“People have a story to tell”: Using Human-Centered Design to Transform Caregiver Experiences into Psychosocial Support Development for Sickle Cell Disease in Kenya

“People have a story to tell”: Using Human-Centered Design to Transform Caregiver Experiences into Psychosocial Support Development for Sickle Cell Disease in Kenya

Projects (Non-Faculty), Student Projects
Sonali Patel, Duke Undergraduate’26 My project examines how caregivers of children with sickle cell disease in Kenya experience psychosocial burden, and how these experiences can inform the development of culturally-grounded interventions. For my thesis, I’m particularly interested in the ways that the participatory methods of the Human Centered Design (HCD) allowed caregivers to prioritize their needs to brainstorm intervention ideas, across multiple stages of the broader study including focus group discussions and HCD workshops. Findings show that caregivers conceptualize burden as deeply social and relational, extending beyond the clinic into household and community-level contexts, while financial challenges remain an important underlying factor. I also had the opportunity to interview two mothers of children with SCD alongside our fieldwork last summer and am in the process of creating a documentary sharing…
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Leveraging LinkedIn and Online Platforms for Global Health Professionals: Ask Me Anything with Prativa Baral & Faraan Rahim

Leveraging LinkedIn and Online Platforms for Global Health Professionals: Ask Me Anything with Prativa Baral & Faraan Rahim

Events, News & Events
Join us for an interactive Ask Me Anything (AMA) session with global health leaders Prativa Baral and Faraan Rahim on how to effectively use LinkedIn and other online platforms to advance your career. Whether you’re a student, early-career professional, or experienced practitioner, this session will offer practical strategies for building your professional presence, expanding your network, and communicating your work to broader audiences. Bring your questions and learn how to navigate digital spaces to promote your work and further mental health equity!May 4: 3-4pm EDT (Zoom Link: https://duke.zoom.us/j/6555544770) 
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Translating Research into Policy in Mental Health: Practice, Barriers, Opportunities, and Recommendations

Translating Research into Policy in Mental Health: Practice, Barriers, Opportunities, and Recommendations

Events, News & Events
 Thursday, April 23: 9am EDTMany research findings do not ultimately influence policy. In this talk, Dr. Kalani will describe the current practice of translating research into policy within the mental health field, highlighting key barriers and opportunities that affect the utilization of research evidence in policymaking. The discussion will conclude with practical recommendations on how to strengthen the translation of research findings into policy and practice.Dr. Kenneth Kalani Okware is a Psychiatrist and Senior Medical Officer in the Mental Health Division of Uganda’s Ministry of Health, with additional expertise in policy analysis and development. A former Fellow of the Kofi Annan Global Health Leadership Fellowship Program, he has over a decade of experience in clinical mental health care and in the leadership, planning, and coordination of national mental health services.…
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How Chronic Pain is associated with Suicide Mortality for People with Cancer in the United States

How Chronic Pain is associated with Suicide Mortality for People with Cancer in the United States

Projects (Non-Faculty), Student Projects
Trisha Kibugi, MsGH '26 Faculty Mentor: Nosayaba Osazuwa-Peters Cancer patients face significantly elevated suicide rates compared to the general population. While chronic pain is common in cancer and known to increase suicide risk, the specific relationship between chronic pain and suicide among cancer patients remains poorly understood. This research project uses United States national data to examine how chronic pain contributes to suicide deaths in this vulnerable population. In this project we will identify all suicide deaths among individuals with cancer from the National Violent Death Reporting System (NVDRS) by systematically reviewing coroner/medical examiner and law enforcement reports.Furthermore, using this dataset, we will examine whether chronic pain is an independent risk factor for suicide among cancer patients and describe the circumstances surrounding these deaths.
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Investigation into the Prevalence of Dermatological and Mental Health Disorders Among Inmates in a Sri Lankan Remand Facility

Investigation into the Prevalence of Dermatological and Mental Health Disorders Among Inmates in a Sri Lankan Remand Facility

Projects (Non-Faculty), Student Projects
Zishuo Wu, MsGH '26 Faculty Mentor: Truls Ostbye This project represents one of the first efforts to systematically document mental health issues within prison settings in Sri Lanka. The research team, consisting of members from Duke University and University of Ruhuna, conducted a survey of 325 prisoners from a national-level remand prison in Galle. The study assessed the severity of mental health conditions in this population and examined associated risk factors, including overcrowding and poor sanitation. The findings revealed a substantial burden of depression, psychological distress, and substance abuse, alongside evidence of severe overcrowding within the facility. These results help address a critical gap in the literature regarding under-recognized mental health needs in incarcerated populations in Sri Lanka and provide evidence to inform policy interventions aimed at alleviating this burden.
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Beyond Resources: Healthcare Workers’ Experiences of Systemic and Psychosocial Barriers to Maternal and Child Emergency Care in Kilimanjaro, Tanzania.

Beyond Resources: Healthcare Workers’ Experiences of Systemic and Psychosocial Barriers to Maternal and Child Emergency Care in Kilimanjaro, Tanzania.

