Abhijit Nadkarni
Biographic Data
| ID | 246780 |
|---|---|
| NAME | Abhijit Nadkarni |
| GIVEN NAMES | Abhijit |
| FAMILY NAME | Nadkarni |
| SIGNATURE | NADKARNI A |
| AFFILIATIONS | London School of Hygiene & Tropical Medicine |
| ORCID | 0000-0001-5832-5236 |
| VERIFIED | Yes |
| TOTAL WORKS | 49 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 34 |
| EDITOR COUNT | 15 |
| FIRST PUBLICATION YEAR | 2018 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
“The satisfaction we get by doing this, you do not get it with any money”
While community volunteers are increasingly recognized for addressing supply-side gaps in healthcare delivery (e.g., provider shortages), their role in mitigating demand-side barriers (e.g., stigma) remains underexplored. This qualitative study investigated the experiences, knowledge, and roles of community volunteers in Goa, India. We examined barriers and facilitators to community-based work, and strategies for integrating community participati…
Digital supervision of nonspecialist providers delivering psychosocial interventions for depression in India
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button
Participant experiences with Supporting Addiction Affected Families Effectively (Safe)
Background Harmful use of alcohol has demonstrated negative effects on not only the individual engaging in the use, but also their family members. The Supporting Addiction Affected Families Effectively (SAFE) Project aimed to systematically adapt the 5-Step Method, an existing evidence-based intervention intended to support affected family members (AFMs) by focusing on their concerns, coping responses, social supports, to the Indian context with …
Alcohol Use Disorder in Southwestern and Northern Uganda
Alcohol use disorder (AUD) among adults is a major public health concern globally. Alcohol use disorder affects livelihood and contributes to adverse health outcomes. We investigated the prevalence of AUD and associated factors among adults (≥ 18years) in Lira and Isingiro districts in Uganda. This was a cross-sectional study conducted among adults (≥18 years) in households, selected using multistage sampling. Data were collected using an intervi…
Building the foundation
Early and ongoing stakeholder engagement is critical to the development and implementation of scalable behavioral health interventions. Our overarching goal in this implementation research study was to understand and document the process of planning and rolling out Common Elements Treatment Approach (CETA), a transdiagnostic mental health intervention, in Uganda. Guided by the Consolidated Framework for Implementation Research (CFIR) 2.0, we cond…
Multi-stakeholder perspectives on gender-based violence in marital relationships
In India, an estimated 41% of women report experiencing domestic violence in their lifetime and up to 28% report violence during pregnancy. Our study aims to understand local perceptions/attitudes towards GBV and lived experiences of GBVvictimisation and perpetration in marital relationships in rural Rajasthan. We conducted a focus group discussion with community health workers (n = 7) and interviews with young married men (n = 17) and women (n =…
Capacity needs of Pakistani psychiatrists to deliver community-sensitive mental health services to sexual minority men
Sexual minorities face a high degree of social and religious stigma in Pakistan. The current study aims to identify the capacity needs of the psychiatry fraternity for providing person-centered care to sexual minority men in Pakistan. A qualitative exploratory study was conducted from May 2024 to October 2024. Four consultant psychiatrists (CP), nine postgraduate residents (PGR) in psychiatry, and eight sexual minority men (SM) were interviewed. …
Couples-based interventions for perinatal depression and anxiety
Background: Globally, perinatal depression and anxiety affect approximately 26% and 12% of women, respectively, with partner support recognized as a protective factor. This systematic review aimed to synthesize the evidence on the effectiveness of couples-based interventions for perinatal depression and/or anxiety. Methods: We searched PsycINFO, Embase, PubMed, CENTRAL, and CINAHL from inception through December 1, 2024, identifying studies publi…
Help-Seeking Behaviours Among Conflict-Affected Men who Misuse Alcohol in Ukraine
Since 2014, conflict and violence in Ukraine, including the Russian annexation of Crimea and the ongoing war, have led to significant internal displacement, affecting millions of people. This humanitarian crisis has exacerbated psychological distress, with high rates of post-traumatic stress disorder, depression, anxiety, and suicide among internally displaced persons, military veterans, and civilians. Alcohol misuse has emerged as a prevalent ma…
Interventions to Improve Mental Health Help-Seeking Attitudes, Intentions and Behaviours
