Adapting Problem Management Plus for Implementation: Lessons Learned from Public Sector Settings Across Rwanda, Peru, Mexico and Malawi

Sarah F Coleman¹, Hildegarde Mukasakindi², Alexandra L Rose³, Jerome T Galea⁴, Beatha Nyirandagijimana², Janvier Hakizimana², Robert Bienvenue², Priya Kundu², Eugenie Uwimana², Anathalie Uwamwezi², Carmen Contreras⁵, Fátima G Rodriguez-Cuevas⁶, Jimena Maza⁷, Todd Ruderman⁸, Emilia Connolly⁹, Mark Chalamanda⁸, Waste Kayira⁸, Kingsley Kazoole⁸, Ksakrad K Kelly¹, Jesse H Wilson¹, Amruta A Houde¹, Elizabeth B Magill¹⁰, Giuseppe J Raviola¹¹, Stephanie L Smith^12
1 Partners In Health, Boston, USA
² Partners In Health/Inshuti Mu Buzima, Rwanda
³ Department of Psychology, University of Maryland, College Park, USA
⁴ MSW, School of Social Work and College of Public Health, University of South Florida, Tampa, ; Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA
⁵ Partners In Health/Socios En Salud, Peru, Harvard Global Health Institute, Boston, USA
⁶ Partners In Health/Compañeros En Salud; London School of Hygiene & Tropical Medicine, Mexico
⁷ Partners In Health/Compañeros En Salud, Mexico
⁸ Partners In Health/Abwenzi Pa Za Umoyo, Malawi
⁹ Partners In Health/Abwenzi Pa Za Umoyo, Malawi; Division of Pediatrics and Division of Hospital Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
¹⁰ Icahn School of Medicine at Mount Sinai, New York, USA
¹¹ Partners In Health, Boston; Partners In Health, Department of Global Health and Social Medicine, Harvard Medical School, Boston, USA; The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, USA
¹² Partners In Health, Boston, MA; Department of Global Health and Social Medicine, Harvard Medical School, Boston, ; Department of Psychiatry, Brigham and Women’s Hospital, Boston, USA

Correspondence Address:
Sarah F Coleman
Partners In Health, 800 Boylston Street, Suite 300, Boston MA 02199
USA

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/INTV.INTV_41_20

• PM+ can be contextualised based on cultural and implementation considerations while maintaining core psychological elements across different settings.
• The adaptation of PM+ for local health systems and articulation of practical guidance on implementation for routine care is essential.
• Partnerships across implementing sites are fundamental for iterative PM+ adaptation and provide opportunities for sharing lessons learned.