Publications by authors named "D Shamba"

Improving quality of care could avert most of the 4.5 million maternal and neonatal deaths and stillbirths that occur each year. The Global Financing Facility (GFF) aims to catalyse the national scale-up of maternal and newborn health (MNH) interventions through focused investments.

View Article and Find Full Text PDF

The World Health Organization recognises Routine Health Information System (RHIS) data as integral to data-driven health systems; needed to improve intrapartum outcomes for maternal and newborn health worldwide. However, research in Bangladesh and Tanzania suggests that mode of birth affects register data accuracy, but little is known about why. To address this gap, we undertook qualitative research in these two public-sector health systems.

View Article and Find Full Text PDF
Article Synopsis
  • Peer support workers leverage their personal experiences with mental health to assist others, and evaluating their adherence to core principles is crucial for effective implementation across different socio-economic contexts.
  • The UPSIDES Fidelity Scale was created through expert collaboration and user feedback, resulting in two versions (one for service users and one for peer support workers) that assess various aspects of peer support.
  • Evaluation of the scale across six sites in five countries showed good internal consistency and support for its validity, indicating it's a reliable tool for measuring the effectiveness of peer support initiatives.
View Article and Find Full Text PDF

Background: Stakeholder engagement is essential to the design, implementation and evaluation of complex mental health interventions like peer support. Theory of Change (ToC) is commonly used in global health research to help structure and promote stakeholder engagement throughout the project cycle. Stakeholder insights are especially important in the context of a multi-site trial, in which an intervention may need to be adapted for implementation across very different settings while maintaining fidelity to a core model.

View Article and Find Full Text PDF

Background: Peer support in mental health is a low-threshold intervention with increasing evidence for enhancing personal recovery and empowerment of persons living with severe mental health conditions. As peer support spreads globally, there is a growing need for peer support training programmes that work well in different contexts and cultures. This study evaluates the applicability and transferability of implementing a manualised multi-national training programme for mental health peer support workers called UPSIDES from the perspective of different local stakeholders in high-, middle-, and low-income countries.

View Article and Find Full Text PDF