Innovative approaches to developing scalable and sustainable adolescent maternal mental health interventions in Kenya and Mozambique
Lead Research Organisation:
King's College London
Department Name: Health Service and Population Research
Abstract
The majority of the 20,000 babies born to adolescent mothers in low and middle-income countries live in sub-Saharan Africa. Efforts to achieve the UN Sustainable Development Goals have focused on preventing teenage pregnancy, leaving adolescent mothers with limited support to overcome the specific challenges they face. Adolescent girls are particularly vulnerable with 1 in 2 experiencing a mental disorder during pregnancy or the year after birth. The adverse effects on their physical health, social networks, educational achievements and employment opportunities and well as the developmental, emotional, behavioural and physical health outcomes of their children are significant. Despite this inequity, no interventions focused on adolescent maternal mental health have been evaluated in these low-resource settings. This is the challenge this Fellowship will address.
To support adolescent mothers and their children to survive and thrive, it is necessary to engage stakeholders in the development of mental health interventions and identify how to leverage the surrounding structures and forces to optimise interventions for both front-line use and local and national implementation through the combination of human-centred design and systems thinking approaches. Through this fellowship I will use human-centred, systems-minded design to partner with adolescent girls, their families, and health providers to design, implement, and evaluate interventions to improve the mental health of adolescents during pregnancy and the year after birth in Mozambique and Kenya.
A seven-year, three-phase, mixed-method design will be used to develop and evaluate a mental health prevention intervention for pregnant and new mothers aged 15-19 living in Mozambique and Kenya. In Phase 1 (months 2-18) a human-centred, system-minded design approach will be used to partner with adolescents, their families, local service providers and policymakers to identify, adapt and prototype an intervention to improve adolescent maternal mental health outcomes in each country. In Phase 2 (months 14-48), the intervention will be piloted within each country to assess feasibility, appropriateness, and acceptability and collect mental health, process and resource data to prepare for a trial. Lastly, in Phase 3 (months 49-84), a randomised controlled trial evaluating clinical effectiveness and delivery outcomes compared to usual care/basic mental health literacy intervention will be conducted.
The research will result in the development of an intervention(s) that supports adolescent maternal wellbeing and gives adolescent mothers the hope and skills to build a better life for them and their children by packaging what we know are the risk and protective factors for maternal mental disorders in a way that is attractive to young mothers, their families and service providers. By using human-centred, systems-minded design to understand the needs and priorities of young mothers and the health and community systems in which they live, the resulting intervention(s) and approach to contextual adaptation has significant potential for international transferability and impact beyond Mozambique and Kenya, and beyond Africa. In addition, the work undertaken will provide a foundation for the development of approaches to adaptation and implementation of mental health interventions which can be used by providers of mental health interventions across the lifespan.
To support adolescent mothers and their children to survive and thrive, it is necessary to engage stakeholders in the development of mental health interventions and identify how to leverage the surrounding structures and forces to optimise interventions for both front-line use and local and national implementation through the combination of human-centred design and systems thinking approaches. Through this fellowship I will use human-centred, systems-minded design to partner with adolescent girls, their families, and health providers to design, implement, and evaluate interventions to improve the mental health of adolescents during pregnancy and the year after birth in Mozambique and Kenya.
A seven-year, three-phase, mixed-method design will be used to develop and evaluate a mental health prevention intervention for pregnant and new mothers aged 15-19 living in Mozambique and Kenya. In Phase 1 (months 2-18) a human-centred, system-minded design approach will be used to partner with adolescents, their families, local service providers and policymakers to identify, adapt and prototype an intervention to improve adolescent maternal mental health outcomes in each country. In Phase 2 (months 14-48), the intervention will be piloted within each country to assess feasibility, appropriateness, and acceptability and collect mental health, process and resource data to prepare for a trial. Lastly, in Phase 3 (months 49-84), a randomised controlled trial evaluating clinical effectiveness and delivery outcomes compared to usual care/basic mental health literacy intervention will be conducted.
The research will result in the development of an intervention(s) that supports adolescent maternal wellbeing and gives adolescent mothers the hope and skills to build a better life for them and their children by packaging what we know are the risk and protective factors for maternal mental disorders in a way that is attractive to young mothers, their families and service providers. By using human-centred, systems-minded design to understand the needs and priorities of young mothers and the health and community systems in which they live, the resulting intervention(s) and approach to contextual adaptation has significant potential for international transferability and impact beyond Mozambique and Kenya, and beyond Africa. In addition, the work undertaken will provide a foundation for the development of approaches to adaptation and implementation of mental health interventions which can be used by providers of mental health interventions across the lifespan.
Planned Impact
My research introduces the human-centred, systems-minded design to the field of global mental health to develop interventions to improve the mental wellbeing of adolescent mothers living in Mozambique and Kenya giving them the hope and skills to make a better life for them and their children. Together with my collaborators I have identified four impact goals which we will work towards over the duration of the Fellowship.
Impact Goal #1: Provide evidence of the impact of an adolescent-specific maternal mental health intervention on maternal wellbeing during pregnancy and the year after birth in low and middle-income countries (LMIC) to influence health policy in Kenya and Mozambique
Stakeholders: Kenyan and Mozambican Ministries of Health
Impact: The identification of an intervention which improves adolescent maternal wellbeing within a LMIC context will provide an evidenced way in which national governments can support adolescent mothers.
Impact Goal #2: Provide evidence of the clinical and implementation effectiveness for mental health interventions developed using human-centred, systems-minded design to support the efforts of national and international advocacy groups and influence mental health practices in international development
Stakeholders: United for Global Mental Health; African Alliance for Maternal Mental Health; UK Department for International Development (DFID); World Health Organization; Unicef; United Nations Population Fund
Impact: An intervention developed through meaningful and long-term engagement of adolescent mothers, their families, and local service providers which has proven clinical effectiveness and strong implementation qualities can be used by advocacy groups to support their emphasis on stakeholder engagement in the development of mental health interventions and services. Furthermore, national development programmes may be influenced to require human-centred approaches to the development and delivery of mental health interventions they support in partner countries.
