Six month evaluation of Mental Health, Psychosocial Support (MHPSS) hotline of Action Contre la Faim (ACF), Afghanistan

This study evaluated the effectiveness of a mental health and psychosocial support (MHPSS) hotline in Afghanistan using quantitative and qualitative data. Results showed that the hotline was effective in providing accessible MHPSS interventions to women who have access to a mobile phone. Overall, 82.4% of the callers were women, and the main themes on the calls were related to gender-based violence or social difficulties. Another common topic was family conflicts and substance use. While callers demonstrated an elevated level of distress, the hotline was found to be cost-effective and well-received by the callers. The WHO-DAS5 well-being scores showed a significant improvement from baseline to endline, with an average of six counseling sessions, indicating that the hotline had a positive impact on the callers’ mental well-being. However, the study also revealed a limitation in that many women had to use their husband’s mobile phones to make calls, which limited accessibility. At the same time, respecting confidentiality was important for the callers. Overall, the study highlights the importance of accessible MHPSS interventions for all but more so for women in Afghanistan and the need to address accessibility barriers to ensure that all women have access to the services they need.