Task-sharing and piloting WHO group interpersonal psychotherapy (IPT-G) for adolescent mothers living with HIV in Nairobi primary health care centers: a process paper

AIDS Care. 2021 Jul;33(7):873-878. doi: 10.1080/09540121.2020.1801981. Epub 2020 Aug 11.

Abstract

This paper describes a sustainable structure to deliver the World Health Organization (WHO) endorsed group Interpersonal Psychotherapy (IPT-G) for Postpartum Adolescent (PPA) mothers living with HIV in Nairobi. It documents the process of mobilizing, training, and engaging Community Health Workers (CHWs) and Key Informants (health facility staff) involved in the Prevention of Mother-To-Child Transmission (PMTCT) in two Primary Health Care (PHC) facilities from informal settlements of Nairobi County. Mainly reporting experiences from the training process utilizing focused group discussions and in-depth interviews involving participants, IPT-G therapists and supervisors we present process findings and acceptability of our IPT-G implementation.

Keywords: HIV stigma; depression; group interpersonal psychotherapy; postpartum adolescents; prevention of mother- to- child transmission; social support; task sharing; task shifting.

MeSH terms

  • Adolescent
  • Child
  • Female
  • HIV Infections* / therapy
  • Humans
  • Infectious Disease Transmission, Vertical
  • Interpersonal Psychotherapy*
  • Kenya
  • Mothers
  • Primary Health Care
  • World Health Organization