Impact Goal #3: Provide practitioners around the world with a development guide for the identification, adaptation, and implementation of evidence-based mental health promotion and prevention interventions for adolescents using human-centred, systems-minded design
Stakeholders: National and International NGOs (e.g. The Perinatal Mental Health Project; The MHPSS Collaborative; Save the Children); Tete District Health Director (Mozambique); Kilifi County Chief Officer of Health (Kenya)
Impact: The development of a guide for the adaptation and implementation of existing evidence-based interventions specifically for practitioner use will provide practical assistance to service providers to improve the mental health services and care offered to adolescents.
Impact Goal #4: Increase participation of professionals outside the field of mental health in collaboration to improve the development of scalable and sustainable mental health interventions
Stakeholders: Social entrepreneurs, educators, technologists, ang other non-mental health professionals
Impact: By engaging with individuals not traditionally included within the identification and development of interventions to promote adolescent wellbeing we hope to increase their agency and participation in identifying solutions to increase the availability and access to mental health interventions.
Achievement of these goals will also raise awareness of adolescent maternal mental health issues within the communities where the project is conducted. We hope this increases demand for appropriate, tailored interventions and the likelihood of intervention adoption/implementation. Ultimately the project will help to increase the availability of an intervention which provides practical and desired support to maintain positive wellbeing during pregnancy and after childbirth.
Impact Goal #1: Provide evidence of the impact of an adolescent-specific maternal mental health intervention on maternal wellbeing during pregnancy and the year after birth in low and middle-income countries (LMIC) to influence health policy in Kenya and Mozambique
Stakeholders: Kenyan and Mozambican Ministries of Health
Impact: The identification of an intervention which improves adolescent maternal wellbeing within a LMIC context will provide an evidenced way in which national governments can support adolescent mothers.
Impact Goal #2: Provide evidence of the clinical and implementation effectiveness for mental health interventions developed using human-centred, systems-minded design to support the efforts of national and international advocacy groups and influence mental health practices in international development
Stakeholders: United for Global Mental Health; African Alliance for Maternal Mental Health; UK Department for International Development (DFID); World Health Organization; Unicef; United Nations Population Fund
Impact: An intervention developed through meaningful and long-term engagement of adolescent mothers, their families, and local service providers which has proven clinical effectiveness and strong implementation qualities can be used by advocacy groups to support their emphasis on stakeholder engagement in the development of mental health interventions and services. Furthermore, national development programmes may be influenced to require human-centred approaches to the development and delivery of mental health interventions they support in partner countries.
Impact Goal #3: Provide practitioners around the world with a development guide for the identification, adaptation, and implementation of evidence-based mental health promotion and prevention interventions for adolescents using human-centred, systems-minded design
Stakeholders: National and International NGOs (e.g. The Perinatal Mental Health Project; The MHPSS Collaborative; Save the Children); Tete District Health Director (Mozambique); Kilifi County Chief Officer of Health (Kenya)
Impact: The development of a guide for the adaptation and implementation of existing evidence-based interventions specifically for practitioner use will provide practical assistance to service providers to improve the mental health services and care offered to adolescents.
Impact Goal #4: Increase participation of professionals outside the field of mental health in collaboration to improve the development of scalable and sustainable mental health interventions
Stakeholders: Social entrepreneurs, educators, technologists, ang other non-mental health professionals
Impact: By engaging with individuals not traditionally included within the identification and development of interventions to promote adolescent wellbeing we hope to increase their agency and participation in identifying solutions to increase the availability and access to mental health interventions.
Achievement of these goals will also raise awareness of adolescent maternal mental health issues within the communities where the project is conducted. We hope this increases demand for appropriate, tailored interventions and the likelihood of intervention adoption/implementation. Ultimately the project will help to increase the availability of an intervention which provides practical and desired support to maintain positive wellbeing during pregnancy and after childbirth.
Organisations
- King's College London (Lead Research Organisation)
- Aga Khan University Hospital, Nairobi (Collaboration)
- University of Lincoln (Collaboration)
- International Centre for Reproductive Health Mozambique (Collaboration)
- World Health Organization (WHO) (Collaboration)
- Institute for Research and Development (Collaboration)
- Mahidol University (Collaboration)
- The MHPSS Collaborative (Collaboration, Project Partner)
- UNIVERSITY OF EDINBURGH (Collaboration)
- Royal College of Art (Collaboration)
- Government of Mozambique (Collaboration)
- Well Told Story (Project Partner)
Publications
Ademosu T
(2021)
Burden, impact, and needs of caregivers of children living with mental health or neurodevelopmental conditions in low-income and middle-income countries: a scoping review.
in The lancet. Psychiatry
Ademosu Temitope
(2021)
Burden, impact, and needs of caregivers of children living with mental health or neurodevelopmental conditions in low-income and middle-income countries: a scoping review
in LANCET PSYCHIATRY
Bemme D
(2024)
Mutuality as a method: advancing a social paradigm for global mental health through mutual learning.
in Social psychiatry and psychiatric epidemiology
Gallimore JB
(2023)
Impact of mental health stigma on help-seeking in the Caribbean: Systematic review.
in PloS one
Gronholm PC
(2023)
Toward a multi-level strategy to reduce stigma in global mental health: overview protocol of the Indigo Partnership to develop and test interventions in low- and middle-income countries.
in International journal of mental health systems
Johnson S
(2022)
Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care.
in World psychiatry : official journal of the World Psychiatric Association (WPA)
Kola L
(2021)
COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health.
