Skip to main content
Top
Published in: BMC International Health and Human Rights 1/2007

Open Access 01-12-2007 | Study protocol

A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention

Authors: Alexandra Devine, Michelle Kermode, Prabha Chandra, Helen Herrman

Published in: BMC International Health and Human Rights | Issue 1/2007

Login to get access

Abstract

Background

Manipur and Nagaland, in the north-east of India, are classified as high prevalence states for HIV, and intravenous drug use is an important route of transmission. Most injecting drug users (IDUs) are men, an estimated 40% are married, and death rates have been high in the last five years, consequently the number of widows of IDUs has increased. Many of these widows and their children are HIV-infected and experience poor health, discrimination, and impoverishment; all factors likely to be compromising their mental health. People with poor mental health are more likely to engage in HIV risk behaviours. Mental health can be promoted by public health actions with vulnerable population groups.

Methods

We designed an intervention study to assess the feasibility and impact of a participatory action process to promote the mental health and well-being of widows of IDUs in Manipur and Nagaland, as a strategy for reducing the risk of engagement in HIV risk behaviours. This paper describes the background and rationale for the study, the intervention, and the study methods in detail.

Results

Pending analysis.

Conclusion

This intervention study will make a significant contribution to the emerging evidence that supports associations between mental health and HIV. The concept of promoting mental health among women who are vulnerable to HIV infection or already infected as a strategy for HIV prevention in a development setting is breaking new ground.
Literature
1.
go back to reference National AIDS Control Organization: HIV/AIDS Epidemiological Surveillance & Estimation Report for the year 2005. 2006, Ministry of Health and Family Welfare National AIDS Control Organization: HIV/AIDS Epidemiological Surveillance & Estimation Report for the year 2005. 2006, Ministry of Health and Family Welfare
2.
go back to reference Chandrasekaran P, Dallabetta G, Loo V, Rao S, Gayle H, Alexander A: Containing HIV/AIDS in India: the unfinished agenda. Lancet Infectious Disease. 2006, 6: 508-521. 10.1016/S1473-3099(06)70551-5.CrossRef Chandrasekaran P, Dallabetta G, Loo V, Rao S, Gayle H, Alexander A: Containing HIV/AIDS in India: the unfinished agenda. Lancet Infectious Disease. 2006, 6: 508-521. 10.1016/S1473-3099(06)70551-5.CrossRef
3.
go back to reference Chandra PS, Desai G, Ranjan S: HIV & psychiatric disorders. Indian Journal of Medical Research. 2005, 121: 445-467. Chandra PS, Desai G, Ranjan S: HIV & psychiatric disorders. Indian Journal of Medical Research. 2005, 121: 445-467.
4.
go back to reference Population Health Institute: Assessment of Situation and Response on CSWs in Manipur, 2005. 2005, Population Health Institute Population Health Institute: Assessment of Situation and Response on CSWs in Manipur, 2005. 2005, Population Health Institute
5.
go back to reference Singh HD, Sharma M: The Rapid Situation Assessment of Drug Use in Imphal (1999–2000.). 2000, Kripa Society Singh HD, Sharma M: The Rapid Situation Assessment of Drug Use in Imphal (1999–2000.). 2000, Kripa Society
6.
go back to reference Chakrabarti S, Panda S, Chatterjee A: HIV-1 subtypes in injecting drug user & their non-injetcing wives in Manipur, India. Indian Journal of Medical Research. 2000, 111: 189-94.PubMed Chakrabarti S, Panda S, Chatterjee A: HIV-1 subtypes in injecting drug user & their non-injetcing wives in Manipur, India. Indian Journal of Medical Research. 2000, 111: 189-94.PubMed
7.
go back to reference Waikhom R: A situation assessment amongst widows of injecting drug users engaged in sex work and their peers in Manipur. Edited by: Kermode M, Thomson A. Australian International Health Institute, University of Melbourne in collaboration with Emmanuel Hospital Association Waikhom R: A situation assessment amongst widows of injecting drug users engaged in sex work and their peers in Manipur. Edited by: Kermode M, Thomson A. Australian International Health Institute, University of Melbourne in collaboration with Emmanuel Hospital Association
8.
go back to reference Baingana F, Thomas R, Comblain C: HIV/AIDS and Mental Health. World Bank, Health, Nutrition and Population. 2005 Baingana F, Thomas R, Comblain C: HIV/AIDS and Mental Health. World Bank, Health, Nutrition and Population. 2005
9.