The gap between mental health conditions and care uptake remains a global challenge, despite the availability of effective and affordable treatments.This gap is driven by demand-side barriers, such as lack of mental health literacy (MHL), stigma, etc. that hinder help-seeking.In this systematic review, we critically appraise interventions aimed at promoting help-seeking for mental health conditions.The review protocol was prospectively registered…
Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine
Affecting nearly 10% of men globally, alcohol use disorders (AUDs) represent a significant public health burden. Existing work, including from Ukraine, suggests that living in conflict settings may exacerbate the risk of AUDs. However, there is a dearth of evidence regarding alcohol misuse, as well as knowledge of factors associated with alcohol misuse patterns, in conflict settings. The aim of this qualitative study was to investigate explanator…
A guide to selecting psychological interventions that can be delivered by people who are not mental health specialists in low-resource settings
Globally, most individuals with mental health conditions lack access to specialized care. One strategy to bridge this gap is training people who are not mental health professionals (non-specialists) to deliver brief, manualized psychological interventions, which have demonstrated effectiveness across diverse settings. However, selecting the most suitable intervention for specific populations, contexts, and psychological needs in low-resource sett…
Coping mechanisms for students with mental disorders
In recent years, Ugandan universities have faced a rising incidence of mental health issues among students, with prevalence rates of mental disorders reaching up to 60% among undergraduates. These challenges significantly impact both academic performance and social interactions. This study aimed to investigate the coping mechanisms among students with mental disorders at Busitema University. We conducted 42 key informant interviews with students …
Exploring effects of severe mental illnesses on marriages
Marriage is a central institution in South Asia, carrying deep social, cultural, and moral significance. In Pakistan, where psychiatric illness and divorce are both heavily stigmatized, the interaction between serious mental illness and marital life is complex and under-examined. Given the paucity of literature on this topic, our study explores how severe mental illnesses (Bipolar Disorder, Schizophrenia and Obsessive-Compulsive Disorder) affect …
The use of geographic information systems (GIS) in studying mental health service delivery
Geographic information systems (GIS) are computer-based spatial mapping tools widely used in public health to examine service availability and access disparities and healthcare utilization. While GIS has supported evidence-based health planning in various domains, its application in mental healthcare service delivery remains underexplored. Our scoping review aimed to address this gap by exploring the scope and type of GIS usage in studying three …
Explanatory models of common mental disorders among South Asians in high-income countries
Mental health service use by individuals of South Asian origin living outside of South Asia is influenced by cultural factors such as endorsing psycho-social-spiritual over biological explanations, somatisation, and stigma. The aim of this review is to synthesise the evidence about (a) explanatory models of common mental disorders (CMDs) among people of South Asian origin residing in high-income countries, and (b) their help-seeking for CMDs, inc…
Feasibility of a Low-Intensity Task-Shared Intervention for Common Mental Disorders in Survivors of Intimate Partner Violence in India
Our mixed-methods study evaluated the acceptability and feasibility of a lay-counselor-delivered low-intensity psychosocial intervention for women who experienced intimate partner violence in India. We found statistically significant improvements in mental health outcomes like depression and anxiety. Participants also reported positive changes in thoughts, behavior, emotional management, relationships, self-care, and daily functioning. The use of…
Acceptability and feasibility of CHANGE, a non-specialist worker delivered intervention to address alcohol use disorders and psychological distress among conflict-affected populations in Uganda
If proven to be effective, the acceptability and feasibility of CHANGE makes it a potentially scalable intervention in low resource settings with shortage of specialist healthcare professionals. The intervention may have the potential to be integrated with other programmes of care that can address additional adversities that the population may face in the setting
Developing an explanatory model of alcohol misuse among South Sudanese refugees in northern Uganda
