Dixon Chibanda
Biographic Data
| ID | 145924 |
|---|---|
| NAME | Dixon Chibanda |
| GIVEN NAMES | Dixon |
| FAMILY NAME | Chibanda |
| SIGNATURE | CHIBANDA D |
| AFFILIATIONS | University of Zimbabwe |
| ORCID | 0000-0003-2505-8607 |
| VERIFIED | Yes |
| TOTAL WORKS | 36 |
| TOTAL CITATIONS | 15 |
| AUTHOR COUNT | 35 |
| EDITOR COUNT | 1 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Awareness, utility and preferences of campus-based mental health services at tertiary institutions in Harare, Zimbabwe
Mental health (MH) disorders are highly prevalent among university students, with multi-level impacts. Although campus-based mental health services (CBMHS) are available, awareness and utilisation rates remain low. This study examined the awareness and utilisation of CBMHS among Zimbabwean tertiary students, including the barriers, facilitators, and preferences that influence their access to services. This descriptive cross-sectional study recrui…
Recognition of depression by nurses in primary healthcare in Zimbabwe
Depression is underrecognized in primary care, which is a barrier to treatment. For the last decade, Zimbabwe has invested in increasing access to depression treatment within primary healthcare. This study describes depression recognition by nurses and referral to treatment in four primary care clinics in Zimbabwe. Research staff screened 200 patients after they attended a primary care visit at a study clinic. They assessed depression using the P…
Acceptability of an Integrated Model of Mental Health and PrEP Service Delivery for South African Adolescent Girls
Adolescent girls and young women (AGYW) at elevated HIV risk often experience common mental disorders (CMD), which are linked to lower PrEP adherence. We piloted a CMD intervention, the Youth Friendship Bench SA (YFB), and delivered alongside PrEP to improve CMD symptoms and PrEP adherence among South African AGYW. From April 2023-February 2024, 116 AGYW (18-25 years) with CMD symptoms were randomized to YFB plus standard of care (SOC) or SOC alo…
Predictors of physical activity among pregnant women in Harare, Zimbabwe
The extensive benefits of physical activity (PA) are well known. However, PA participation among pregnant women remains low. This study evaluated PA levels and associated factors, including barriers and facilitators in pregnant women in Harare, Zimbabwe. This cross-sectional study recruited 517 pregnant women receiving antenatal care across ten primary healthcare clinics. Data were collected using the Pregnancy Physical Activity Questionnaire (PP…
Physical activity prevalence and associated factors among Zimbabwean undergraduate students
Many university students worldwide are physically inactive, negatively affecting their mental health and academic performance. Group-based physical activity (GBPA) can effectively increase physical activity levels. This study assessed the physical activity (PA) levels and related factors, knowledge, attitudes and perceptions of GBPA in a cross-sectional study of 1217 Zimbabwean undergraduates from three universities. Data were collected using the…
Validation of Shona Symptom Questionnaire (SSQ-14), Patient Health Questionnaire (PHQ-9) and Generalised Anxiety Disorder scale (GAD-7) in Unguja Island, Zanzibar
Due to the dearth of resources in low- and middle-income countries, the use of culturally appropriate and psychometrically robust screening tools for common mental disorders (CMDs) administrable by lay health workers (LHWs) is critical to both identifying people that need care and collecting prevalence data to inform policy decisions. The Shona Symptom Questionnaire (SSQ-14), Patient Health Questionnaire (PHQ-9) and Generalised Anxiety Disorder S…
We Need Gentleness”
Effect of a brief psychological intervention for common mental disorders on HIV viral suppression
Background For people living with co-morbid HIV and common mental disorders (CMD), it is not known whether a brief psychological intervention for CMD can improve HIV viral suppression. Methods We conducted a prospective cohort study in eight primary care clinics in Harare, Zimbabwe, enrolling adults with co-morbid HIV and CMD. Six clinics provided the Friendship Bench (FB), a brief psychological intervention for CMD based on problem-solving thera…
Beyond survival
Two alarming and consequential truths were exposed and exacerbated by the COVID-19 pandemic. First, a global mental health crisis endangers the well-being of families, communities, countries, and the personnel that support them. This crisis has particularly damaging implications for adolescents, pregnant and postpartum women, mothers, and health care workers Second, improvements in the health, survival, and well-being of pregnant, childbearing, a…
Living with psychosis in West and Southeast Africa
As part of the formative work of the SUCCEED Africa consortium, we followed a participatory process to identify existing gaps and resources needed for the development and implementation of a rights-based intervention for people with lived experience of psychosis in Malawi, Nigeria, Sierra Leone and Zimbabwe. In 2021, we conducted a desk review of published and grey literature on psychosis in the four SUCCEED countries. Using an adapted version of…
Perceived benefits and barriers to exercise and associated factors among Zimbabwean undergraduate students