go back to reference Freeman M, Patel V, Collins P, Bertolote J: Integrating mental health in global initiatives for HIV/AIDS. The British Journal of Psychiatry. 2005, 187: 1-3. 10.1192/bjp.187.1.1.CrossRefPubMed Freeman M, Patel V, Collins P, Bertolote J: Integrating mental health in global initiatives for HIV/AIDS. The British Journal of Psychiatry. 2005, 187: 1-3. 10.1192/bjp.187.1.1.CrossRefPubMed
10.
go back to reference World Health Organization: Promoting Mental Health, Concepts, Emerging evidence, Practice, Summary Report, A report of the World Health Organization. Edited by: Herrman H, Saxena S, Moodie R. 2005, WHO Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and The University of Melbourne World Health Organization: Promoting Mental Health, Concepts, Emerging evidence, Practice, Summary Report, A report of the World Health Organization. Edited by: Herrman H, Saxena S, Moodie R. 2005, WHO Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and The University of Melbourne
11.
go back to reference World Health Organization: Promoting Mental Health, Concepts, Emerging evidence, Practice. Edited by: Herrman H, Saxena S, Moodie R. 2005, WHO Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and The University of Melbourne World Health Organization: Promoting Mental Health, Concepts, Emerging evidence, Practice. Edited by: Herrman H, Saxena S, Moodie R. 2005, WHO Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and The University of Melbourne
12.
go back to reference Herrman H, Saxena S, Moodie R, Walker L: Promoting mental health as a public health priority. Promoting Mental Health: concepts, emerging evidence, practice. Geneva. 2005, World Health Organization Herrman H, Saxena S, Moodie R, Walker L: Promoting mental health as a public health priority. Promoting Mental Health: concepts, emerging evidence, practice. Geneva. 2005, World Health Organization
13.
go back to reference Patel V, Kleinman A: Poverty and common mental disorders in developing countries. Bulletin of the World Health Organization. 2003, 81: 609-615.PubMedPubMedCentral Patel V, Kleinman A: Poverty and common mental disorders in developing countries. Bulletin of the World Health Organization. 2003, 81: 609-615.PubMedPubMedCentral
14.
go back to reference Desjarlais R, Eisenberg L, Good B, Kleinman A: World Mental Health: Problems and Priorities in Low-Income Countries. OUP. 1995 Desjarlais R, Eisenberg L, Good B, Kleinman A: World Mental Health: Problems and Priorities in Low-Income Countries. OUP. 1995
15.
go back to reference Walker L, Verins I, Moodie R, Webster K: Responding to the Social and Economic Determinants of Mental Health: A Conceptual Framework for Action. Promoting Mental Health: concepts, emerging evidence, practice. Edited by: Herrman H, Saxena S, Moodie R. 2005, WHO Walker L, Verins I, Moodie R, Webster K: Responding to the Social and Economic Determinants of Mental Health: A Conceptual Framework for Action. Promoting Mental Health: concepts, emerging evidence, practice. Edited by: Herrman H, Saxena S, Moodie R. 2005, WHO
16.
go back to reference Victorian Health Promotion Foundation: A Plan for Action 2005-2007, Promoting Mental Health and Wellbeing. 2005, Victorian Health Promotion Foundation Victorian Health Promotion Foundation: A Plan for Action 2005-2007, Promoting Mental Health and Wellbeing. 2005, Victorian Health Promotion Foundation
17.
go back to reference Elford J, Hart G: If HIV prevention works, why are rates of high-risk sexual behaviour increasing among MSM. AIDS Education and Prevention. 2003, 15: 294-308. 10.1521/aeap.15.5.294.23825.CrossRefPubMed Elford J, Hart G: If HIV prevention works, why are rates of high-risk sexual behaviour increasing among MSM. AIDS Education and Prevention. 2003, 15: 294-308. 10.1521/aeap.15.5.294.23825.CrossRefPubMed
18.
go back to reference Adderley-Kelly B, Green PM: Strategies for successful conduct of research with low-income African American populations. Nursing Outlook. 2005, 53: 147-52. 10.1016/j.outlook.2005.03.004.CrossRefPubMed Adderley-Kelly B, Green PM: Strategies for successful conduct of research with low-income African American populations. Nursing Outlook. 2005, 53: 147-52. 10.1016/j.outlook.2005.03.004.CrossRefPubMed
19.
go back to reference Busza J, Schunter BT: From competition to community: participatory learning and action among young, debt-bonded Vietnamese sex workers in Cambodia. Reproductive Health Matters. 2001, 9 (17): 72-81. 10.1016/S0968-8080(01)90010-2.CrossRefPubMed Busza J, Schunter BT: From competition to community: participatory learning and action among young, debt-bonded Vietnamese sex workers in Cambodia. Reproductive Health Matters. 2001, 9 (17): 72-81. 10.1016/S0968-8080(01)90010-2.CrossRefPubMed
20.
