Improved psychosocial wellbeing caregivers

% caregivers who report an improvement in their Psychosocial well-being.

This indicator aims to measure the impact of Tdh’s MHPSS interventions on caregivers and ensuring quality and meaningful service delivery. In addition, it gives an indication on existing MHPSS needs, and provides analysis of Tdh’s action according to regions or types of activities.

MHPSS activities for caregivers aim to support parents' well-being and can be found across various levels of the IASC MHPSS intervention pyramid.

• Emotional support groups

• Parenting/support groups (in many settings activities for parents are offered as a package, covering both parents' wellbeing (this indicators) AND their parenting capacities (indicator R&E 9) - a set of sessions for the same group/ one curriculum, in this case both these indicators can be used to measure outcomes)

• Psychoeducation and social activities

• Individual support/counselling (such as PM+)

Parents / caregivers surveyed who report an improvement in particular 2 of the well-being pillars; safety and connectedness

Numerator:  Number of caregivers involved in Tdh interventions or in Tdh partner interventions who report an improvement in particular 2 of the well-being pillars; safety and connectedness in a defined time period or representative sample of those.

Denominator: Number of caregivers involved in Tdh or Tdh partners' interventions in the same geographic area and reference period; or representative sample of those.

Caretakers participating in survey.

For every MHPSS intervention, a pre-post or a post-reflective session that is appropriate and coherent with the nature of the intervention must be included in the curriculum. 

Based on Tdh framework, you can develop your own survey which will be adapted to your context and intervention’s specific objectives (see examples below). If you use certain types of interventions (ex. PM+), you will refer to the validated assessment methodologies for this intervention. If you built a specific curriculum, you might have to develop yourselves the assessment session or use a tool agreed by the coordination structure (ex. SDQ in some contexts).

 Depending on the type of intervention and its intensity (i.e difference between attending caretakers group support meetings, or attending an individual counselling program), You can also use existing validated tools such as;

• the WHO-5 Well-Being Index (WHO-5).

  Purpose: The WHO-5 is a simple and widely used self-report instrument that assesses subjective well-being, focusing on positive mood, vitality, and overall interest in life.

  Description It is 5 items questionnaire rating for example how often they felt cheerful or active in the last two weeks. It offers a direct measure of emotional well-being and can highlight general life satisfaction among caregivers.

  Validation It is a tool which is validated across various cultures and populations, widely used in mental health research, it has been translated in over 30 languages.

• The PSYCHLOPS (WHO)

  Purpose: The PSYCHLOPS is a highly sensitive measurement tool to capture changes during the course of psychotherapeutic interventions ( it is used for PM+ intervention for example). PSYCHLOPS captures data before, during and after a course of therapy. It assesses psychological well-being and quality of life, focusing on emotional and social functioning.

  Description: It is a 10-item questionnaire evaluating key psychological outcomes over the past week, addressing anxiety, depression, and overall life satisfaction.

  Validation; Validated in diverse populations, including mental health and community samples, demonstrating effectiveness in clinical settings.

Examples of survey questions that can be used to assess caregivers' mental health and psychosocial well-being linked with Tdh 5 well-being pillars (these questions can be turned into statement which can be ranked from 0 (never) to 5 (all the time).

1. Feeling Safe (These statements assess caregivers' perceptions of their own physical and emotional safety, as well as their confidence in providing a sense of safety for their children).

   I feel physically safe in my daily life.

   I feel emotionally secure in my environment.

   I worry about my own safety and the safety of my children.

   I feel confident in my ability to create a safe environment for my family.

   I feel capable of managing situations that may threaten my own or my family’s safety.

2. Feeling Connected (These statements assess caregivers’ sense of connection with family, friends, and community, important for both personal well-being and their role as caregivers).

   I feel connected to my family, friends, or community.

   I feel supported by others when I face challenges, both personally and as a caregiver.

   I participate in activities that help me feel part of a community or social group.

   I feel isolated or lonely, even when surrounded by people.

   I feel comfortable reaching out for emotional or practical support, both for myself and my family.

3. Feeling Worthy (These statements focus on caregivers' sense of self-worth and confidence, both in their personal identity and their caregiving role.)

   I feel confident in my ability to handle life’s challenges, both personally and as a caregiver.

   I believe that my contributions to my family and community are valued by others.

   I feel capable of managing my responsibilities without feeling overwhelmed.

   I feel confident in my strengths and abilities to support myself and my family.

   I believe that my role as a caregiver is recognized and respected by those around me.

4. Feeling Respected (These statements explore how respected caregivers feel in their personal relationships and in their role as parents or guardians.)

   I feel respected by family members, friends, and others in my community.

   I believe that my opinions and decisions, both personally and as a caregiver, are valued by those around me.

   I feel that my identity and values are acknowledged and respected by my family and community.

   I feel that my children and others respect my role as a parent or caregiver and listen to my guidance.

5. Feeling Hopeful (These statements reflect caregivers’ sense of optimism for their own future and their family’s well-being.)

   I feel hopeful about my future and my family’s well-being.

   I feel optimistic that I can overcome the challenges I face today.

   I feel confident that my community or society will support me in improving my and my family’s well-being.

   I believe that positive changes are possible for both me and my children.

Gender and age

This indicator complements indicator R&E9. You can do you data collection in once