Alcohol misuse is a significant health problem among forcibly displaced populations including male South Sudanese refugees in northern Uganda, yet interventions are sorely lacking. Developing an explanatory model of alcohol misuse in this population is the first step to designing appropriate and effective interventions. The aim of the current study was to examine alcohol misuse in this setting and to conceptualize an explanatory model of alcohol …
Non-specialist delivered psycho-social interventions for women with perinatal depression living in rural communities
Evidence from low- and middle-income countries suggests that non-specialist-delivered interventions effectively improve access to perinatal mental health care. However, there have been no systematic attempts to synthesize the evidence on effectiveness, relevance, and application of this strategy to resource-limited settings such as rural areas. The aim of this review is to synthesize the evidence about the effectiveness of non-specialist delivere…
Our lifestyles are back to ‘normal’, but is our mental health? Longitudinal assessment of psychological distress during the Covid-19 pandemic among Spanish adults
The COVID-19 pandemic had a detrimental effect on mental health since its start in 2020 and current data on mental health is limited. This study provides recent longitudinal data on psychological distress among a country-wide sample of adults. We recruited and surveyed 1,956 adults in Spain in April 2021 and August 2022 on sociodemographic- and pandemic-related psychological distress using the General Distress 21-item version of the Depression, A…
“Alcohol will never run out”
Heavy alcohol use amongst adolescent boys is a major public health concern in many countries. It is associated with a range of negative physical and mental health outcomes and predicts alcohol-related problems in adulthood. In Kilimanjaro Region, adolescent boys’ alcohol use is widespread, and higher than other regions in Tanzania. An understanding of causal and contextual factors that influence the use of alcohol is needed to inform the developm…
How do family members influence smokeless tobacco consumption during pregnancy in India? Perspectives of pregnant women
Smokeless tobacco (ST) use in South Asia is culturally ingrained and socially accepted. A better understanding of these sociocultural influences could inform behavioural approaches to prevent ST use. We sought to understand how family members influence pregnant women’s behaviour, attitudes, and perceptions towards ST use. Moreover, we captured the influence of community health workers in this context. A qualitative study using a framework analysi…
Unpacking the ‘black box’ of suicide
Introduction Indian women account for 37% of global suicide-related deaths. As suicide is a growing concern among adolescent girls, identifying the social determinants of suicide with this group targeted prevention. We selected social determinants that include intersectional identities and broader syndemics; we then used longitudinal data from a prospective cohort of adolescent girls from Northern India to classify them into unique profiles acros…
Living with depression and diabetes
Diabetes and depression are both serious health conditions. While their relationship is bidirectional and each condition adversely affects outcomes for the other, they are treated separately. In low and middle income countries, such as Bangladesh and Pakistan, health systems are already stretched and the integration of diabetes and depression care is rarely a priority. Within this context through interviews with patients, healthcare workers and p…
Process evaluations of mental health and psychosocial support interventions for populations affected by humanitarian crises
The current state of process evaluations in MHPSS RCTs is heterogeneous. The quality of process evaluations should be improved to strengthen implementation science of the growing number of evidence-informed MHPSS interventions
The Role of Communities in Mental Health Care in Low- and Middle-Income Countries
Community-based mental health services are emphasized in the World Health Organization’s Mental Health Action Plan, the World Bank’s Disease Control Priorities, and the Action Plan of the World Psychiatric Association. There is increasing evidence for effectiveness of mental health interventions delivered by non-specialists in community platforms in low- and middle-income countries (LMIC). However, the role of community components has yet to be s…
The onset and progression of alcohol use disorders
Quantitative evidence about the burden of alcohol use disorders (AUDs) needs to be complemented with a nuanced qualitative understanding of explanatory models to help supplement public health strategies that are too often steeped uncritically in biomedical models. The aim of this study was to identify the role of various factors in the onset and persistence of AUD and recovery from AUD. This was a qualitative study nested in a population cohort f…
‘He was trapped in his own web’—Dependent drinking as a poverty trap
Covid-19 and forced alcohol abstinence in India
