Michael Udedi
Biographic Data
| ID | 6815051 |
|---|---|
| NAME | Michael Udedi |
| GIVEN NAMES | Michael |
| FAMILY NAME | Udedi |
| SIGNATURE | UDEDI M |
| AFFILIATIONS | Ministry of Health |
| ORCID | 0000-0001-8769-4313 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Integrating safety planning, problem-solving therapy and peer support for suicide prevention among adolescents living with HIV in Malawi
There are few evidence-based suicide prevention interventions tailored for adolescents living with HIV (ALWH) in sub-Saharan Africa. The safety planning intervention targets acute suicidal behavior through co-creation of actionable coping strategies for use at the onset of suicide-related distress. We utilized the Assessment-Decision-Adaptation-Production-Topical Experts-Integration-Training–Testing framework to adapt and integrate safety plannin…
Patient perspectives on group problem management plus for adults with major depressive disorder in rural Malawi
BACKGROUND: Major depressive disorder (MDD) frequently co-occurs with other medical conditions. Care integration and task shifting are two frameworks that may strengthen person-centered care among individuals with MDD and comorbid diagnoses, including for adults with limited access to healthcare resources living in rural settings within sub-Saharan Africa. OBJECTIVE: We assessed the acceptability and feasibility of group psychotherapy (Problem Ma…
Champion and audit and feedback strategy fidelity and their relationship to depression intervention fidelity
Background: Globally, mental health disorders rank as the greatest cause of disability. Low and middle-income countries (LMICs) hold a disproportionate share of the mental health burden, especially as it pertains to depression. Depression is highly prevalent among those with non-communicable diseases (NCDs), creating a barrier to successful treatment. While some treatments have proven efficacy in LMIC settings, wide dissemination is challenged by…
Evaluating the validity of depression-related stigma measurement among diabetes and hypertension patients receiving depression care in Malawi
Mental illness stigma research is sparse in Malawi. Our team previously analyzed the reliability and statistical validity of a quantitative tool to measure depression-related stigma among participants with depressive symptoms using quantitative psychometric methods. This analysis aims to further evaluate the content validity of the stigma tool by comparing participants’ quantitative responses with qualitative data. The SHARP project conducted dep…
Depressive disorder at the household level
Background Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals’ depressive symptoms and their household members’ mental health and well-being.Objectives We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi.Methods As part…
Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: m…
Phone-based psychosocial counseling for people living with HIV
People living with HIV experience psychosocial needs that often are not addressed. We designed an innovative low-resource model of phone-based psychosocial counseling (P-PSC). We describe cohort characteristics, acceptability, feasibility and utilization of P-PSC at health facilities supported by Baylor Foundation Malawi. Staff were virtually oriented at 120 sites concurrently. From facility-based phones, people with new HIV diagnosis, high viral…
The acceptability of antidepressant treatment in people living with HIV in Malawi
Depression is common among people living with HIV (PLWH). Measurement-based care models that measure depression severity and antidepressant side effects, and use an algorithm to guide antidepressant prescription by non-specialized health workers represent an evidence-based treatment for severe depression in sub-Saharan Africa. We conducted in-depth interviews from June to December 2018 with eleven patients enrolled in Project SOAR-Mental Health, …
Preferences for enhanced treatment options to address HIV care engagement among women living with HIV and perinatal depression in Malawi
This study highlights the importance of peer encouragement to support perinatal HIV care engagement among women with HIV and PND. The results from this study can be used to support intervention development to increase HIV care engagement and improve long-term HIV outcomes in women with PND
An Intervention to Improve Mental Health and HIV Care Engagement Among Perinatal Women in Malawi
Association Between Depression and HIV Care Engagement Outcomes Among Patients Newly Initiating ART in Lilongwe, Malawi
As in other sub-Saharan countries, the burden of depression is high among people living with HIV in Malawi. However, the association between depression at ART initiation and two critical outcomes-retention in HIV care and viral suppression-is not well understood. Prior to the launch of an integrated depression treatment program, adult patients were screened for depression at ART initiation at two clinics in Lilongwe, Malawi. We compared retention…
How faithfully do HIV clinicians administer the PHQ-9 depression screening tool in high-volume, low-resource clinics? Results from a depression treatment integration project in Malawi
In routine care in LMICs, clinicians may administer validated mental health screening tools with varying quality. To ensure quality, integration programs must incorporate appropriate and ongoing training, support, supervision, and monitoring
Creating Evidence-Based Youth Mental Health Policy in Sub-Saharan Africa
Addressing depression in young people is a health-care policy need in sub-Saharan Africa. There exists poor mental health literacy, high levels of stigma, and weak capacity at the community level to address this health-care need. These challenges are significant barriers to accessing mental health care for depression, soon to be the largest single contributor to the global burden of disease. We here describe an innovative approach that addresses …