Projects (Non-Faculty), Student Projects
Lexi Nussbaum, MsGH '26 Faculty Mentor: Sharla Rent This project examines the barriers that frontline healthcare workers face when delivering emergency care to maternal and child health patients in the Kilimanjaro region of Tanzania. Through focus group discussions with nurses, physicians, and midwives across 10 healthcare facilities, we found that providers navigate not only equipment shortages, staffing gaps, and transportation delays, but also a profound and largely unaddressed psychological burden. Healthcare workers described symptoms of burnout, intrusive thoughts, sleep disruption, and anxiety, which was compounded by a pervasive culture of blame from legal systems, bereaved families, and colleagues. Despite universal recognition of the need for mental health support, no facilities in our study offered formal psychological services for staff. This work highlights that sustainable, quality emergency care requires more than…
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Distinguished Lecture in Global Mental Health Recap: Addressing Syndemic Problems in HIV: A Global Program of Psychosocial and Structural Intervention Research

Distinguished Lecture in Global Mental Health Recap: Addressing Syndemic Problems in HIV: A Global Program of Psychosocial and Structural Intervention Research

News, News & Events
Written By: Lauren Lloyd, MsGH Candidate '27In a recent Distinguished Lecture hosted by the Center for Global Mental Health (CGMH), in collaboration with the Duke Center for AIDS Research (CFAR) and the Department of Psychiatry and Behavioral Sciences, Dr. Jasper Lee explored how syndemic theory can help address persistent barriers to HIV treatment and prevention across global settings. Introduced by Dr. Eve Puffer, Director of CGMH, the lecture highlighted how co-occurring psychosocial and structural challenges can interact to worsen health outcomes—and how multilevel interventions can respond.Dr. Lee, a clinical psychologist in the Department of Psychiatry at Massachusetts General Hospital, described his work developing behavioral medicine interventions in the United States, South Africa, and Zimbabwe. He noted that while HIV prevalence in the United States is more concentrated among specific populations,…
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Think Global Recap: Community-Engaged Approaches to Global Suicide Prevention

Think Global Recap: Community-Engaged Approaches to Global Suicide Prevention

News, News & Events
Written By: Julius Mwimo, MsGH Candidate 27'In a recent Think Global event hosted by the Duke Global Health Institute (DGHI), a panel convened by the Center for Global Mental Health explored community-engaged approaches to suicide prevention across diverse settings, from U.S. hospitals to the Pacific Islands, Kenya, and Tanzania. The panel was moderated by Dr. Brandon Knettel, Associate Professor of Nursing and Global Health at Duke and Associate Director of the Center for Global Mental Health.The first panelist, Dr. Marissa Marcini, Associate Professor of School Psychology at UNC Chapel Hill, presented her team’s virtual reality intervention, PRESSER (Practice Experiences for Social and School Reintegration), designed for youth hospitalized following suicide-related crises. The VR tool allows adolescents to learn and practice coping skills in immersive, lifelike scenarios while still in the…
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Think Global Recap: Menstrual Health Equity: Global Perspectives and Local Innovations

Think Global Recap: Menstrual Health Equity: Global Perspectives and Local Innovations

News, News & Events
Written By: Mary Ann Fahmy, MsGH '27 At the first Think Global event of the Spring 2026 semester, an interdisciplinary panel of faculty and trainees shared expertise about cultural, clinical, and community-based aspects of menstrual health equity. Dr. Megan Huchko, Director of the Center for Global Reproductive Health and OB/GYN at Duke, moderated the discussion and highlighted the many layers of stigma, structural barriers, and social norms that influence menstrual experiences across the lifespan. Dr. Huchko opened the session and emphasized the recurring theme of “menstruation rhetoric” or the ways language, beliefs, and cultural narratives contribute to society’s understanding and response to menstruation. Dr. Hannah Taylor, Senior Lecturer in Duke’s Thompson Writing Program, examined how the cultural narratives influence menstrual stigma and identity. Through interdisciplinary research and rhetorical analysis, Dr.…
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Breaking Cycles: Intergenerational and Community Approaches to Youth Mental Health

Breaking Cycles: Intergenerational and Community Approaches to Youth Mental Health

News, News & Events
Written By: Colleen Mader, MsGH Candidate '27This past October, the Duke Center for Global Mental Health (CGMH) and Duke Global Health Institute held a Think Global event focused on community and family-based mental health interventions, with a particular emphasis on three projects addressing the mental health of adolescents and families in Kenya. Dr. Eve Puffer, Director of the CGMH and Associate Professor of Psychology and Neuroscience moderated the discussion.Dr. Ali Giusto, psychologist and Assistant Professor at Florida International University, opened the event by highlighting the often-overlooked role of fathers’ mental health in family well-being. She shared findings from LEAD (LEarn, Engage, Act, Dedicate), an intervention in Eldoret, Kenya designed to reduce depression and alcohol use among fathers while strengthening positive family engagement.Dr. Florence Jaguga, psychiatrist and Director of Mental Health…
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