Mental health of women and children experiencing family violence in conflict settings
Family violence was common in conflict settings and was associated with mental health outcomes, but the studies were too heterogenous to determine whether prevalence or risk was greater than in non-conflict settings. The review highlights an urgent need for more robust data on perpetrators, forms of family violence, and mental health outcomes in conflict-affected settings in order to help understand the magnitude of the problem and identify poten…
A Complex Intervention for Alcohol Misuse Among Conflict-Affected Populations in Uganda and Ukraine
Qualitative research is increasingly being integrated within the development and evaluation phases of trials of complex health interventions. Qualitative research can complement effectiveness data and provide insights around how context and implementation impact the results of the trial and to what extent interventions fit implementation contexts after evaluation. Several qualitative studies have been conducted at different stages of trials of me…
Stigma towards dependent drinking and its role on caregiving burden
Supporting addiction affected families effectively
Our work indicates that it is possible to identify AFMs through community networking, and have high rates of participation for lay counsellor-delivered psychosocial care. Nevertheless, there is a need for further intervention development to ensure its contextual relevance and appropriateness
Integrating assisted tele-psychiatry into primary healthcare in Goa, India
Treatment of mental disorders through a tele-psychiatry platform appears to be highly acceptable and is associated with improved clinical outcomes. Considering its potential for scalability, a model of assisted tele-psychiatry integrated into primary care can be an important strategy to increase access to mental healthcare in low-resource settings
Brief intervention for hazardous drinking delivered using text messaging
Objective: To evaluate the feasibility and acceptability of a mobile-based brief intervention (BI), generate preliminary estimates of the impact of the BI and fine-tune the procedures for a definitive randomised controlled trial. Design: Parallel three-arm single-blind individually randomised controlled pilot trial. Eligible and consenting participants were randomised to receive mobile-based BI, face-to-face BI and information leaflet. Setting: E…
Process evaluations of mental health and psychosocial support interventions for populations affected by humanitarian crises
The current state of process evaluations in MHPSS RCTs is heterogeneous. The quality of process evaluations should be improved to strengthen implementation science of the growing number of evidence-informed MHPSS interventions
Common strategies in empirically supported psychological interventions for alcohol use disorders
Interventions to increase help-seeking for mental health care in low- and middle-income countries
Mental health problems are a significant and growing cause of morbidity worldwide. Despite the availability of evidence-based interventions, most people experiencing mental health problems remain untreated. This treatment gap is particularly large in low- and middle-income countries (LMIC) and is due to both supply-side and demand-side barriers. The aim of this systematic review is to identify and synthesise the evidence on interventions to impro…
Stress and coping strategies among higher secondary and undergraduate students during Covid-19 pandemic in Nepal
Coronavirus Disease (COVID-19) pandemic has profoundly affected lives around the globe and has caused a psychological impact among students by increasing stress and anxiety. This study evaluated the stress level, sources of stress of students of Nepal and their coping strategies during the pandemic. A cross-sectional web-based study was conducted during the complete lockdown in July 2020 among 615 college students. Stress owing to COVID-19 and th…
The epidemiology of khat (catha edulis) chewing and alcohol consumption among pregnant women in Ethiopia
The use of khat (Catha edulis) and alcohol during pregnancy is a serious public health problem that has been associated with a number of harmful outcomes for both the fetus and the mother’s health. There has been no systematic review with meta-analysis to determine risk factors associated with khat and alcohol use among pregnant women in Ethiopia. Therefore, we aimed to determine the pooled prevalence and risk factors of khat and alcohol use duri…
Experiences of a mobile phone delivered brief intervention for hazardous drinking
By providing a context to explain the impact of the intervention, the learnings from this study can be used to strengthen the implementation of mobile-based interventions. This study outlines the scope for further research in digital health, such as Internet-based health interventions, and incorporating digital interventions within the ambit of existing health care programmes