in The lancet. Psychiatry
Lamahewa K
(2023)
Protocol for intervention development to improve adolescent perinatal mental health in Kenya and Mozambique: The INSPIRE project
in SSM - Mental Health
| Description | The work has identified the key challenges to adolescent girls during pregnancy and the year after birth. Those which are shared priorities among adolescent girls, their partners and families, service providers and community leaders are improving knowledge about pregnancy and caregiving, improving knowledge about sexual and reproductive health and family planning, and poverty alleviation. With these goals in mind, we invited stakeholders to attend workshops to brainstorm and develop potential solutions. Through these activities, we have developed an intervention (the Thriving Mamas Programme) with stakeholders in Kenya and Mozambique which address their needs and are based in existing evidence on how to improve girl's self-efficacy and support good mental health. We have also co-designed ways to deliver the intervention which work with the strengths of the local communities to increase the feasibility of its continued use (if deemed successful) after the end of the research period. In October 2023 a pilot trial to assess the implementation outcomes of the intervention began in Kenya and Mozambique. The pilot was completed in August 2024. Our initial analysis indicates that the Thriving Mamas Programme is acceptable and appropriate to girls, their families and intervention faciltators. Intervention facilitators have also indicated that the intervention and the training they recieved to deliver it is acceptable, appropriate and feasible. Community stakeholders have found the intervention to have a positive impact by addressing an unseen need. |
| Exploitation Route | The outcomes so far can be used by other researchers, policymakers and service providers to understand different community perspectives on adolescent pregnancy. Stakeholders have indicated a high level of interest in the methods of co-design used in the project. Our sharing of learnings from this process through presentations and meetings indicate that others intend to incorporate these methods in their own work. Additionally, the resulting intervention may be used by others for delivery or further testing following the results of our pilot study. There is support from local and national government representatives who are interested in the potential wider viability of the intervention in both countries. We have submitted applications to fund a full trial of the intervention to assess its impact on mental health and other outcomes as well as its potential for sustainable scale-up. In addition, we have identified the need for a partner/male-head-of-household intervention to increase their support of adolescents during the perinatal period and improve their knowledge of mental health issues that affect them and their household. We have recently obtained funding to develop such an intervention in Kenya. |
| Sectors | Communities and Social Services/Policy Education Healthcare |
| URL | https://www.designinmh.com/inspire |
| Description | The findings of this project have been used as a case study within the World Health Organization (WHO) Guide on integrating perinatal mental health into maternal and child health services. Insights gained through the project have also been used to support national governments in Kenya and Tanzania in developing plans for the integration of perinatal mental health care into exisiting health services. |
| First Year Of Impact | 2022 |
| Sector | Communities and Social Services/Policy,Healthcare |
| Impact Types | Policy & public services |
| Description | Quality of care for child and adolescent mental health |
| Geographic Reach | Europe |
| Policy Influence Type | Contribution to new or improved professional practice |
| Description | WHO Guidelines for integrating perinatal mental health into maternal and child health services |
| Geographic Reach | Multiple continents/international |
| Policy Influence Type | Contribution to new or improved professional practice |
| Impact | The production of the guide and additional work to support implementation of the guide in three test countries (Kenya, Mozambique and Tanzania) from the WHO (and Tatiana Salisbury) has led to greater engagement and commitment from ministries of health to improving mental health care for women. In Kenya and Tanzania, priorities for action on improving perinatal mental health have been agreed. |
| URL | https://www.who.int/publications/i/item/9789240057142 |
| Description | WHO Tanzania maternal mental health integration planning meeting with Ministry of Health |
| Geographic Reach | National |
| Policy Influence Type | Contribution to new or improved professional practice |
| Description | Future Leaders Fellowship Renewal |
| Amount | £676,575 (GBP) |
| Funding ID | MR/Y020286/1 |
| Organisation | United Kingdom Research and Innovation |
| Sector | Public |
| Country | United Kingdom |
| Start | 08/2024 |
| End | 08/2027 |
| Description | Co-designed and delivered a seminar series on adolescent mental health; developed grant applications |
| Organisation | Institute for Research and Development |
| Country | Sri Lanka |
| Sector | Public |
| PI Contribution | My team and I co-designed an online seminar series on adolescent mental health, comprising 7 seminars delivered by us and academics from different institutions (Institute for Research & Development in Health & Social Care, Sri Lanka; Mahidol University, Thailand; King Saud University, Saudi Arabia; University of Edinburgh). The series ran from June-December 2024. We also co-developed grant applications for an intervention to support adolescent perinatal mental health in Sri Lanka. |
| Collaborator Contribution | My partner (IRD, Sri Lanka) co-designed and co-delivered the seminar series, and co-developed grant applications for an intervention to support adolescent perinatal mental health in Sri Lanka |
| Impact | Adolescent mental health online seminar series, comprising the following sessions: (1) Opportunities and barriers to the use of co-design approaches to improve adolescent mental health (4th June 2024) (2) Mental health surveys amongst adolescents in Sri Lanka (24th June 2024) (3) Social media and game addictive behavior in Thailand (22nd July 2024) (4) Need assessment and evaluation of the adolescents' mental health social media campaign in Arabian Gulf Countries (16th September 2024) (5) Introduction to Implementation science (21st October 2024) (6) Community engagement Institute for Research & Development in Health & Social Care (18th November 2024) (7) Developing research ideas, grant writing and barriers to implementation (16th December 2024) |
| Start Year | 2024 |
| Description | Cocreation workshops |
| Organisation | University of Lincoln |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | Me and my research team are contributing our expertise an experience in using cocreation approaches within research. We are developing the workshop content with our partners and will be running the last of three workshops. |
| Collaborator Contribution | My partner is co-organising the workshops and co-developing the workshop content. They have overseen the advertisement and ticketing. |
| Impact | The output was a series of three workshops which ran from April-June 2022. An additional output is our workshop webpage which includes recordings of a range of experts with experience of using co-creation. These include a representative from the World Health Organization, academics from the fields of mental health, engineering, sociology, women and children's health, and representatives from NGOs across the global north and south. |
| Start Year | 2022 |
| Description | Hosted a visiting academic (12 months) and co-designed and delivered a seminar series on adolescent mental health |