BackgroundDespite the well-documented benefits of regular physical activity (PA), many university students are physically inactive. Personal, socio-economic, and environmental factors predict PA engagement behaviours in university students. There is a need to understand context-specific perceived barriers and benefits to exercise engagement and physical activity levels amongst university students from low-income settings. This study primarily eva…
Rural Friendship Bench
Global health reciprocal innovation to address mental health and well-being
Over the past two decades there have been major advances in the development of interventions promoting mental health and well-being in low- and middle-income countries (LMIC), including delivery of care by non-specialist providers, incorporation of mobile technologies and development of multilevel community-based interventions. Growing inequities in mental health have led to calls to adopt similar strategies in high-income countries (HIC), learni…
Reliability and validity of the Shona version of the Exercise Benefits and Barriers Scale in Zimbabwean adult people living with HIV/Aids
This study demonstrates the validity and reliability of the EBBS-Shona version in Zimbabwean PLHIV. The EBBS-Shona version can be used for research and clinical purposes to glean data to inform the development, implementation, and evaluation of bespoke PA interventions for PLHIV
An Intervention to Improve Mental Health and HIV Care Engagement Among Perinatal Women in Malawi
Time for united action on depression
The neglect of culture in global health research and practice
Principles for delivery of youth lay counsellor programs
There is accumulating evidence that lay counsellors can effectively provide structured, evidence-based counselling interventions to improve mental health outcomes [1–4]. Lay counsellors help alleviate overburdened health systems that have limited numbers of mental health professionals through ‘task-shifting,’ a process of referring straightforward, or common mental health illness to lay workers who have received counselling training [...]
HeAlth System StrEngThening in four sub-Saharan African countries (Asset) to achieve high-quality, evidence-informed surgical, maternal and newborn, and primary care
To achieve universal health coverage, health system strengthening (HSS) is required to support the of delivery of high-quality care. The aim of the National Institute for Health Research Global Research Unit on HeAlth System StrEngThening in Sub-Saharan Africa (ASSET) is to address this need in a four-year programme, with three healthcare platforms involving eight work-packages. Key to effective health system strengthening (HSS) is the pre-implem…
The Friendship Bench as a brief psychological intervention with peer support in rural Zimbabwean women
VHW-delivered problem-solving therapy and peer-support was acceptable and showed promising results in this pilot evaluation, leading to quantitative and qualitative improvements in mental health among rural Zimbabwean women. Scale-up of the Friendship Bench in rural areas would help close the treatment gap for common mental disorders
A community health volunteer delivered problem-solving therapy mobile application based on the Friendship Bench ‘Inuka Coaching’ in Kenya
To our knowledge, this report is the first to pilot a PST intervention that is delivered by CHVs through a locally developed mobile application in Kenya, to which clinically meaningful improvements were found. However, a randomised-controlled trial is required to robustly evaluate this intervention
Enhancing science preparedness for health emergencies in Africa through research capacity building
Editorial (no available abstract)
Developing sustainable capacity-building in mental health research
Less than 1% of biomedical research papers originate in Africa. Locally relevant mental health research, including synthesis of existing evidence, is essential for developing interventions and strengthening health systems, but institutions may lack the capacity to deliver training on systematic reviewing for publication in international journals. This paper describes the development and implementation of a training-of-trainers (ToT) course on sys…
Mental health research capacity building in sub-Saharan Africa
Mental, neurological and substance use (MNS) disorders are a leading, but neglected, cause of morbidity and mortality in sub-Saharan Africa. The treatment gap for MNS is vast with only 10% of people with MNS disorders in low-income countries accessing evidence-based treatments. Reasons for this include low awareness of the burden of MNS disorders and limited evidence to support development, adaptation and implementation of effective and feasible …
Effectiveness of a peer-led adolescent mental health intervention on HIV virological suppression and mental health in Zimbabwe
This trial evaluates the effectiveness of peer-delivery of mental health care on mental health and HIV viral load among ALHIV. If effective this intervention has the potential to be scaled-up to improve these outcomes.Trial registration: PACTR201810756862405. 08 October 2018
Lay Health Workers’ Experience of Delivering a Problem Solving Therapy Intervention for Common Mental Disorders Among People Living with HIV
Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/Aids in Zimbabwe
Few evidence-based interventions to improve adherence to antiretroviral therapy have been adapted for use in Africa. We selected, culturally adapted and tested the feasibility of a cognitive-behavioural intervention for adherence and for delivery in a clinic setting in Harare, Zimbabwe. The feasibility of the intervention was evaluated using a mixed-methods assessment, including ratings of provider fidelity of intervention delivery, and qualitati…
