Barriers and Facilitators to Father’s Engagement in a Depression and Alcohol Use Intervention in Kenya

Father, Family, and Community Factors

Bibliographic Data

ID15503871
AuthorsAli Giusto (0000-0001-7153-0672, Columbia University, corresponding author), Florence Jaguga (0000-0002-8381-6309, Moi University), Victor Pereira-Sanchez (0000-0002-2576-1549, New York University), Wilter Rono (Moi University), Noah S Triplett (0000-0003-2325-3599, University of Washington), Hani Rukh-E-Qamar (0000-0001-8867-7531, McGill University), Mattea Parker (Tuskegee University), Milton L Wainberg (0000-0002-9390-4652, Columbia University)
Year2023
Volume20
Issue6
Pages4830-4830
Publication date2023-03-09
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20064830
PMID36981739
OpenAlexW4323848872
LanguageEN
Citations received3
References cited30

In Kenya, there is a treatment gap for depression and alcohol use that is especially large for fathers, which has consequences for families. While treatments exist, there are challenges to implementation. This study aimed to understand barriers and facilitators to implementing a treatment for fathers' depression and alcohol use in Eldoret, Kenya. Guided by the Consolidated Framework for Implementation Research and the Integrated Sustainability Framework, we conducted 18 key informant interviews and 7 focus group discussions (31 total participants) with stakeholders in Eldoret (hospital leaders, policy makers, mental health providers, community leaders, fathers, lay providers, and patients previously engaged in treatment). Interviews were analyzed using the framework method; themes were matrixed by framework domains. Participants identified barriers and facilitators, and opportunities for implementation, in the following domains: innovation, outer setting, inner setting, individual, sustainability, and characteristics of systems. Barriers included a lack of resources, stigma, masculine norms, cost of services, and alcohol dependence. Facilitators included community buy-in, family support, providers with lived experience, government support, and relevant treatment content. Findings will inform implementation strategy development for an intervention for fathers with depression and alcohol use, and family problems with local relevance and scalable potential

Alcohol · Depression (economics · Developmental psychology · Environmental health · Intervention (counseling · Poison control · Psychiatry · Suicide prevention · Adolescent Sexual and Reproductive Health · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Poverty, Education, and Child Welfare · Psychology