| Organisation | Mahidol University |
| Country | Thailand |
| Sector | Academic/University |
| PI Contribution | My team and I co-designed an online seminar series on adolescent mental health, comprising 7 seminars delivered by us and academics from different institutions (Institute for Research & Development in Health & Social Care, Sri Lanka; Mahidol University, Thailand; King Saud University, Saudi Arabia; University of Edinburgh). The series ran from June-December 2024. We also hosted in our department a Visiting Research Fellow from Mahidol University, Thailand. |
| Collaborator Contribution | My partner (Mahidol University, Thailand) co-designed and co-delivered the seminar series. One academic from the Department of Psychiatry was in residence for 12 months at my department as Visiting Research Fellow. |
| Impact | Adolescent mental health online seminar series, comprising the following sessions: (1) Opportunities and barriers to the use of co-design approaches to improve adolescent mental health (4th June 2024) (2) Mental health surveys amongst adolescents in Sri Lanka (24th June 2024) (3) Social media and game addictive behavior in Thailand (22nd July 2024) (4) Need assessment and evaluation of the adolescents' mental health social media campaign in Arabian Gulf Countries (16th September 2024) (5) Introduction to Implementation science (21st October 2024) (6) Community engagement Institute for Research & Development in Health & Social Care (18th November 2024) (7) Developing research ideas, grant writing and barriers to implementation (16th December 2024) |
| Start Year | 2024 |
| Description | Human-centred design |
| Organisation | Royal College of Art |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | I have provided mental health expertise to build capacity for future work in the area of mental health within the College. This collaboration has also led to further collaboration in the form of my United Kingdom Research and Innovation (UKRI) Future Leaders Fellowship which extends the our Catalyst work. |
| Collaborator Contribution | Our partners at The Royal College of Art (RCA) have contributed additional time to the development of the research protocol, completion of research and ethical approval applications, and recruitment of a designer to carry out the initial activities of Catalyst. They have also showcased the project in the college gallery space as a means of increasing interaction with the general public and students, staff and faculty within the college. More recently they have provided design support in the development of a new project (INSPIRE) which follows on from the Catalyst project to examine the generalisability of our intervention across Mozambique and in Kenya. |
| Impact | The outputs so far from this collaboration are: Research approval in Mozambique additional funding applications Ethical approval (provisional) in Mozambique and the UK Invitations to present Catalyst and other Royal College of Art projects at the Design for Global Health conference at the Royal Society of Medicine in London, UK (5 December 2018) Secured UKRI Future Leaders Fellowship for Dr Salisbury with continuing partnership of the Royal College of Art. This collaboration is multi-disciplinary and includes the fields of mental health, maternal health, human-centred design and social science. |
| Start Year | 2017 |
| Description | INSPIRE - MHPSS Collaborative |
| Organisation | The MHPSS Collaborative |
| Country | Denmark |
| Sector | Charity/Non Profit |
| PI Contribution | We provide technical advice and support in the incorporation of design approaches to their mental health work and funding applications. |
| Collaborator Contribution | The Collaborative provides access to their significant network of NGOs, research partners, international agencies, governments and providers throughout the world to the team for use in knowledge exchange activities. |
| Impact | Funding for a service improvement activity for seamless mental health care for adolescent refugees The Collaborative staff led a teaching activity for King's College London Global Mental Health students |
| Start Year | 2018 |
| Description | INSPIRE/SUMMIT - Kenya |
| Organisation | Aga Khan University Hospital, Nairobi |
| Department | Department of Obstetrics and Gynaecology |
| Country | Kenya |
| Sector | Hospitals |
| PI Contribution | Aga Khan University (AKU) is the implementation lead for our work in Kenya. We have provided support to the team in developing research protocols and assisting in applications for regulatory approvals. In addition we have provided a comprehensive capactiy-building programme to support the field team and the organisation in the implementation of research activities and manuscript writing as well as training in transferable skills (e.g. public speaking, community engagement) and support in career development for early career staff. |
| Collaborator Contribution | AKU has provided their deep knowledge of the field site and networks to support the development of a relevant research protocol. They have developed strong relationships with research participants, partners and local community in order to support the implementation of the research. They have been responsible for qualitative and quantitative data collection and analysis. They are currently writing papers for publication and supporting the development of follow-on research proposals for future grant funding opportunities. In addition they have: established a local advisory board; represented the project at sub-county and national ministry of health meetings; overseen the development of a locally adapted facilitator programme; and presented our findings at local conferences. |
| Impact | Successful application to the UKRI Future Leaders Fellowship (mental health, maternal health, implementation science, human-centred design) Successful renewal of UKRI Future Leaders Fellowship (mental health, maternal health, implementation science, human-centred design) Community sensitisation meeting for community health practitioners (2023) Sub-county study presentation meetings (2023) Convened project local advisory group Sub-county delivery of perinatal mental health training to intervention providers |
| Start Year | 2019 |
| Description | INSPIRE/SUMMIT - Mozambique |
| Organisation | International Centre for Reproductive Health Mozambique |
| Country | Mozambique |
| Sector | Academic/University |
| PI Contribution | The ICRH-Mozambique is the implementation lead for our work in Mozambique. We have provided support to the team in developing research protocols and assisting in applications for regulatory approvals. In addition we have provided a comprehensive capactiy-building programme to support the field team and the organisation in the implementation of research activities and manuscript writing as well as training in transferable skills (e.g. public speaking, community engagement) and support in career development for early career staff. |
| Collaborator Contribution | They have developed strong relationships with research participants, partners and local community in order to support the implementation of the research. They have been responsible for qualitative and quantitative data collection and analysis. They are currently writing papers for publication and supporting the development of follow-on research proposals for future grant funding opportunities. In addition they have: established a local advisory board; represented the project at district health authority and national ministry of health meetings; overseen the development and delivery of a locally adapted facilitator training programme; and presented our findings at an international conference. |
