Integrating SYV within HIV clinical care for youth living with HIV in Tanzania
About This Grant
Youth living with HIV (YLWH) experience mental health (MH) challenges that compromise their HIV care. Though the MH gap is well described, integrated MH service delivery to YLWH is rare, both in the United States (U.S.), and lower resourced settings. MH professionals are rarely available in HIV clinics and few youth are willing to engage in outside care. Interventions tailored to the needs of this population are scarce and critically needed. Streamlining the Sauti ya Vijana (SYV, The Voice of Youth) intervention offers a way to bridge the MH gap. SYV is a peer-led, group-based treatment designed with and for YLWH to address their self-reported MH challenges. SYV incorporates components of evidence-based psychotherapeutic models to address the needs youth described in formative interviews. Preliminary data estimated effects towards improved MH, antiretroviral therapy adherence, and a 10% greater increase in viral suppression in the intervention arm compared to standard of care. Our prior research shows similar levels of depressive symptoms among U.S. YLWH and a desire to bring this model to the U.S. context through reciprocal innovation (Dow, Pediatrics 2025). The central hypothesis is that the new integrated “i" SYV will be acceptable, feasible, and effective to improve virologic suppression and improve retention in care. The mechanism of change is that improved MH leads to better medication adherence, viral suppression, and care engagement. The rationale is twofold: 1) MH screening is being initiated in HIV clinical visits, but the MH treatment gap persists; 2) the iSYV stepped-care package could be an effective approach to support integrated MH care for YLWH. Evidence generated in the African context can be obtained more cost-efficiently and applied to inform solutions for American YLWH. The central hypothesis will be tested in a hybrid type-2 effectiveness-implementation trial. The first aim will leverage the Fit to Context Framework, using an iterative Designing for Dissemination and Sustainability approach. SYV peer-group leaders (PYL) with extensive experience delivering SYV will co-design the new iSYV package. The iSYV in-person sessions will be delivered by trained PYLs and be aligned to the Tanzanian differentiated care model: stable youth (those fully suppressed) attend clinic every 6 months; and unstable youth (those with HIV RNA > 50 copies/mL) attend enhanced adherence counseling monthly, similar to U.S. guidelines. Youth with symptoms of MH difficulties on screening (PHQ9-depression, GAD7-anxiety, Trauma-related stress) will join the unstable group. To support engagement between visits, iSYV will explore use of a mHealth gamification strategy. The second aim includes a pilot and a four-arm cluster randomized trial. A large U.S. based implementing partner, Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) will support testing the iSYV care package. The third aim will evaluate implementation determinants and outcomes, including acceptability, feasibility, fidelity, and cost informed by the Consolidated Framework for Implementation Research. The proposal is significant because it is expected to help address the MH gap for YLWH with implications for HIV care in Tanzania as well as the U.S.
Grant Summary
Integrating SYV within HIV clinical care for youth living with HIV in Tanzania is a NIMH - National Institute of Mental Health grant providing up to $212K for university, nonprofit, healthcare org. Applications are due 2031-02-28 (open). Check eligibility and apply with FindGrants.
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Eligibility
How to Apply
Up to $212K
2031-02-28
- 1Confirm your organization is eligible for Integrating SYV within HIV clinical care for youth living with HIV in Tanzania from NIMH - National Institute of Mental Health, checking organization type, location, and any population or project requirements.
- 2Gather the required documents and information, including your organization details, project plan, and budget figures.
- 3Draft your application narrative and budget addressing the funder's priorities and review criteria. FindGrants can draft each section for you to review and edit.
- 4Review every section against the requirements checklist, then export a submission-ready application pack and submit it to NIMH - National Institute of Mental Health before the deadline.
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Integrating SYV within HIV clinical care for youth living with HIV in Tanzania: Frequently Asked Questions
Who is eligible for the Integrating SYV within HIV clinical care for youth living with HIV in Tanzania?
Integrating SYV within HIV clinical care for youth living with HIV in Tanzania is offered by NIMH - National Institute of Mental Health and is generally open to university, nonprofit, healthcare org. It is open to organizations nationwide unless the funder specifies otherwise. Review the specific eligibility terms before applying, since funders set their own requirements around organization type, location, and the population or project being served.
How much funding does the Integrating SYV within HIV clinical care for youth living with HIV in Tanzania provide?
Integrating SYV within HIV clinical care for youth living with HIV in Tanzania provides up to $212K per award from NIMH - National Institute of Mental Health. Actual award sizes depend on the scope of your project, available program funds, and the number of applicants, so build a budget that reflects realistic, allowable costs rather than the maximum figure.
When is the Integrating SYV within HIV clinical care for youth living with HIV in Tanzania deadline?
Applications for Integrating SYV within HIV clinical care for youth living with HIV in Tanzania are due 2031-02-28 (open). Because deadlines can change, verify the date with the funder, NIMH - National Institute of Mental Health, and give yourself enough time to prepare a complete, competitive application before the close date.
How do you apply for the Integrating SYV within HIV clinical care for youth living with HIV in Tanzania?
To apply for Integrating SYV within HIV clinical care for youth living with HIV in Tanzania, confirm your eligibility, gather the required documents, and prepare a narrative and budget that address the funder's priorities. FindGrants guides you step by step and can draft each section, then exports a submission-ready application pack for this grant from NIMH - National Institute of Mental Health.