Development of a Psycho-social Support intervention for people with Multi-Drug Resistant Tuberculosis and co-morbid depression in Bangladesh: A feasibility study.
Though Bangladesh is one of WHO’s 27 MDR-TB high burden countries, the prevalence of mental disorders and their impact on treatment for MDR-TB is not well documented. In a recent review of the community MDR-TB programmes, despite only 5% of cases having documented psychiatric symptoms in a chart review, once 60 patients were interviewed, 60% reported noticeable changes in mood or perceptions of reality (Cavanaugh et al, 2015). The existing service delivery system does not include any screening for mental health problem among MDR TB patients, neither there exists any psycho-social counselling for the MDR TB patients. We aim to develop an acceptable and feasible psycho-social support (PSS) package to embed within the existing National TB Control Programme (NTP) service delivery system with the specific objectives to i) assess the existing MDR-TB services, exploring the facilitators and barriers in the current service provision for mental health support; ii) assess the prevalence of depression among MDR TB patients using the PHQ-9; iii) Validate PHQ-9 in Bangladesh context and iv) To identify whether depression is associated with cure rate and v) develop tools, materials and guideline for PSS package to the Bangladesh MDR-TB programme context.
The project is under the Communicable Diseases Health Service Delivery research programme consortium details of which can be found by clicking here.
3. Communicable Disease