Further, the consequences of men’s depression and alcohol use often extend to families, who are at higher risk for violence, poor relationships, and mental health issues. Men are also unlikely to seek mental health treatment, complicating the burden of illness, with men initiating and staying in treatment at rates four times lower than women. It disproportionately impacts men and accounts for 9.6% of disability adjusted life years. Findings will inform implementation strategy development for an intervention for fathers with depression and alcohol use, and family problems with local relevance and scalable potential.ĭepression is the leading cause of disability worldwide and is often comorbid with alcohol use. Facilitators included community buy-in, family support, providers with lived experience, government support, and relevant treatment content. Barriers included a lack of resources, stigma, masculine norms, cost of services, and alcohol dependence. Participants identified barriers and facilitators, and opportunities for implementation, in the following domains: innovation, outer setting, inner setting, individual, sustainability, and characteristics of systems. Interviews were analyzed using the framework method themes were matrixed by framework domains. Guided by the Consolidated Framework for Implementation Research and the Integrated Sustainability Framework, we conducted 18 key informant interviews and 7 focus group discussions (31 total participants) with stakeholders in Eldoret (hospital leaders, policy makers, mental health providers, community leaders, fathers, lay providers, and patients previously engaged in treatment). This study aimed to understand barriers and facilitators to implementing a treatment for fathers’ depression and alcohol use in Eldoret, Kenya. While treatments exist, there are challenges to implementation. In Kenya, there is a treatment gap for depression and alcohol use that is especially large for fathers, which has consequences for families.
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