Speaker
Description
Background:
Low mental health awareness, stigma, training gaps, and limited integration of mental health services in primary care restrict access to care for the majority of Tanzanians. We piloted a mental health training program for healthcare workers and community representatives from six villages in rural Kilimanjaro region.
Methods:
Outcomes were evaluated using the MercyCorps feasibility assessment tool, including: demand, technical, financial and operational feasibility; knowledge gain, and engagement, and pre-post surveys on self-efficacy and skills. These outcomes were assessed through trends of participation throughout initial and refresher training. Training content was informed by Swahili-translated Mental Health Gap Action Programme (mhGAP) Intervention Guide and Training Manuals. Interactive roleplay and problem-solving-based discussions on stigma and clinical skills were facilitated by four psychiatrists, one clinical psychologist, one senior psychiatric nurse practitioner, and three psychiatry trainees. Initial training was conducted over five days in November 2025, followed by a two-day refresher training in June 2026.
Results:
88 participants registered: 30 village/ward leaders, 24 primary school teachers, 23 nurses, eight religious leaders, and three home-based care providers. 68 participants attended refresher training seven months later, representing 77% retention. All participants endorsed this training as necessary and helpful, and improved knowledge. Self-efficacy rates at follow-up were higher among healthcare workers (89/100) than community representatives (74/100). Additionally, 78% of healthcare workers reported increased help-seeking and referrals to secondary care. Training costs were for daily meals and transport allowance, funded by a non-governmental not-for-profit organization. No participants reported dissatisfaction with training facilitation.
Conclusion:
Our findings underscore the feasibility of conducting short-term training for primary care workers and community representatives, with preliminary indications of increased prevention in their communities. Integrated supervision models and government financing are essential for sustainability. Future strategies should focus on continued strengthening referral pathways and collaboration with local government authorities.