go back to reference Olshansky E, Sacco D, Braxter B, Dodge P, Hughes E, Ondeck M, Stubbs ML, Upvall MJ: Participatory action research to understand and reduce health disparities. Nursing Outlook. 2005, 53: 121-6. 10.1016/j.outlook.2005.03.002.CrossRefPubMed Olshansky E, Sacco D, Braxter B, Dodge P, Hughes E, Ondeck M, Stubbs ML, Upvall MJ: Participatory action research to understand and reduce health disparities. Nursing Outlook. 2005, 53: 121-6. 10.1016/j.outlook.2005.03.002.CrossRefPubMed
21.
go back to reference Costello A, Osrin D, Manandhar D: Reducing maternal and neonatal mortality in the poorest communities. British Medical Journal. 2004, 329: 1166-1168. 10.1136/bmj.329.7475.1166.CrossRefPubMedPubMedCentral Costello A, Osrin D, Manandhar D: Reducing maternal and neonatal mortality in the poorest communities. British Medical Journal. 2004, 329: 1166-1168. 10.1136/bmj.329.7475.1166.CrossRefPubMedPubMedCentral
22.
go back to reference Manandhar DS, Osrin D, Shrestha BP, Mesko N, Morrison J, Tumbahangphe KM, Tameng S, Thapa S, Shrestha D, Thapa B, Shrestha JR, Wade A, Borghi J, Standing H, Manandhar M, Costello A: Effect of a participatory intervention with women's groups on birth outcomes in Nepal: cluster-randomised controlled trial. The Lancet Health Module. 2004, 364: 9438- Manandhar DS, Osrin D, Shrestha BP, Mesko N, Morrison J, Tumbahangphe KM, Tameng S, Thapa S, Shrestha D, Thapa B, Shrestha JR, Wade A, Borghi J, Standing H, Manandhar M, Costello A: Effect of a participatory intervention with women's groups on birth outcomes in Nepal: cluster-randomised controlled trial. The Lancet Health Module. 2004, 364: 9438-
23.
go back to reference Morrison J, Tamang S, Mesko N, Osrin D, Shrestha B, manandhar M, Manandhar D, Standing H, Costello A: Women's health groups to improve perinatal care in rural Nepal. BMC Pregnancy and Childbirth. 2005, 5 (6): Morrison J, Tamang S, Mesko N, Osrin D, Shrestha B, manandhar M, Manandhar D, Standing H, Costello A: Women's health groups to improve perinatal care in rural Nepal. BMC Pregnancy and Childbirth. 2005, 5 (6):
24.
go back to reference International Institute for Sustainable Development: Appreciative Inquiry & Community Development, from Problems to Strength. 2000, International Institute for Sustainable Development International Institute for Sustainable Development: Appreciative Inquiry & Community Development, from Problems to Strength. 2000, International Institute for Sustainable Development
25.
go back to reference Fosters M, Mathie A: Situating Asset-Based Community Development in the International Development Context. 2001, Coady International Institute Fosters M, Mathie A: Situating Asset-Based Community Development in the International Development Context. 2001, Coady International Institute
26.
go back to reference Ashford G, Patkar S: The Positive Path, Using Appreciative Inquiry in Rural Indian Communities. 2001, Department of International Development, Institute for Sustainable Development and Myrada Ashford G, Patkar S: The Positive Path, Using Appreciative Inquiry in Rural Indian Communities. 2001, Department of International Development, Institute for Sustainable Development and Myrada
27.
go back to reference Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C: The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine. 1997, 27 (1): 191-197. 10.1017/S0033291796004242.CrossRefPubMed Goldberg DP, Gater R, Sartorius N, Ustun TB, Piccinelli M, Gureje O, Rutter C: The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine. 1997, 27 (1): 191-197. 10.1017/S0033291796004242.CrossRefPubMed
28.
go back to reference Dart J, Drysdale G, Cole D, Saddington M: The Most Significant Change approach for monitoring an Australian Extension project. PLA Notes: International Institute for Environment and Development. 2000, 38: 47-53. Dart J, Drysdale G, Cole D, Saddington M: The Most Significant Change approach for monitoring an Australian Extension project. PLA Notes: International Institute for Environment and Development. 2000, 38: 47-53.
29.
go back to reference Davies R, Dart J: The 'Most Significant Change" (MSC) Technique, A Guide to its Use. 2004 Davies R, Dart J: The 'Most Significant Change" (MSC) Technique, A Guide to its Use. 2004
Metadata
Title
A participatory intervention to improve the mental health of widows of injecting drug users in north-east India as a strategy for HIV prevention
Authors
Alexandra Devine
Michelle Kermode
Prabha Chandra
Helen Herrman
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC International Health and Human Rights / Issue 1/2007
Electronic ISSN: 1472-698X
DOI
https://doi.org/10.1186/1472-698X-7-3

Other articles of this Issue 1/2007

BMC International Health and Human Rights 1/2007 Go to the issue