Study Objectives 

• To develop a multi-component intervention program, designed with and for adolescent mothers age 15- to 19-years old. 

The specific objectives of the program are to:

• Raise awareness and understanding of and reduce stigma associated with perinatal depression;
• Rapidly identify adolescents experiencing symptoms of depression during pregnancy and/or in the post-partum period;
• Provide individualized support, using a problem-focused cognitive behavioral therapy approach, to optimize maternal health and mental health outcomes, responsive parenting behavior, and infant health and development outcomes amongst adolescent mothers and their infants

To determine the feasibility, acceptability and potential effect of the program on improving adolescents’ knowledge, attitudes, motivations and behavioral skills related to self-care during pregnancy and after delivering, depression, and responsive caregiving amongst adolescent mothers age 15- to 19-years old in the greater Gaborone area.

Study Design: A prospective cohort study to assess the feasibility and acceptability of the intervention and data collection procedures that would be used in a subsequent randomized controlled trial and examine preliminary impacts on mediators and outcomes of interest.

Study Population and Study Size: 500 participants (250 in the testing group and 250 in the standard of care group).

Study Duration: 2 years.

Sponsor: Bill and Melinda Gates Foundation.