Identifying Community-Sourced Implementation Strategies for Delivering a Task-Shared Mental Health Intervention for...

Area of Science:

• Implementation Science
• Community-Based Participatory Research
• Global Mental Health

Background:

• Accessible interventions require context-specific implementation strategies.
• Community perspectives are crucial for intervention relevance and impact.
• Understanding local contexts is essential for designing effective public health programs.

Purpose of the Study:

• To identify and specify community-sourced implementation strategies for a mental health and alcohol use intervention for fathers in Kenya.
• To map these strategies to the Expert Recommendations for Implementing Change (ERIC) taxonomy.

Main Methods:

• Focus groups and key informant interviews were conducted in Eldoret, Kenya.
• Participants included diverse community stakeholders and target population members.
• The framework method was used for data analysis to extract and specify implementation strategies.

Main Results:

• Community members proposed lay providers for intervention delivery, supported by professional providers for specialized care.
• Engaging community leaders and utilizing existing infrastructure were identified as key for reach.
• Twenty-five unique community-sourced strategies were identified, with most adapted to the local context.

Conclusions:

• Locally grounded implementation strategies were identified to guide intervention delivery for fathers in Kenya.
• This participatory approach generated contextually relevant strategies for non-Western settings.
• Findings emphasize the value of community input in implementation science.