Development and Evaluation of a Mental Health Training Program for Community Health Workers in Indonesia

The treatment gap in mental health care in Indonesia is a critical issue due in large measure to the dearth of professional
mental health staff. In response to this need, our team designed a mental health training program for existing community
health workers. The training program was offered to 65 participants at 2 (two) community primary care center (Puskesmas);
we evaluated the training program with quantitative and qualitative methods. We assessed the gains in knowledge using a
20-question knowledge assessment test. In addition, in Puskesmas 1, the test was repeated as a follow-up test 4 months after
the training. Statistical analysis showed that the differences between pre-test and post-test scores were significant in both
Puskesmas 1 (p = 0.004) and Puskesmas 2 (p < 0.001). This study concluded that the model of integrative training appears
effective for preparing Indonesian CHWs to recognize and respond to needs for mental health care.