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Design, Implementation, Monitoring, and Evaluation of Cross-Cultural HIV-Related Mental Health and Psychosocial Assistance Programs
A User’s Manual for Researchers and Program Implementers

Integration of Mental Health Services into HIV Prevention and Care

In recognition that HIV care intersects with various health needs and services, R2P worked with the Johns Hopkins Applied Mental Health Research (AMHR) Group to develop a manual to assist program planners in identifying and evaluating interventions that address the intersections of mental health and HIV.

The DIME Program Research Model: Design, Implementation, Monitoring, and Evaluation

The DIME model is a process of program Design, Implementation, Monitoring, and Evaluation developed and used by the AMHR Group since 2000. The model is a series of activities that combines evidence-based programming with rigorous monitoring and impact evaluation. The purpose is to provide a rational basis and approach for local programming while also generating information and lessons learned that can inform future services. Here, we present a DIME manual specifically tailored to HIV prevention and care programs.

The manual has 6 modules, each referring to a separate activity. While it is recommended to use these in sequence as a full program, each module may be used individually, according to a program’s needs. For more detailed information on the DIME process, please visit the AMHR website.


Module 1: Qualitative Assessment
Describes procedures for a qualitative assessment to identify priority (i.e., relevant and important) problems from the local perspective.

Module 2: Developing Quantitative Tools
Provides guidance in the development and validity testing of tools to measure these priority problems.

Module 3: Population Measurement
Describes population-based assessments to gauge prevalence and severity of the priority problems using the instrument developed in Module 2.

Module 4: Designing a Program
Describes a process for overall design of a program to address the priority problems, including design of program monitoring and evaluation.

Module 5: Intervention Selection, Adaptation, and Implementation
Outlines the selection, adaptation, and implementation of interventions.

Module 6: Using Controlled Trials to Assess Program Impacts
Describes procedures for assessing intervention impacts.