The effectiveness of depression management for improving HIV care outcomes in Malawi
ClinicalTrials.gov ID [ NCT03555669 ]. Retrospectively registered on 13 June 2018
The Role of Depression Screening and Treatment in Achieving the Unaids 90–90–90 Goals in Sub-Saharan Africa
Despite widespread HIV screening and treatment programs across sub-Saharan Africa, many countries are not on course to meet the Joint United Nations Program on HIV/AIDS 90-90-90 targets. As mental health disorders such as depression are prevalent among people living with HIV, investment in understanding and addressing comorbid depression is increasing. This manuscript aims to assess depression and HIV management in sub-Saharan Africa using a 90-9…
Description of the inpatient population and care received at a psychiatric unit in Lilongwe, Malawi
Like in much of Sub-Saharan Africa, descriptive data about psychiatric inpatients and inpatient psychiatric care in Malawi is limited. This study describes the inpatient population at the Bwaila Hospital Psychiatric Unit in Lilongwe, Malawi, as well as treatments received and treatment outcomes. Records of 419 psychiatric inpatients hospitalized from January 1, 2011 to December 31, 2011 were reviewed. Patients were primarily male (73.0%) and were…
Pathway to care for psychiatric patients in a developing country
BACKGROUND: Paramedics dominate primary health care in Malawi where native healers also play a major role in the provision of health care and psychiatric nurses are the backbone of district mental health services. AIM: The aim is to improve understanding of prior care-seeking and treatment of new patients seen at mental health services in a developing country like Malawi. METHOD: For one calendar month, 128 newly referred patients to the mental h…
Health service utilization by patients with common mental disorder identified by the Self-Reporting Questionnaire in a primary care setting in Zomba, Malawi
BACKGROUND: There has been no study carried out to assess health service utilization by people with common mental disorder (CMD) in Malawi. AIM: The aim of the study was to evaluate health service utilization patterns of patients with CMD in primary health care (PHC) clinics. METHODS: The study was conducted in two PHC clinics in one of the 28 districts in Malawi. Face-to-face interviews with the Self-Reporting Questionnaire (SRQ-20) were conduct…
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Health service utilization by patients with common mental disorder identified by the Self-Reporting Questionnaire in a primary care setting in Zomba, Malawi
BACKGROUND: There has been no study carried out to assess health service utilization by people with common mental disorder (CMD) in Malawi. AIM: The aim of the study was to evaluate health service utilization patterns of patients with CMD in primary health care (PHC) clinics. METHODS: The study was conducted in two PHC clinics in one of the 28 districts in Malawi. Face-to-face interviews with the Self-Reporting Questionnaire (SRQ-20) were conduct…
Pathway to care for psychiatric patients in a developing country
BACKGROUND: Paramedics dominate primary health care in Malawi where native healers also play a major role in the provision of health care and psychiatric nurses are the backbone of district mental health services. AIM: The aim is to improve understanding of prior care-seeking and treatment of new patients seen at mental health services in a developing country like Malawi. METHOD: For one calendar month, 128 newly referred patients to the mental h…
Description of the inpatient population and care received at a psychiatric unit in Lilongwe, Malawi
Like in much of Sub-Saharan Africa, descriptive data about psychiatric inpatients and inpatient psychiatric care in Malawi is limited. This study describes the inpatient population at the Bwaila Hospital Psychiatric Unit in Lilongwe, Malawi, as well as treatments received and treatment outcomes. Records of 419 psychiatric inpatients hospitalized from January 1, 2011 to December 31, 2011 were reviewed. Patients were primarily male (73.0%) and were…
How faithfully do HIV clinicians administer the PHQ-9 depression screening tool in high-volume, low-resource clinics? Results from a depression treatment integration project in Malawi
In routine care in LMICs, clinicians may administer validated mental health screening tools with varying quality. To ensure quality, integration programs must incorporate appropriate and ongoing training, support, supervision, and monitoring
Creating Evidence-Based Youth Mental Health Policy in Sub-Saharan Africa
Addressing depression in young people is a health-care policy need in sub-Saharan Africa. There exists poor mental health literacy, high levels of stigma, and weak capacity at the community level to address this health-care need. These challenges are significant barriers to accessing mental health care for depression, soon to be the largest single contributor to the global burden of disease. We here describe an innovative approach that addresses …
The effectiveness of depression management for improving HIV care outcomes in Malawi
ClinicalTrials.gov ID [ NCT03555669 ]. Retrospectively registered on 13 June 2018
The Role of Depression Screening and Treatment in Achieving the Unaids 90–90–90 Goals in Sub-Saharan Africa
Despite widespread HIV screening and treatment programs across sub-Saharan Africa, many countries are not on course to meet the Joint United Nations Program on HIV/AIDS 90-90-90 targets. As mental health disorders such as depression are prevalent among people living with HIV, investment in understanding and addressing comorbid depression is increasing. This manuscript aims to assess depression and HIV management in sub-Saharan Africa using a 90-9…
