Problem Management Plus (PM+) Project

Assessing the feasibility of Problem Management Plus (PM+) for men with common mental health problems (including alcohol and substance use) as a means for reducing violence against women in the Waithaka and Mutuini communities of Dagoretti Sub-County, Nairobi County, Kenya.

World Vision Kenya (WVK) received grant funds from the South Africa Medical Research Council, via World Bank, to undertake a project aiming to reduce incidences of violence against women in two peri-urban communities in Kenya. The project will undertake a feasibility study in the Waithaka and Mutuini communities in Dagoretti sub-county of wider Nairobi City County. The project will target men with common mental health problems; acknowledge the likely links between men with mental health problems, alcohol and substance use and high incidences of IPV.

Under four objectives- two related to men’s mental health being the project will: (1) assess the feasibility, acceptability and effects of reducing violence using Group Problem Management Plus (GPM+) for men with common mental health problems; and (2) explore the inclusion of community messages about IPV one of the two research sites. 

The overall objective of the feasibility and acceptability study will be to determine if this approach warrants a more rigorous RCT study in the future.  Secondary aims of this study will be to assess the practically of the two new measures, the WHO-ASSIST as a measure for alcohol and substance use; and the CTS2S to ascertain incidences of IPV in communities and amongst PM+ clients.

Donor: Sexual Violence Research Initiative (SVRI) and World Bank Development Marketplace

Amount: $ 150,000

Focal Reach: Riruta AP In Dagoretti Sub-County and Nairobi County Kenya

Beneficiaries: Men with common mental health problems including alcohol and substance use

Duration: 1 year (October 2016 – September 2017)

Patners: Busara Centre, Government of Kenya and Ministry of Health

National Lead Organization: World Vision Kenya

KEY ACTIVITIES

 

  • Ethnographic study to adapt Kiswahili PM+ manual for men, including addition of alcohol and substance use screening and session and for group implementation.
  • Training for 10 CHWs and 10 male facilitators (5 each in Waithaka and Muitinin) in GPM+ for Men and use of screening and data collection tools
  • Practice Round: Supervised pilot for screening, data collection and GPM+ is implemented for 25 men in Waithaka & 25 men in Mutuini(each facilitator team running one group of 5 men)
  • A mini-process evaluation research and report completed (including analysis of screening, pre and post data) Adaptations made if needed
  • Supervised implementation of screening, pre and post data collection and GPM+ for  80 men in Waithaka & 80 men in Mutuini)
  • Baseline community survey about incidences of violence against women in Muitini and Waithaka
  • A manual for delivering key messages about violence against for 6 x 1 hour in community dialogue meetings for health is developed
  • GPM+ providers are trained to deliver key messages about violence against women
  • Meetings with district MoH  to coordinate dates and agenda’s for monthly community dialogues for health for inclusion of violence against women messaging
  • Every second month, GPM+ providers deliver key messages (as per manual) about violence against women at monthly community dialogues for health
  • Evaluation community survey about incidences of violence against women in Muitini and Waithaka
  • Formalisation of PM+ CBOs is supported, including legal registration and related documentation
  • PM+ CBOs participate in business training relevant to their designs
  • PM+ CBOs are supported with seed funding to establish alternative income generation initiatives
  • PM+ CBOs and MoH participate in a design workshop to establish a model for the scale up of PM/GPM+ in Kenya
  • Conference hosted by Kenya MoH and World Vision (possibly WHO) promote findings of all PM+ results in Kenya to date (with women and men) and the scale up model is presented to the Kenyan public
IMPACT / OUTCOMES

 

  • Assessment of feasibility and acceptability of Group Problem Plus (GPM+) for men with common mental health problems in Waithaka and Mutuini
  • Group Management Plus (GPM+) feasibility and  acceptability assessed
  • Every 8-weeks community members receive critical messages about violence against women at the monthly community dialogues for health
  • Community members receive messages about VAW
  • In collaboration with MoH, PM+ CBOs establish and implement alternative income generation initiatives
  • CBOs establish alternative income generation
  • Kenya MoH, in collaboration with PM+/GPM+ CBOs, design a model for scale up of PM+/GPM+ services
  • Kenya MoH design a model for PM+/GPM+ scale up
  • In collaboration with MoH, PM+ CBOs establish and implement alternative income generation initiatives

For more information kindly contact Jeremiah_Nyagah@wvi.org

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