The six-hour workshops covered two main topics, firstly training on a variety of mental health-related themes as contained in the MEGA training handbook developed by Hamburg and Turku Universities of Applied Science partners; and secondly how to use the MEGA mobile application (app), developed by our partners at the Riga Technical University, for the purpose of assessing for mental health problem onset in youth. Collectively, the eight Free State nurses trained, work in a variety of primary health care (PHC) facility departments, including HIV&AIDS/antiretroviral treatment (ART); tuberculosis (TB); integrated management of childhood illnesses (IMCI); maternal and child health; antenatal care; family planning;  and the chronic and the acute conditions departments. Ten to 19-year olds visiting facilities for a wide variety of purposes will, therefore, be screened with the app. Our nurses expressed excitement to be part of the research. The Free State team experienced difficulty recruiting participants to implement the app in PHC facilities, due to severe understaffing. As a result, the pilot group in the Free State is quite small. However, despite these challenges, the MEGA team here is determined to make a great success of the pilot project over the next six months.

Free State MEGA team training of nurses, 31 January 2020

Throughout the lengthy preparation phase for the training, there was a growing awareness that the MEGA training needs to offer learning opportunities for a heterogeneous group of trainees with diverse educational and cultural backgrounds. We, therefore, tried to produce compact learning material consisting of sound information about youth mental health issues in a way that opens up a space for discussion and reflection, Most of all we want to equip practitioners with a new skill – how to use the MEGA app.  The MEGA curriculum is split up in modules and trainers follow a manual in the form of a powerpoint presentation, which guides them step-by-step through a 6-hour training course. In order to guarantee a level of standardization, trainers should orientate towards the notes and follow the curriculum as much as possible. However, if there is a lack of time, the principle “less is more” applies. If the group of trainees is fairly advanced, the (online) material offers a variety of further readings.

The results of a short evaluation questionnaire all participants filled out after the training day show that the MEGA “Training the Trainer” course in Cape Town proved to be a success. Trainees enjoyed the mix of presentation, large and small group discussion and the hands-on practice session using the app in a role-play setting. They gave valuable feedback for the final revision of the MEGA app, which was appreciated by our partners from Riga who are launching the final version of the app. The MEGA trainers are ready to rumble and the MEGA team is excited to roll out the MEGA training in February 2020!