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medRxiv PreprintsInternational5 October 2026

A multi-level evidence approach to evaluate training, performance, and system-level impact of Hamdard Force: a community mental health intervention

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Abstract Background There is limited evidence to demonstrate the impact of training community mental health workers beyond knowledge acquisition. This study evaluated the training, workforce performance, and system-level outcomes of the Hamdard Force, a community mental health intervention, implemented in two districts of Khyber Pakhtunkhwa, Pakistan, as part of a multi-tiered, digital MHPSS service over 8 months. Methods We followed a multi-level evidence approach, guided by the New World Kirkpatrick Model, using a mixed-methods design that combined quantitative and qualitative indicators. We
— medRxiv Preprints
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