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Kim Madundo

Adjunct Assistant Professor of Global Health
Duke Global Health Institute

Scholarly Works


From research to practice: a qualitative study examining the integration of telehealth-based suicide prevention in HIV care in Tanzania.

Journal article AIDS Care · May 28, 2026 Despite the life-saving potential of mental health interventions, their scalability and integration within healthcare systems present significant challenges, particularly in low-resource global settings. This study investigated scaling IDEAS for Hope, a te ... Full text Link to item Cite

Factors associated with reporting behaviour of alcohol use in Moshi, Tanzania

Conference Bjpsych Open · April 16, 2026 Background Alcohol use disorder (AUD) is one of the most common mental health disorders globally. The diagnosis of AUD typically relies on self-reporting measures for identification, and requires that patients disclose their alcohol use to a provider. Aims ... Full text Cite

The role of faith in suicide prevention among people living with HIV: perspectives of religious leaders and mental health workers in Tanzania

Journal article Mental Health Religion and Culture · January 1, 2026 Religious leaders are important actors on the pathway to care for many people experiencing mental distress, particularly in low-resource settings. There is a need for collaboration with religious leaders in suicide risk recognition and interventions. From ... Full text Cite

Results of a Pilot Randomized Controlled Trial of IDEAS for Hope: A Brief Telehealth Intervention for Suicide Prevention and HIV Care Engagement in Tanzania.

Journal article J Acquir Immune Defic Syndr · December 15, 2025 OBJECTIVE: People living with HIV (PLWH) face greatly elevated risk of mental health challenges, including suicide. In Tanzania, there is a critical shortage of providers and interventions to address suicide risk. The 3-session IDEAS for Hope intervention ... Full text Link to item Cite

Feasibility outcomes from the pilot implementation of a virtual QualityRights training intervention for the East African young psychiatrists' and trainees’ association

Journal article Ssm Mental Health · December 1, 2025 Background: Human rights violations against individuals with serious mental illness remain widespread globally due to low awareness and inadequate legal protections. Knowledge and training gaps related to these violations persist in mental healthcare and t ... Full text Cite

Alcohol use and alcohol use disorders as a mediator between common mental disorders and antiretroviral therapy adherence among people living with HIV in Tanzania.

Journal article AIDS Res Ther · November 11, 2025 BACKGROUND: Common mental disorders (CMDs) and alcohol use disorder (AUD) are significant barriers to effective antiretroviral therapy (ART) adherence among people living with HIV (PLHIV), especially in sub-Saharan Africa. Suboptimal adherence to ART contr ... Full text Link to item Cite

Development of a brief telehealth-delivered counseling intervention to reduce suicide risk and improve HIV care engagement in Kilimanjaro, Tanzania.

Journal article Eval Program Plann · August 2025 Death by suicide is common among people living with HIV (PLWH) in Tanzania, and is strongly influenced by HIV stigma, lack of social support, and HIV-associated stress. Screening and intervention strategies for reducing suicidality, however, are not incorp ... Full text Link to item Cite

Prevalence of significant anxiety symptoms and associated factors among adult people with HIV/AIDS in care and treatment clinic centers in Kilimanjaro region, Tanzania: a cross-sectional study.

Journal article BMC psychiatry · April 2025 BackgroundPeople with human immunodeficiency virus (PWH) are more prone to generalized anxiety disorder. There is a limited understanding of the prevalence of significant anxiety symptoms and its associated risk factors among adult PWH in the Tanz ... Full text Cite

Onset of tics in an elderly patient undergoing androgen deprivation therapy for prostate cancer: a case report

Journal article Oxford Medical Case Reports · March 1, 2025 Motor and vocal tics typically manifest during childhood. Less often, tics can occur due to the use of substances or medications which raise dopamine levels. This case report describes an unusual occurrence of tics in an elderly man undergoing androgen dep ... Full text Cite

Patient experiences and contextual appropriateness of universal screening for depression and suicide risk in HIV care: a qualitative study in Tanzania.

Journal article Front Health Serv · 2025 INTRODUCTION: Depression and suicidal thoughts and behaviour are remarkably common among people living with HIV worldwide, leading to a higher burden of disease, poor HIV care engagement, and death. Suicidal behaviour is criminalized in 20 countries worldw ... Full text Link to item Cite

"Everyone is fighting their own battles": A qualitative study to explore the context of suicidal ideation among people with HIV (PWH) in Kilimanjaro, Tanzania.