| Impact | Successful application to the UKRI Future Leaders Fellowship (mental health, maternal health, implementation science, human-centred design) Successful renewal of UKRI Future Leaders Fellowship (mental health, maternal health, implementation science, human-centred design) Community sensitisation meeting for community health practitioners (2023) District-level study presentation meetings (2023) Convened project local advisory group and hosted subsequent meetings District-level delivery of perinatal mental health training to intervention providers |
| Start Year | 2019 |
| Description | INSPIRE/SUMMIT - U of Edinburgh |
| Organisation | University of Edinburgh |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | This partnership has led to successful renewal of Dr Salisbury's UKRI Future Leaders Fellowship |
| Collaborator Contribution | University of Edinburgh provides implementation expertise to guide our research methods, analysis and planning of future activities. |
| Impact | This collaboration is multi-disciplinary linking implementation science, human-centred design, systems thinking, mental health and maternal health. Outputs resulting from this collaboration include peer-reviewed journal articles, further funding and conference presentations. |
| Start Year | 2024 |
| Description | INSPIRE/SUMMIT - WHO |
| Organisation | World Health Organization (WHO) |
| Department | Department of Mental Health and Substance Abuse (MSD) |
| Country | Global |
| Sector | Public |
| PI Contribution | We have provided technical support to the WHO by acting as a reviewer for the Helping Adolescents Thrive (HAT) Toolkit. We are currently providing technical support for the WHO's activities to integrate perinatal mental health into maternal and child health services and providing research evidence through the development and testing of an adolescent maternal mental health prevention intervention in Mozambique and Kenya through the Catalyst, INSPIRE and SUMMIT projects. In addition, Dr Salisbury led the writing of the WHO Guide on integrating perinatal mental health into maternal and child health services (2022) and provides technical expertise and support to the WHO and governments of Kenya, Mozambique and Tanzania in their work to develop plans to integrate perinatal mental health care. |
| Collaborator Contribution | The WHO is providing mentorship in policymaking and advocacy in mental health to Dr Salisbury through her UKRI Future Leaders Fellowship. |
| Impact | - Technical review of the WHO product, Helping Adolescents Thrive (HAT) Toolkit - Guide for integration of perinatal mental health into maternal and child health services (lead writer; Sep 2022) - AFRO Region webinar on the integration of perinatal mental health (19 Oct 2023) - Joint WHO and Kenya Ministry of Health perinatal mental health prioritisation workshop (8 Jun 2023) - Tanzania perinatal mental health sensitization webinar (13 Feb 2023) - Joint WHO and Tanzania Ministry of Health perinatal mental health prioritisation workshop (10-11 May 2023) - Collated WHO/UNICEF and national guidelines and tools for providing perinatal mental health care - Facilitated WHO/MoH Tanzania workshop to develop initial planning guide for integration of perinatal mental health care into maternal and child health services (May 2024) - Presented the WHO Guide for integration at 3 conferences (2024) |
| Start Year | 2019 |
| Description | Ministry of health |
| Organisation | Government of Mozambique |
| Department | Ministry of Health Mozambique |
| Country | Mozambique |
| Sector | Public |
| PI Contribution | Training in human-centred design Assistance with journal publications Research capacity building |
| Collaborator Contribution | Increased access to mental health care for referred participants Access to mental health providers within the study locations Assistance in developing the study protocol Assistance with researcher training Support in applying for (and obtaining) additional funding |
| Impact | Ministry of Health human-centred design workshop (Oct 2019) (psychology, psychiatry and design) Submission of results paper to peer-reviewed journal (design, anthropology, psychiatry, psychology) |
| Start Year | 2018 |
| Title | The Thriving Mamas Programme |
| Description | The Thriving Mamas programme is an enhanced antenatal course for pregnant adolescent girls through a series of 4 group sessions, 3 individual sessions and 2 family sessions, girls strenghten their knowledge of how to look after themselves and their babies, develop life skills (e.g. coping with stress, problem-solving, building positive relationships) and plan for the future. In individual sessions girls are screened for mental health conditions and referred to health and community services based on their needs. The programme is delivered by trained mothers within the community. |
| Type | Products with applications outside of medicine |
| Current Stage Of Development | Early clinical assessment |
| Year Development Stage Completed | 2024 |
| Development Status | Under active development/distribution |
| Impact | The intervention was developed over a two-year period using a human-centred design approach to ensure the resulting information was aligned with stakeholder needs and priorities. Stakeholders engaged in the development have demonstrated significant buy-in with senior health officials in Kenya volunteering to co-develop and providing training to the programme facilitators. The project has also acted as an advocate for supporting perinatal mental health and girls within both countries. |
| URL | https://www.designinmh.com/inspire |
| Description | BBC World Service - Maternal Mental Health write-up |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Media (as a channel to the public) |
| Results and Impact | Met with BBC reporter to discuss INSPIRE project and other maternal mental health activities in Africa as background research for an upcoming article for Maternal Mental Health Day 2025. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Closing of the Kuthandizana (TMP) program sessions - INSPIRE pilot test (Mozambique) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Study participants or study members |
| Results and Impact | Closing event of the pilot phase sessions scheduled on 1-2 July 2024 in Cateme and Moatize. The events took place at the health units of Cateme and CFM in Moatize and for the occasion all the implementing partners who participated during the pilot test of the Kuthandizana program were invite (e.g. maternal health nurses and mental health centre officials). |
| Year(s) Of Engagement Activity | 2024 |
| Description | Community sensitization meetings with Community Health Practitioners |
| Form Of Engagement Activity | Participation in an open day or visit at my research institution |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Study participants or study members |
| Results and Impact | Approximately 70 community members attended the session which was carried out with the aim towards community sensitization and to increase awareness of the work to be carried out by presenting study to the target community through CHPs and recruitment of mentor mothers. The presentation was well-received with interest and support from those attending. |
| Year(s) Of Engagement Activity | 2023 |
| Description | Design in mental health website |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Publication of the design in mental health website which aims to provide an introduction to the INSPIRE project and information on the methods and approaches used in lay language. Since publishing the site, we have had more than 500 unique visitors engage with its content. |
| Year(s) Of Engagement Activity | 2021,2022,2023,2024,2025 |
| URL | https://www.designinmh.com/ |
