Table 1 Optimizing IPT for HIV+GBV+ women in Kenya with MDD and PTSD

Summary of adaptations for meeting, inventory and formulation and termination phases

 Initial meetings (session 1–3)

Medical model of depression and PTSD in the setting of HIV, method and goals of IPT, interpersonal inventory including key components for study population: Disclosure of HIV status and its effects on relationships, GBV, housing and social support

 Interpersonal formulation (sessions 4–5)

Local examples—

  Role conflict

GBV, reproduction, condom use, HIV discordance in couple, inheritance

  Role transition

HIV diagnosis, polygamy, single parenting, re-marriage, land disinheritance, separation from children

  Loss

Family deaths secondary to HIV

 Middle sessions (6–10)

Use local resources to advance social support around the identified problem area, including HIV women’s groups, women’s church groups and women’s chamas^a

 Concluding (sessions 11–12)

Review successes, relapse prevention strategies