Adolescent mental health research in Tanzania: a study protocol for a priority setting exercise and the development of an interinstitutional capacity strengthening programme

• Published in: BMJ open Vol. 12; no. 2; p. e054163
• Main Authors: Obasi, Angela, Seekles, Maaike, Boshe, Judith, Dow, Dorothy, Mmbaga, Blandina, Ngakongwa, Fileuka, Okello, Elialilia, Renju, Jenny, Shayo, Elizabeth, Simbee, Gema, Todd, Jim, Oriyo, Ndekya
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 02-02-2022; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Protocol
• Subjects: Academies and Institutes; Adolescent; Biomedical Research; Child & adolescent mental health; child & adolescent psychiatry; Child development; Civil society; Coronaviruses; COVID-19; education & training (see medical education & training); Ethics Committees, Research; Exercise; Focus groups; health policy; Humans; international health services; Medical research; Mental disorders; Mental Health; Methods; Mixed methods research; Stakeholders; Tanzania; Teenagers; Tanzania; Africa; international health services; child & adolescent psychiatry; health policy; education & training (see medical education & training); mental health
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2021-054163

IntroductionPoor adolescent mental health is a barrier to achieving several sustainable development goals in Tanzania, where adolescent mental health infrastructure is weak. This is compounded by a lack of community and policy maker awareness or understanding of its burden, causes and solutions. Research addressing these knowledge gaps is urgently needed. However, capacity for adolescent mental health research in Tanzania remains limited. The existence of a National Institute for Medical Research (NIMR), with a nationwide mandate for research conduct and oversight, presents an opportunity to catalyse activity in this neglected area. Rigorous research priority setting, which includes key stakeholders, can promote efficient use of limited resources and improve both quality and uptake of research by ensuring that it meets the needs of target populations and policy makers. We present a protocol for such a research priority setting study and how it informs the design of an interinstitutional adolescent mental health research capacity strengthening strategy in Tanzania.Methods and analysisFrom May 2021, this 6 month mixed-methods study will adapt and merge the James Lind Alliance approach and validated capacity strengthening methodologies to identify priorities for research and research capacity strengthening in adolescent mental health in Tanzania. Specifically, it will use online questionnaires, face-to-face interviews, focus groups, scoping reviews and a consensus meeting to consult expert and adolescent stakeholders. Key evidence-informed priorities will be collaboratively ranked and documented and an integrated strategy to address capacity gaps will be designed to align with the nationwide infrastructure and overall strategy of NIMR.Ethics and disseminationNational and institutional review board approvals were sought and granted from the National Health Research Ethics Committee of the NIMR Medical Research Coordinating Committee (Tanzania) and the Liverpool School of Tropical Medicine (United Kingdom). Results will be disseminated through a national workshop involving all stakeholders, through ongoing collaborations and published commentaries, reviews, policy briefs, webinars and social media.