pilot study to treat depression in PWH with Group Interpersonal Therapy, we examined its implementation potential. Despite a strong willingness for its adoption routine practice, formal integration of mental health services into HIV care remained challenging. Using Implementation Mapping, we aimed to select and specify a set of implementation strategies to integrate depression services into Senegalese HIV care.

Methods

For each step of depression services (i.e. screening, diagnostic confirmation/referral, and treatment), we selected potential implementation strategies using the Expert Recommendations for Implementing Change (ERIC). During a 3-day workshop, 14 different stakeholders, including doctors, social workers, community health workers, a psychiatrist, a socio-anthropologist and local health officials, reviewed and discussed strategies selected for each implementation step. Each participant also voted on the importance and feasibility of each strategy, using a Likert scale from 1 to 5 (5 = very high importance or feasibility). Scores were then plotted on a 'go-zone' graph. Details of strategies ranked as important and feasible were then specified by stakeholders.

Results

Forty-eight strategies were identified. Among them, 62,5% were considered as highly important and feasible, 31,3% as important but with concerns about feasibility, 6,2% as not very important or feasible. A total of 46 distinct implementation strategies, derived from 21 ERIC strategies and corresponding to 8 ERIC thematic clusters, were selected for the final implementation plan. Materials needed to implement and monitor implementation (i.e. registers, decision tree, patient’s record) were validated during the workshop. Finally, a summary of the implementation plan for integrating depression management into HIV care services in Senegal was elaborated.

Conclusions

A systematic approach was used to collaboratively develop an implementation plan to integrate depression management into HIV care in Senegal. Informed by various stakeholders, this work can facilitate a national dissemination of the integration program and may offer a useful reference for developing similar programs for PWH in other settings.