Community-based counselling programme for pregnant women with alcohol problems in Cape Town, South Africa
Findings provide essential information to facilitate the adaptation of a community-based alcohol counselling programme for greater acceptability, feasibility and cultural appropriateness for the South African context. Intensive training, supervision and support is required to ensure the programme is delivered as planned
Developing an explanatory model of alcohol misuse among South Sudanese refugees in northern Uganda
Alcohol misuse is a significant health problem among forcibly displaced populations including male South Sudanese refugees in northern Uganda, yet interventions are sorely lacking. Developing an explanatory model of alcohol misuse in this population is the first step to designing appropriate and effective interventions. The aim of the current study was to examine alcohol misuse in this setting and to conceptualize an explanatory model of alcohol …
Non-specialist delivered psycho-social interventions for women with perinatal depression living in rural communities
Evidence from low- and middle-income countries suggests that non-specialist-delivered interventions effectively improve access to perinatal mental health care. However, there have been no systematic attempts to synthesize the evidence on effectiveness, relevance, and application of this strategy to resource-limited settings such as rural areas. The aim of this review is to synthesize the evidence about the effectiveness of non-specialist delivere…
Our lifestyles are back to ‘normal’, but is our mental health? Longitudinal assessment of psychological distress during the Covid-19 pandemic among Spanish adults
The COVID-19 pandemic had a detrimental effect on mental health since its start in 2020 and current data on mental health is limited. This study provides recent longitudinal data on psychological distress among a country-wide sample of adults. We recruited and surveyed 1,956 adults in Spain in April 2021 and August 2022 on sociodemographic- and pandemic-related psychological distress using the General Distress 21-item version of the Depression, A…
“Alcohol will never run out”
Heavy alcohol use amongst adolescent boys is a major public health concern in many countries. It is associated with a range of negative physical and mental health outcomes and predicts alcohol-related problems in adulthood. In Kilimanjaro Region, adolescent boys’ alcohol use is widespread, and higher than other regions in Tanzania. An understanding of causal and contextual factors that influence the use of alcohol is needed to inform the developm…
How do family members influence smokeless tobacco consumption during pregnancy in India? Perspectives of pregnant women
Smokeless tobacco (ST) use in South Asia is culturally ingrained and socially accepted. A better understanding of these sociocultural influences could inform behavioural approaches to prevent ST use. We sought to understand how family members influence pregnant women’s behaviour, attitudes, and perceptions towards ST use. Moreover, we captured the influence of community health workers in this context. A qualitative study using a framework analysi…
Unpacking the ‘black box’ of suicide
Introduction Indian women account for 37% of global suicide-related deaths. As suicide is a growing concern among adolescent girls, identifying the social determinants of suicide with this group targeted prevention. We selected social determinants that include intersectional identities and broader syndemics; we then used longitudinal data from a prospective cohort of adolescent girls from Northern India to classify them into unique profiles acros…
Living with depression and diabetes
Diabetes and depression are both serious health conditions. While their relationship is bidirectional and each condition adversely affects outcomes for the other, they are treated separately. In low and middle income countries, such as Bangladesh and Pakistan, health systems are already stretched and the integration of diabetes and depression care is rarely a priority. Within this context through interviews with patients, healthcare workers and p…
Explanatory models of illicit drug use in adolescents
Illicit drug use is a growing concern in India, with a high treatment gap of 73%. Explanatory models can provide valuable insights into the patient’s conception of disease and inform help-seeking, treatment, and recovery. Of the studies that examine adolescent drug misuse in India, none have developed a socio-cultural explanatory model. The aim of our study was to develop an explanatory model to better understand the causal beliefs, social contex…
Medicine (27 works) · Psychology (27 works) · Psychiatry (22 works) · Mental health (21 works) · Qualitative research (21 works) · Mental Health Treatment and Access (17 works) · Clinical Psychology (15 works) · Environmental health (13 works) · Substance Abuse Treatment and Outcomes (13 works) · Psychological intervention (12 works)