ArticleBMC public health2025
Developing and feasibility testing of Hamdard Force: an intervention to build the capacity of a community mental health workforce in Pakistan.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAs part of a Mental Health and Psychosocial Support (MHPSS) initiative, this study presents the process of developing an intervention to build the capacity of a community mental health workforce in Pakistan - Hamdard Force (HF). Our objective was to build the capacity of a community mental health workforce to provide basic psychosocial support, identify people with mental healthcare needs, and refer them to relevant services. For this purpose, we explored implementation challenges, developed a context-specific intervention based on adaptation of the Psychological First Aid (PFA) Guide, and developed integrated digital resources.
methodsWe used a multi-method design guided by the ADAPT implementation science framework to systematically develop an intervention to build the capacity of a community mental health workforce in four stages. In the first stage, we identified the challenges for training a community workforce. In the second stage, we addressed these challenges by adapting the PFA Guide across three domains of structure, content, and digital design; and developed training resources needed for implementation. In the third stage, we tested the processes of recruitment, training and supervision. Lastly, we planned a pilot implementation.
resultsFor structural adaptation, we developed the guide into a modular design with interactive quizzes. For content adaptation, we addressed gaps in mental health literacy; knowledge-to-practice skills; cultural and healthcare context; and for scalable and sustainable implementation. We modified and simplified the content and added step-by-step instructions to convert it into a practical guide. We used the adapted guide to develop digital resources, including online courses in Urdu and English, and a HF mobile application to access the courses, seek supervision, and refer people with mental healthcare needs. Finally, we used FRAME guidance to document these adaptations. Through intersectoral collaboration, a large number of people were registered on the web portal, while only 107 completed the online courses in two weeks, showing a significant improvement in their knowledge and encouraging feedback supporting the intervention.
conclusionHamdard Force is a feasible intervention to build the capacity of a community mental health workforce in low-resource settings.
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