Enhanced Problem-solving Therapy and HIV Engagement Support to Improve Perinatal Mental Health & HIV Outcomes in Malawi
Key facts
- Where
- Lilongwe, MalawiSee the 5 sites
Where in Malawi
- Area 18 Health CenterLilongwe, MalawiNot yet recruiting
- Area 25 Health CenterLilongwe, MalawiTaking people
- Bwaila HospitalLilongwe, MalawiTaking people
- Kawale Health CenterLilongwe, MalawiTaking people
- Likuni Mission HosptialLilongwe, MalawiTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- University of North Carolina, Chapel Hill
- Trial code
- NCT06702722
- Record updated
- 29 April 2026
- Original description
The main objective of the proposed study is to evaluate the effectiveness of the Enhanced Friendship Bench intervention to improve perinatal depression, HIV care engagement, and infant health outcomes among pregnant women with HIV and depression in Malawi.Read full original descriptionShow less
Enhanced Problem-solving Therapy and HIV Engagement Support to Improve Perinatal Mental Health and HIV Outcomes in Malawi: A Randomized Controlled Trial
The main objective of the proposed study is to evaluate the effectiveness of the Enhanced Friendship Bench intervention to improve perinatal depression, HIV care engagement, and infant health outcomes among pregnant women with HIV and depression in Malawi.
Inclusion: Presenting for antenatal care at one of our 5 recruitment sites; ≥ 18 years of age; ≤ 34 weeks gestation; HIV-positive, based on medical records; Initiating, re-initiating, or on established ART during index pregnancy; Elevated depressive symptoms as indicated by a EPDS score ≥10. The EPDS is widely used to assess perinatal mood disorders that has been validated in perinatal populations in Malawi with this cut point to identify probable perinatal depression.
Exclusion: Suicidal ideation evaluated as acute risk; Other health concerns requiring emergent response.