Rwanda Digital Dashboard Hybrid Type 3 Implementation Study

Summary

Mental disorders are leading causes of the health-related burden globally, and in Rwanda the intergenerational mental health consequences of the 1994 Genocide against the Tutsi persist and are further compounded by poverty, such that recent studies have found 20% of the Rwandan population has one or more mental disorders.

The Research Program on Children and Adversity (RPCA) has expanded its evidence-based home-visiting Sugira Muryango (SM) in Rwanda. The current study aims to assess a digitally enhanced delivery of Sugira Muryango to meet the needs of the Government of Rwanda in expanding the mental health and social services infrastructure.

The proposed research will test the feasibility, acceptability and impact of a technology-enabled service delivery model using a digital tool that streamlines data collection, improves visibility of key program performance metrics, and serves as a resource for learning materials that can be used for continuous learning and training of a non-specialized workforce that is delivering an evidence-based intervention that improves caregiver mental health and family functioning. What the team learn from technology-supported delivery of Sugira Muryango - an evidence-based, trauma-informed, family-based behavioral intervention in Rwanda - can be used to improve the efficiency, effectiveness, and scalability of evidence-based mental health services in Rwanda and globally.

Conditions

• IPV
• Mental Health
• Discipline Practices
• Quality Assurance
• Provider Confidence
• Provider Skill
• Quality of Life

Interventions

OTHER

Digital Dashboard-Supported Sugira Muryango Implementation

Arm investigating technology-supported delivery of Sugira Muryango, specifically, the use of a Digital Dashboard tool developed in partnership with the University of Rwanda. Developed using co-design and user interface/user experience techniques, the Dashboard (a) streamlines collection of data on evidence-based intervention quality and reach; (b) improves visibility and searchability of implementation data by region; (c) facilitates caregiver mental health and social services referrals and follow up, and (d) serves as a training platform with resources to enhance lay worker fidelity (content-specific skills) and competence (cross-cutting skills) in evidence-based intervention delivery.

OTHER

Usual Care - Sugira Muryango Implementation

Sugira Muryango intervention is delivered using traditional supervision, data entry, and quality monitoring tools.

Sponsors & Collaborators

• National Institute of Mental Health (NIMH)

  collaborator NIH

• Boston College

  lead OTHER

Principal Investigators

• Theresa S Betancourt, MA, Sc.D. · Boston College Research Program on Children and Adversity

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2025-01-30

Primary Completion

2027-06-30

Completion

2029-05-31

Countries

• Rwanda

Study Locations