Table 6. Clinical detection of depression and of AUD among adult government health clinic attendees, Chitwan, Nepal, 2013–2017.
| Disorder | Baseline (BL) (N = 1,252) |
Midline (ML) (N = 1,396) |
Endline (EL) (N = 979) | ML minus BL (95% CI) or ML (95% CI) |
Cohen’s h for ML minus BL | EL minus BL (95% CI) or EL (95% CI) |
Cohen’s h for EL minus BL |
|---|---|---|---|---|---|---|---|
| Depression | |||||||
| Screen positive (%) | 186/1,252 (14.9) | 143/1,396 (10.2) | 99/979 (10.1) | ||||
| Screen positive with consultation data (%) | 179/186 (96.2) | 134/143 (93.7) | 94/99 (95.0) | ||||
| Detected (%) | 16/179 (8.9) | 33/134 (24.6) | 18/94 (19.2) | +15.7* (7.3, 24.0) | 0.432 | +10.2* (1.2, 19.2) | 0.301 |
| Adequate treatment | 0/16 (0.0) | 31/33 (93.9) | 12/18 (66.7) | 93.9** (77.9, 98.6) | 66.7** (41.7, 84.8) | ||
| AUD—men only | |||||||
| Screen positive (%) | 92/1,252 (7.4) | 180/1,396 (12.9) | 38/979 (3.9) | ||||
| Screen positive with consultation data (%) | 90/92 (97.8) | 170/180 (94.4) | 33/38 (86.8) | ||||
| Detected (%) | 1/90 (1.1) | 102/170 (60.0) | 4/33 (12.1) | +58.9* (42.0, 75.7) | 1.562 | +11.0* (0.7, 21.3) | 0.500 |
| Adequate treatment | 0/1 (0.0) | 97/102 (95.1) | 3/4 (75.0) | 95.1** (88.6, 98.0) | 75.0** (17.6, 97.7) |
Detection proportion differences and p-values estimated using binomial regression accounting for clinic-level clustering, and standard errors adjusted for clinic-level clustering.
*p < 0.05 for difference of coverage from baseline round using binomial regression.
**p < 0.05 for association of coverage with baseline round, using Fisher’s exact test.
AUD, alcohol use disorder.