Perceptions of HIV-related trauma in people living with HIV in Zimbabwe's Friendship Bench Program
This study investigated the experience of lay health workers (LHWs) delivering problem-solving therapy (PST) for common mental disorders (CMD) as well as clients' views of the PST program referred to as the Friendship Bench (FB). Semi-structured interviews were conducted with LHWs (n = 5) and clients living with HIV (PLWH) (n = 10). Data were analyzed using thematic content analysis. LHWs described a severe form of CMD amongst PLWH with a history…
Perceived benefits and barriers to exercise and associated factors among Zimbabwean undergraduate students
BackgroundDespite the well-documented benefits of regular physical activity (PA), many university students are physically inactive. Personal, socio-economic, and environmental factors predict PA engagement behaviours in university students. There is a need to understand context-specific perceived barriers and benefits to exercise engagement and physical activity levels amongst university students from low-income settings. This study primarily eva…
Problem-solving therapy for depression and common mental disorders in Zimbabwe
ISRCTN: ISRCTN25476759
Effect of a Primary Care–Based Psychological Intervention on Symptoms of Common Mental Disorders in Zimbabwe
Importance: Depression and anxiety are common mental disorders globally but are rarely recognized or treated in low-income settings. Task-shifting of mental health care to lay health workers (LHWs) might decrease the treatment gap. Objective: To evaluate the effectiveness of a culturally adapted psychological intervention for common mental disorders delivered by LHWs in primary care. Design, Setting, and Participants: Cluster randomized clinical …
Developing mental health research in sub-Saharan Africa
Having protected time for research is a barrier to carrying out research activities for busy clinicians. Funders could support sustainability of capacity-building initiatives through funds for travel and study leave. Adoption of a train-the-trainers model for specialist skills training and strategies for improving the rigor of evaluation of capacity-building activities should be considered
Scaling up interventions for depression in sub-Saharan Africa
Key requirements for success included early buy-in from key stakeholders, extensive consultation at each point of the scale-up journey, financial support both locally and externally, and a coherent sustainability plan endorsed by both government and private sectors
Lay Health Workers’ Experience of Delivering a Problem Solving Therapy Intervention for Common Mental Disorders Among People Living with HIV
Feasibility and Acceptability of a Task-Shifted Intervention to Enhance Adherence to HIV Medication and Improve Depression in People Living with HIV in Zimbabwe, a Low Income Country in Sub-Saharan Af…
Using a pilot trial design in an HIV care clinic in Zimbabwe, we randomised 32 adults with poor adherence to antiretroviral therapy and at least mild depression to either six sessions of Problem-Solving Therapy for adherence and depression (PST-AD) delivered by an adherence counsellor, or to Enhanced Usual Care (Control). Acceptability of PST-AD was high, as indicated by frequency of session attendance and through qualitative analyses of exit int…
Cultural adaptation of a cognitive-behavioural intervention to improve adherence to antiretroviral therapy among people living with HIV/Aids in Zimbabwe
Few evidence-based interventions to improve adherence to antiretroviral therapy have been adapted for use in Africa. We selected, culturally adapted and tested the feasibility of a cognitive-behavioural intervention for adherence and for delivery in a clinic setting in Harare, Zimbabwe. The feasibility of the intervention was evaluated using a mixed-methods assessment, including ratings of provider fidelity of intervention delivery, and qualitati…
Trained lay health workers reduce common mental disorder symptoms of adults with suicidal ideation in Zimbabwe
pactr.org ldentifier: PACTR201410000876178
Positioning for success
This paper indicates that a skills development series for early-career researchers can be contextualised and implemented in LMIC settings, and is feasible for co-delivery with local partners at relatively low cost
Enhancing science preparedness for health emergencies in Africa through research capacity building
Editorial (no available abstract)
Developing sustainable capacity-building in mental health research
Less than 1% of biomedical research papers originate in Africa. Locally relevant mental health research, including synthesis of existing evidence, is essential for developing interventions and strengthening health systems, but institutions may lack the capacity to deliver training on systematic reviewing for publication in international journals. This paper describes the development and implementation of a training-of-trainers (ToT) course on sys…
Mental health research capacity building in sub-Saharan Africa
Mental, neurological and substance use (MNS) disorders are a leading, but neglected, cause of morbidity and mortality in sub-Saharan Africa. The treatment gap for MNS is vast with only 10% of people with MNS disorders in low-income countries accessing evidence-based treatments. Reasons for this include low awareness of the burden of MNS disorders and limited evidence to support development, adaptation and implementation of effective and feasible …
