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Enhanced Problem-solving Therapy and HIV Engagement Support to Improve Perinatal Mental Health & HIV Outcomes in Malawi

RecruitingNAAges 18 Years - anyFemaleUniversity of North Carolina, Chapel Hill
NCT06702722 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The main objective of the proposed study is to evaluate the effectiveness of the Enhanced Friendship Bench intervention to improve perinatal depression, HIV care engagement, and infant health outcomes among pregnant women with HIV and depression in Malawi.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Presenting for antenatal care at one of our 5 recruitment sites * ≥ 18 years of age * ≤ 34 weeks gestation * HIV-positive, based on medical records * Initiating, re-initiating, or on established ART during index pregnancy * Elevated depressive symptoms as indicated by a EPDS score ≥10. The EPDS is widely used to assess perinatal mood disorders that has been validated in perinatal populations in Malawi with this cut point to identify probable perinatal depression Exclusion Criteria: * Suicidal ideation evaluated as acute risk. * Other health concerns requiring emergent response.
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What it tests

  • Enhanced Friendship Bench
  • Enhanced usual care
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Where

5 sites
Area 18 Health Center
Lilongwe, Malawi
Area 25 Health Center
Lilongwe, Malawi
Bwaila Hospital
Lilongwe, Malawi
Kawale Health Center
Lilongwe, Malawi
Likuni Mission Hosptial
Lilongwe, Malawi
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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