| Description | From Zimbabwe to the World: Friendship Bench and the next generation of African mental health research leaders |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Professor Dixon Chibanda, one of the world's leading global mental health experts, gave a talk on the African Mental Health Research Initiative (AMARI), a transformative programme dedicated to building mental health research capacity across Africa. The talk was followed by an expert panel discussion with myself and other global mental health experts, third supervisors to AMARI fellows, and AMARI fellows attending in person or tuning in remotely from across Ethiopia, Ghana, Malawi, Nigeria, Sierra Leone, Somaliland, South Africa and Zimbabwe about the conduct of research and capacity-building in Africa. |
| Year(s) Of Engagement Activity | 2025 |
| URL | https://www.kcl.ac.uk/events/from-zimbabwe-to-the-world |
| Description | Gambia mental health training |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Mental health screening training provided to researchers and health care workers in the Gambia |
| Year(s) Of Engagement Activity | 2023 |
| Description | Government Annual Reporting in Tete |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Details of activities carried out in 2022 were presented to 30 members consisting of members of the provincial health directorate and other NGO`s. The progress and development of INSPIRE was highlighted increasing confidence in the research process as well as potential impact. |
| Year(s) Of Engagement Activity | 2024 |
| Description | INSPIRE Local Advisory Board Meeting |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Policymakers/politicians |
| Results and Impact | The Local Advisory Board (LAB) supports the site teams to keep accountability by providing expertise and advice. Engagement with the LAB consisting of practitioners, researchers and policy makers has resulted in increased opportunities for potential adoption of the intervention and its future sustainability. |
| Year(s) Of Engagement Activity | 2023 |
| Description | INSPIRE closing project meeting and presentation of research results (Mozambique) |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | This meeting was held on 28 August 2024 and had as its main objective the presentation of the results of the INSPIRE research in these 4 years of implementation (2020-2024) and the results of the pilot test of the intervention (December 2023-August 2024) developed as a result of the research. The guests were: community leaders, district directorates of education and health, the district government of Moatize, provincial health services of Tete, DPS, the adolescents participating in the research and their families and the mentor mothers of the project. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Implementation workshop |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Facilitated a prioritization workshop hosted by Kenyan Ministry of Health and the World Health Organization to support the implementation of integrated perinatal mental health care. The workshop resulted in the identication of priority areas for intervention into order to support integration goals. |
| Year(s) Of Engagement Activity | 2023 |
| Description | Implementation workshop (WHO) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Developed and delivered a workshop to support country leads and other stakeholders to begin planning to improve adolescent mental health prevention and promotion activities across the WHO Eastern Europe and Centra Asia Region. Country representatives have used these workshops to develop teams and plan for mental health activities. |
| Year(s) Of Engagement Activity | 2021 |
| Description | International Conference on Maternal Mental Health in Africa (ICAMMHA) (Zimbabwe) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | ICAMMHA is a new flagship mental health conference focusing on innovation in Maternal Mental Health in Africa with emphasis on research and practice. The conference features world-class plenary speeches, distinguished Symposium talks, exhibits, oral and poster sessions, debates, and panels. At ICAMMHA 2024 I delivered the presentation "An overview of the WHO Guide for integration of perinatal mental health in maternal and child health services and implementation efforts in the African Region". |
| Year(s) Of Engagement Activity | 2024 |
| Description | Kaloleni Sub-County Maternal and Perinatal Death Surveillance and Response meeting |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Margrette Hanselmann, INSPIRE Kenya team Project Coordinator, participated to plan emergency response and discuss existing programmes and services in order to strengthen care available in the community |
| Year(s) Of Engagement Activity | 2024 |
| Description | Kaloleni Sub-county Health Management Team Study Presentation Meetings |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation of INSPIRE to increase awareness and gain support for the study. It resulted in a lot of interest and support for the intervention. |
| Year(s) Of Engagement Activity | 2023 |
| Description | Kenya mental health training |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Provided mental health screening training to researchers and health care providers in Kenya |
| Year(s) Of Engagement Activity | 2023 |
| Description | Lecture on public engagement |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Presented on impact and public engagement in evidence synthesis in global mental health to 48 masters students |
| Year(s) Of Engagement Activity | 2023 |
| Description | Lecture on running projects remotely |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Gave a lecture to an international audience on a course at the University of Leeds, the content sparked significant discussion and sharing among participants about effective methods and tools of supporting teams and research actvities remotely. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Local advisory board meetings - Kenya |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Regular discussions with 10 local stakeholders about the research project and its potential for sustainable scale. Through these meetings we discussed existing and planned services and support to examine how the intervention we were developing could enhance the available support. We also taught members about the research methods and approaches we were using and shared outcomes of the research. |
| Year(s) Of Engagement Activity | 2022,2023 |
| Description | Local advisory board meetings - Mozambique |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Regular discussions with 10 local stakeholders about the research project and its potential for sustainable scale. Through these meetings we discussed existing and planned services and support to examine how the intervention we were developing could enhance the available support. We also taught members about the research methods and approaches we were using and shared outcomes of the research. The Provincial Health Chief was so impressed and satisfied with our methods that he indicated a wish to use human-centred design approaches to address other challenges experienced in the province. |
| Year(s) Of Engagement Activity | 2021,2022,2023 |
| Description | Mental health Technical Working Group meeting |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Members of INSPIRE team in Kenya presented the project to the Technical working group to ensure that they were aware of the work that was being carried out and to gain feedback and information about other relevant work being carried out in the area and region. This has resulted in a lot of support and buy in for the intervention as well as discussions for future sustainability of the programme. |
| Year(s) Of Engagement Activity | 2023 |
