The Background:

There has been a rising need to mitigate psychological distress among CHWs that was amplified by the COVID-19 pandemic's challenges. Situated within the larger NIMH U19 ESSENCE (Enabling Science to Service to ENhance depression CarE) project, which focuses on enhancing depression care in rural primary settings in India, SAMBHAV addresses the significant gap in mental health support for CHWs through a digital stress reduction and mental health promotion platform.

The Project Plan:

The central components of SAMBHAV, i.e., the adapted digital SH+ intervention, were the instructional videos. These short videos consisted of lectures covering the core content of SH+, as well as role play videos demonstrating the application of the various skills and techniques for managing stress in everyday scenarios tailored to what ASHAs may typically encounter. Additionally, the SAMBHAV manual was designed to specifically include storytelling and relatable examples for ASHAs, and is closely aligned with the original WHO SH+ manual content and layout.
 

The feasibility, acceptability, and initial impact of SAMBHAV was evaluated through a pilot study involving CHWs. This assessment utilized self-reported metrics, objective engagement data, and focus group discussions to gauge program reception and effectiveness. Preliminary outcomes were measured in terms of psychological distress reduction, job performance enhancement, and quality of life improvements.
 

Supporters and Project Duration:

This initiative was supported by the Harvard Global Health Institute (HGHI), with the study period extending from 2021 to 2022, highlighting a dedicated effort towards enhancing the mental well-being and efficacy of community health workers in India.

To read more abou the study, here is the published manuscript.