NCT01977326

Task Sharing Counseling Intervention by Community Health Workers for Prenatal Depression in South Africa

The Effectiveness and Cost-effectiveness of a Task Sharing Counseling Intervention by Community Health Workers for Prenatal Depression in South Africa

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 4,205 (actual)
• Sponsor: University of Cape Town · Academic / Other
• Sex: Female
• Age: 18 Years – 45 Years
• Healthy volunteers: Not accepted

Summary

The objective of this randomised controlled trial (RCT) is to determine the effectiveness and cost-effectiveness of a task sharing counseling intervention for maternal depression in South Africa(i.e. provided by non-specialist health workers)

Detailed description

Specific Objectives: 1. To determine the effectiveness and cost-effectiveness of task sharing care to community health workers (CHWs), compared to enhanced usual care in South Africa, on both primary outcome measures (severity of prenatal maternal depression symptoms) and on a series of secondary outcome measures (functional status, health care utilization, social support and postnatal infant growth). 2. To examine factors influencing the implementation of the task sharing intervention and future scale up, by assessing feasibility, sustainability, quality, and safety, and by qualitative exploration of the experience of task sharing from the perspectives of both CHWs and patients.

Conditions

• Moderate Depression
• Clinical Depression
• Postpartum Depression

Interventions

Type	Name	Description
BEHAVIORAL	basic counselling by lay-health workers	6 sessions of manual based counselling by trained lay health workers
OTHER	Enhanced usual care	3 monthly phone calls by trained lay health workers (without counselling)

Timeline

• Start date: 2013-10-01
• Primary completion: 2016-06-01
• Completion: 2016-06-01
• First posted: 2013-11-06
• Last updated: 2016-10-28

Locations

2 sites across 1 country: South Africa