| Description | Moatize District Health services- phase 1 update and phase 2 Project presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presenting the project to the health staff (objectives and results of the first phase, and aims of the second phase) with the aim to gain support for Phase 2, delivery and refinement of the intervention. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Mombasa capacity-building training (August 2024) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Dr Salisbury provided a one-day capacity-building workshop for researchers at Aga Khan University on qualitative research and analysis. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Mombasa capacity-building training (March 2024) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Dr Salisbury provided a two-day capacity-building workshop for researchers at Aga Khan University on research development, grant writing and networking. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Mozambique Ministry of Health meeting |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Provided an update on progress towards the INSPIRE pilot. Discussed Ministry plans for maternal mental health and adolescent health and how our co-designed intervention might fit in with those plans. Shared information about future steps for research funding and scale -up. |
| Year(s) Of Engagement Activity | 2024 |
| Description | NHS trust talk on building partnerships |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Gave a talk to health providers, community members and patient advocates on the importance on buildng partnerships with communities to tackle racism and increase uptake of mental health care among Black communities in my local NHS trust (South London and Madsley) as part of their Patient and Carer Race Equality Framework (PCREF) activities. Following the presentation, the organisers fed back that the themes of the presentation were continually brought up by participants during the subsequent activities and that it made a difference to the way they were able to come together as a multi-stakeholder group. I was also asked if my presentation could be used in future PCREF sessions. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Participation in Local Advisory Board Meeting (Kenya) |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Meeting of the project advisory group to share findings from the pilot and discuss future plans for research and practice. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Patient and provider workshop (SLAM Trust) |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation on building partnerships to support the co-working between the public, patients, carers, advocates and health professionals to improve mental health care and treatment uptake and provision among Black communities. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Poster presentation at Karolinska Institutet - UNICEF 'Brighter Futures' joint conference |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Poster presentation delivered by Dr Kethakie Lamahewa, INSPIRE Scientific Coordinator, at the Karolinska Institutet - UNICEF Joint Conference on Global Child and Adolescent Mental Health 'Bold Ideas for Brighter Futures' (15-16 May 2024). Title: "Partnership with purpose: Opportunities and barriers to the use of co-design approaches to improve child and adolescent mental health". Dr Lamahewa won a poster prize for best poster at the conference. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://brighterfutures2024.ki.se/ |
| Description | Presentation at 'Maternal Mental Health in Africa - Conversations' symposium (Oxford) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The "Maternal Mental Health in Africa - Conversations" symposium was a hybrid event organised in Oxford on 19 June 2024 by the Nuffield Department of Women's and Reproductive Health and the Africa Oxford Initiative at the University of Oxford, in partnership with the Perinatal Mental Health Project at the University of Cape Town. Fernando Chissale, INSPIRE Mozambique team Project Coordinator, delivered a presentation titled 'Involving adolescent girls and their communities in the development of a perinatal mental health intervention in Mozambique'. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://www.wrh.ox.ac.uk/news/the-maternal-mental-health-in-africa-conversations-symposium |
| Description | Presentation at AFREHealth (Nairobi) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The African Forum for Research and Education in Health Limited by Guarantee (AFREhealth) is an interprofessional health professional network that works to improve the quality of health care in Africa through research, education and capacity building. The 7th Annual Symposium was held in Nairobi, Kenya from 6-8 August 2024. INSPIRE Kenya team Project Coordinator, Margrette Hanselmann, delivered a presentation titled 'Engaging Adolescent Girls, their Families, and the Community in the Co-design of a Perinatal Mental Health Intervention: The Malkia wa Malengo Programme'. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://afrehealth.org/ |
| Description | Presentation at Karolinska Institutet - UNICEF 'Brighter Futures' joint conference |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation delivered by Dr Salisbury at the Karolinska Institutet - UNICEF Joint Conference on Global Child and Adolescent Mental Health 'Bold Ideas for Brighter Futures' (15-16 May 2024). Title: "Engaging communities to develop an adolescent perinatal mental health intervention in Kenya and Mozambique". |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://brighterfutures2024.ki.se/ |
| Description | Presentation at National Health Scientific Conference (Mozambique) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Presentation at the National Health Scientific Conference, held in Mozambique in September-October 2024, by the title: "Desafios, necessidades e perspectivas, sobre a gravidez na adolescência na província de Tete". |
| Year(s) Of Engagement Activity | 2024 |
| Description | Presentation at XIX ISCISA 2024 (Maputo) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | The Instituto Superior de Ciências de Saúde (ISCISA) held from 7th-9th August 2024 in Maputo the 19th edition of the Jornadas Cientificas, scientific meetings dedicated this year to the theme "Public health for the sustainable development of communities". Fernando Chissale, INSPIRE Mozambique team Project Coordinator, participated in the event and delivered a presentation. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Presentation at research centre |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Other audiences |
| Results and Impact | Presenting INSPIRE work and co-development methods to researchers in Sri Lanka (title: Co-design in Practice: Conducting a Project on Adolescent Perinatal Mental Health). The aim was to share knowledge, information and develop links for future collaboration. As a result of this presentation: - planning future collaborations and joint applications for funding to translate the work carried out in Kenya and Mozambique to the Sri Lanka context - a webinar series between INSPIRE UK team and colleagues in Sri Lanka on adolescent mental health will take place from May-November 2023 |
| Year(s) Of Engagement Activity | 2023 |
| Description | Presentation at the International Conference on Maternal Mental Health in Africa (ICAMMHA) delivered by Fernando Chissale |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | ICAMMHA was a hybrid conference taking place from 3 to 5 December 2024 in Zimbabwe. It brought together experts, stakeholders, and advocates to drive innovation and foster collaboration on Maternal Mental Health. The year's theme was "The Future of Maternal Mental Health in Africa." Fernando Chissale, INSPIRE Mozambique team Project Coordinator, participated virtually and delivered one oral presentation. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://www.icammha.com/ |