Effectiveness of a peer-led adolescent mental health intervention on HIV virological suppression and mental health in Zimbabwe
This trial evaluates the effectiveness of peer-delivery of mental health care on mental health and HIV viral load among ALHIV. If effective this intervention has the potential to be scaled-up to improve these outcomes.Trial registration: PACTR201810756862405. 08 October 2018
Poor mental health of livestock farmers in Africa
Livestock diseases are the leading cause of losses to livestock farmers, whose mental wellbeing is negatively affected by these losses. Although an adaptive strategy by farmers to compensate for poor veterinary services, the arbitrary use of veterinary drugs and sale of diseased cattle pose health risks to the public. Further research to evaluate the performance of veterinary services in Ghana, mental health problems and risk to human health due …
Perceptions of HIV-related trauma in people living with HIV in Zimbabwe's Friendship Bench Program
This study investigated the experience of lay health workers (LHWs) delivering problem-solving therapy (PST) for common mental disorders (CMD) as well as clients' views of the PST program referred to as the Friendship Bench (FB). Semi-structured interviews were conducted with LHWs (n = 5) and clients living with HIV (PLWH) (n = 10). Data were analyzed using thematic content analysis. LHWs described a severe form of CMD amongst PLWH with a history…
The Friendship Bench as a brief psychological intervention with peer support in rural Zimbabwean women
VHW-delivered problem-solving therapy and peer-support was acceptable and showed promising results in this pilot evaluation, leading to quantitative and qualitative improvements in mental health among rural Zimbabwean women. Scale-up of the Friendship Bench in rural areas would help close the treatment gap for common mental disorders
A community health volunteer delivered problem-solving therapy mobile application based on the Friendship Bench ‘Inuka Coaching’ in Kenya
To our knowledge, this report is the first to pilot a PST intervention that is delivered by CHVs through a locally developed mobile application in Kenya, to which clinically meaningful improvements were found. However, a randomised-controlled trial is required to robustly evaluate this intervention
Time for united action on depression
The neglect of culture in global health research and practice
Principles for delivery of youth lay counsellor programs
There is accumulating evidence that lay counsellors can effectively provide structured, evidence-based counselling interventions to improve mental health outcomes [1–4]. Lay counsellors help alleviate overburdened health systems that have limited numbers of mental health professionals through ‘task-shifting,’ a process of referring straightforward, or common mental health illness to lay workers who have received counselling training [...]
HeAlth System StrEngThening in four sub-Saharan African countries (Asset) to achieve high-quality, evidence-informed surgical, maternal and newborn, and primary care
To achieve universal health coverage, health system strengthening (HSS) is required to support the of delivery of high-quality care. The aim of the National Institute for Health Research Global Research Unit on HeAlth System StrEngThening in Sub-Saharan Africa (ASSET) is to address this need in a four-year programme, with three healthcare platforms involving eight work-packages. Key to effective health system strengthening (HSS) is the pre-implem…
Global health reciprocal innovation to address mental health and well-being
Over the past two decades there have been major advances in the development of interventions promoting mental health and well-being in low- and middle-income countries (LMIC), including delivery of care by non-specialist providers, incorporation of mobile technologies and development of multilevel community-based interventions. Growing inequities in mental health have led to calls to adopt similar strategies in high-income countries (HIC), learni…
Reliability and validity of the Shona version of the Exercise Benefits and Barriers Scale in Zimbabwean adult people living with HIV/Aids
This study demonstrates the validity and reliability of the EBBS-Shona version in Zimbabwean PLHIV. The EBBS-Shona version can be used for research and clinical purposes to glean data to inform the development, implementation, and evaluation of bespoke PA interventions for PLHIV
An Intervention to Improve Mental Health and HIV Care Engagement Among Perinatal Women in Malawi
Effect of a brief psychological intervention for common mental disorders on HIV viral suppression
Background For people living with co-morbid HIV and common mental disorders (CMD), it is not known whether a brief psychological intervention for CMD can improve HIV viral suppression. Methods We conducted a prospective cohort study in eight primary care clinics in Harare, Zimbabwe, enrolling adults with co-morbid HIV and CMD. Six clinics provided the Friendship Bench (FB), a brief psychological intervention for CMD based on problem-solving thera…
Medicine (30 works) · Mental health (22 works) · Mental Health Treatment and Access (19 works) · Psychiatry (19 works) · Nursing (16 works) · Psychological intervention (13 works) · Psychology (13 works) · Public health (10 works) · Family Caregiving in Mental Illness (9 works) · HIV/AIDS Research and Interventions (9 works)