Journal article PLOS Ment Health · 2025 Tanzania faces significant HIV-related challenges with 1.4 million people currently living with HIV, 33,000 new infections, and 22,000 AIDS-related deaths annually. Suicide is a leading cause of death among People with HIV (PWH), with one-quarter of all de ... Full text Open Access Link to item Cite

Advancing equity in global health: a call for collaborative research partnerships.

Journal article Frontiers in health services · January 2025 Addressing global health challenges require collective efforts and equitable partnerships that share knowledge and resources across borders. It also requires equitable partnerships among local researchers and research participants to prevent reproducing de ... Full text Cite

HIV and mental health provider experiences of implementing brief depression and suicide screening among people living with HIV in Tanzania: A qualitative study.

Journal article PLOS Ment Health · 2025 Depression and suicidal thoughts and behaviour are remarkably common among people living with HIV worldwide, leading to a higher burden of disease, poor HIV care engagement, and death. Suicidal behaviour is criminalized in 20 countries worldwide, including ... Full text Link to item Cite

Tanzania.

Journal article The lancet. Psychiatry · August 2024 Full text Cite

Challenges and opportunities for improving mental health care and preventing suicide among people living with HIV: Perspectives of mental health professionals in Tanzania.

Journal article PLOS Glob Public Health · 2024 People living with HIV (PLWH) experience unique stressors that contribute to emotional distress, and PLWH are more than twice as likely to die by suicide when compared to the general population. In countries like Tanzania, there is a relatively high burden ... Full text Link to item Cite

The landscape and level of alcohol policy enforcement in Tanzania.

Journal article PLOS global public health · January 2024 Harmful use of alcohol causes more deaths in Sub-Saharan Africa than in any other region. In Tanzania, where alcohol use disorders rates are twice the overall African average, harmful alcohol consumption is a public health concern. Given the lack of a cont ... Full text Cite

Brief Report: Task-Shifting "Gold Standard" Clinical Assessment and Safety Planning for Suicide Risk Among People Living With HIV: A Feasibility and Fidelity Evaluation in Tanzania.

Journal article J Acquir Immune Defic Syndr · August 15, 2023 BACKGROUND: Suicide is a leading cause of death among people living with HIV (PLWH) worldwide, with suicide deaths occurring twice as frequently among PLWH than among the general public. In Tanzania, resources for mental health care are sorely lacking, wit ... Full text Link to item Cite

Prevalence, severity, and associated factors of depression in newly diagnosed people living with HIV in Kilimanjaro, Tanzania: a cross-sectional study.

Journal article BMC psychiatry · February 2023 BackgroundDepression is particularly common among people living with Human Immunodeficiency Virus (HIV), with some studies showing a prevalence of depression three times higher among people living with HIV as compared to the general public. The st ... Full text Cite

Protocol for a pilot randomized controlled trial of a telehealth-delivered counseling intervention to reduce suicidality and improve HIV care engagement in Tanzania.

Journal article PLoS One · 2023 OBJECTIVE: Suicidal ideation is strikingly common among people living with HIV (PLWH) worldwide, leading to higher burden of disease, poor HIV care engagement, and loss of life. In low- and middle-income countries such as Tanzania, mental health resources ... Full text Link to item Cite

Validation of a culturally sensitive, Swahili-translated instrument to assess suicide risk among adults living with HIV in Tanzania.

Journal article Glob Ment Health (Camb) · 2023 In Tanzania, there are high rates of suicidal thoughts and behavior among people living with HIV (PLWH), yet few instruments exist for effective screening and referral. To address this gap, we developed and validated Swahili translations of the Columbia Su ... Full text Link to item Cite

An interventional pilot of customized adherence enhancement combined with long-acting injectable antipsychotic medication (CAE-L) for poorly adherent patients with chronic psychotic disorder in Tanzania.

Journal article BMC psychiatry · January 2022 BackgroundChronic psychotic disorders (CPD) impose a particularly significant burden in resource-limited settings. Combining long-acting antipsychotic medication (LAI) with a customized adherence enhancement intervention (CAE-L) has potential to a ... Full text Cite