| Description | Presentation at the International Conference on Maternal Mental Health in Africa (ICAMMHA) delivered by Margrette Hanselmann |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | ICAMMHA was a hybrid conference taking place from 3 to 5 December 2024 in Zimbabwe. It brought together experts, stakeholders, and advocates to drive innovation and foster collaboration on Maternal Mental Health. The year's theme was "The Future of Maternal Mental Health in Africa." Margrette Hanselmann, INSPIRE Kenya team Project Coordinator, participated virtually and delivered a presentation. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://www.icammha.com/ |
| Description | Presentation at the Marce Society (Barcelona) on INSPIRE interventions in Kenya and Mozambique |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation delivered by Dr Salisbury at the Marce Society (Barcelona) on "Adolescent Perinatal Mental Health Interventions in Kenya and Mozambique: Co-Design and Evaluation" as part of a panel discussion on research in sub-Saharan Africa. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Presentation at the Marce Society (Barcelona) on WHO Guide for integration of perinatal mental health in maternal and child health services |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation delivered by Dr Salisbury at the Marce Society (Barcelona) on "An overview of the WHO Guide for integration of perinatal mental health in maternal and child health services and implementation efforts in the African Region" |
| Year(s) Of Engagement Activity | 2024 |
| Description | Project presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Provided an online lecture on the potential for the incorporation of design approaches in the development of mental health interventions for students and staff at the King's Global Health Insittute. This sparked discussion and an expansion of my network of interested colleagues from diverse disciplines. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Rabai Sub-county Health Management Team study presentation meetings |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presentation of INSPIRE was carried out to 10 facility chargers. The aim was to introduce the study and gain support for recruitment. The outcome was recruitment of facilities for the study. |
| Year(s) Of Engagement Activity | 2023 |
| Description | Rabai Sub-county Study presentation meetings |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Study participants or study members |
| Results and Impact | This talk was carried out with staff at facilities to increase awareness and gain support for INSPIRE. It resulted in interest and support for the intervention. |
| Year(s) Of Engagement Activity | 2023 |
| Description | School Talk (London) |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Schools |
| Results and Impact | 50 pupils attended a remote career and research talk which resulted in discussion regarding a career as a researcher and how research is conducted. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Seminar series on adolescent mental health |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Online seminar series on adolescent mental health organised in collaboration with Mahidol University, Thailand and the Institute for Research & Development in Health & Social Care, Sri Lanka. The series ran from June-December 2024. It comprised the following sessions: (1) Opportunities and barriers to the use of co-design approaches to improve adolescent mental health (4th June 2024) (2) Mental health surveys amongst adolescents in Sri Lanka (24th June 2024) (3) Social media and game addictive behavior in Thailand (22nd July 2024) (4) Need assessment and evaluation of the adolescents' mental health social media campaign in Arabian Gulf Countries (16th September 2024) (5) Introduction to Implementation science (21st October 2024) (6) Community engagement Institute for Research & Development in Health & Social Care (18th November 2024) (7) Developing research ideas, grant writing and barriers to implementation (16th December 2024). |
| Year(s) Of Engagement Activity | 2024 |
| Description | Stakeholders meeting about the 'Thriving Mama' intervention |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | This event was carried out with the aim to present the idea of the intervention to stakeholders and community. It was well received. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Tete Provincial Health Directorate- phase 1 update and phase 2 Project presentation |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presenting the project to the 5 health staff (objectives and results of the first phase, and aims of the second phase).This talk was carried out to update on the project and to gain support to Phase 2. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Unlocking Global Solutions in Perinatal Mental Health: Evidence-Based Approach |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The webinar 'Unlocking Global Solutions in Perinatal Mental Health: Evidence-Based Approach' brought together leading experts and practitioners from around the world to share the latest research, innovative strategies and best practices in perinatal mental health. |
| Year(s) Of Engagement Activity | 2025 |
| Description | WHO EUR Mental Health Week (Thessaloniki, Greece) |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | In November 2024 the WHO Regional Office for Europe held its 3rd Mental Health Week, Meeting on Quality of Child and Adolescent Mental Health Care in Thessaloniki, Greece. The hybrid meeting brought together more than 200 key stakeholders in child and adolescent mental health care from across Greece and the rest of the WHO European Region, including young people with lived experience of mental health services, early career researchers, academics, service providers and Member State representatives. At the meeting, I participated in a panel discussion and facilitated a session on Sharing Mental Health Initiatives across the EU. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://www.who.int/europe/news-room/events/item/2024/11/02/default-calendar/strengthening-quality-o... |
| Description | WHO EUR Young Researcher's Forum - Career development and navigating challenges |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Online Young Researcher's Forum organised by WHO EUR. This was a career development event where young researchers focused on developing young researchers' skills and providing advice on how to navigate challenges. |
| Year(s) Of Engagement Activity | 2025 |
| Description | WHO Mozambique Country office meeting |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Met with WHO country office representatives to provide an update of the INSPIRE project and discuss progress towards national efforts in integrating perinatal mental health into maternal and child health services. |
| Year(s) Of Engagement Activity | 2024 |
| Description | WHO Perinatal mental health workshop |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Facilitated and provided technical expertise to develop a plan to integrate perinatal mental health into maternity services in Tanzania with Ministry of Health representatives from Zanzibar and mainland Tanzania, WHO Country Office and WHO Headquarters. |
| Year(s) Of Engagement Activity | 2024 |
| Description | international capacity building lecture |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Gave a presentation to 30 international academics and researchers on methods to work in interdisciplinary teams across different geographies. |
| Year(s) Of Engagement Activity | 2024 |
| Description | sensitization webinar |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Contributed to a webinar presenting the WHO guide for integration of perinatal mental health into maternal and child health services attended by participants from across Africa |
| Year(s) Of Engagement Activity | 2023 |