Association Between Depression and HIV Care Engagement Outcomes Among Patients Newly Initiating ART in Lilongwe, Malawi
As in other sub-Saharan countries, the burden of depression is high among people living with HIV in Malawi. However, the association between depression at ART initiation and two critical outcomes-retention in HIV care and viral suppression-is not well understood. Prior to the launch of an integrated depression treatment program, adult patients were screened for depression at ART initiation at two clinics in Lilongwe, Malawi. We compared retention…
Champion and audit and feedback strategy fidelity and their relationship to depression intervention fidelity
Background: Globally, mental health disorders rank as the greatest cause of disability. Low and middle-income countries (LMICs) hold a disproportionate share of the mental health burden, especially as it pertains to depression. Depression is highly prevalent among those with non-communicable diseases (NCDs), creating a barrier to successful treatment. While some treatments have proven efficacy in LMIC settings, wide dissemination is challenged by…
Evaluating the validity of depression-related stigma measurement among diabetes and hypertension patients receiving depression care in Malawi
Mental illness stigma research is sparse in Malawi. Our team previously analyzed the reliability and statistical validity of a quantitative tool to measure depression-related stigma among participants with depressive symptoms using quantitative psychometric methods. This analysis aims to further evaluate the content validity of the stigma tool by comparing participants’ quantitative responses with qualitative data. The SHARP project conducted dep…
Depressive disorder at the household level
Background Globally, an estimated five percent of adults have major depressive disorder. However, little is known about the relationship between these individuals’ depressive symptoms and their household members’ mental health and well-being.Objectives We aimed to investigate the prevalence and predictors of depressive symptoms among adult household members of patients living with major depressive disorder in Neno District, Malawi.Methods As part…
Prevalence and correlates of internalized stigma among adults with HIV and major depressive disorder in rural Malawi
Internalized stigma is common among individuals with sexually transmitted infections such as HIV and among those with mental health conditions such as major depressive disorder (MDD). As part of a cluster randomized trial, we investigated the prevalence and correlates of internalized stigma among adults living with comorbid HIV and MDD in rural Malawi (n = 339). We found heightened stigma toward HIV and mental illness among those in the cohort: m…
Phone-based psychosocial counseling for people living with HIV
People living with HIV experience psychosocial needs that often are not addressed. We designed an innovative low-resource model of phone-based psychosocial counseling (P-PSC). We describe cohort characteristics, acceptability, feasibility and utilization of P-PSC at health facilities supported by Baylor Foundation Malawi. Staff were virtually oriented at 120 sites concurrently. From facility-based phones, people with new HIV diagnosis, high viral…
The acceptability of antidepressant treatment in people living with HIV in Malawi
Depression is common among people living with HIV (PLWH). Measurement-based care models that measure depression severity and antidepressant side effects, and use an algorithm to guide antidepressant prescription by non-specialized health workers represent an evidence-based treatment for severe depression in sub-Saharan Africa. We conducted in-depth interviews from June to December 2018 with eleven patients enrolled in Project SOAR-Mental Health, …
Preferences for enhanced treatment options to address HIV care engagement among women living with HIV and perinatal depression in Malawi
This study highlights the importance of peer encouragement to support perinatal HIV care engagement among women with HIV and PND. The results from this study can be used to support intervention development to increase HIV care engagement and improve long-term HIV outcomes in women with PND
An Intervention to Improve Mental Health and HIV Care Engagement Among Perinatal Women in Malawi
Patient perspectives on group problem management plus for adults with major depressive disorder in rural Malawi
BACKGROUND: Major depressive disorder (MDD) frequently co-occurs with other medical conditions. Care integration and task shifting are two frameworks that may strengthen person-centered care among individuals with MDD and comorbid diagnoses, including for adults with limited access to healthcare resources living in rural settings within sub-Saharan Africa. OBJECTIVE: We assessed the acceptability and feasibility of group psychotherapy (Problem Ma…
Integrating safety planning, problem-solving therapy and peer support for suicide prevention among adolescents living with HIV in Malawi
There are few evidence-based suicide prevention interventions tailored for adolescents living with HIV (ALWH) in sub-Saharan Africa. The safety planning intervention targets acute suicidal behavior through co-creation of actionable coping strategies for use at the onset of suicide-related distress. We utilized the Assessment-Decision-Adaptation-Production-Topical Experts-Integration-Training–Testing framework to adapt and integrate safety plannin…
Psychiatry (17 works) · Medicine (16 works) · Mental Health Treatment and Access (11 works) · HIV/AIDS Research and Interventions (10 works) · Mental health (10 works) · Psychology (9 works) · Family Caregiving in Mental Illness (7 works) · Family medicine (7 works) · Nursing (7 works) · Depression (economics (6 works)