Please select the eligibility criteria that correspond to the clinical trial below.
Title: Evaluation of the iMBC/ECD Model on Maternal Mental Health and Child Development in Ghana
Brief Summary: The Duke research team will work with Catholic Relief Services (CRS) and lead the design and implementation of a cluster-randomized trial in Northern Ghana to assess the impact of the Integrated Mothers and Babies Course \& Early Childhood Development (iMBC/ECD) intervention on the mental wellbeing of mothers of children under 2 and their children's attainment of age-appropriate developmental milestones.


Options:
A: Inclusion Criteria:

* 1. diagnosed as HIV positive;
* 2. initiate antiretroviral therapy on the day of recruitment;
* 3. was infected through male same-sex behavior;
* 4. has access to internet on a personal mobile phone;
* 5. has a Wechat account and use it daily;
* 6. willing to provide written informed consent;

Exclusion Criteria:

* 1. under severe physical or mental condition which precludes study participation;
* 2. being an inpatient of the hospital;
B: Inclusion Criteria:

1. Age 18 or above;
2. Able to speak and understand the target languages: Arabic, and/or Urdu, and/or Dari, and/or English;
3. Asylum seeker or refugee;
4. Presence of psychological distress, as shown by a score of 3 or more at the 12 item General Health Questionnaire (GHQ-12 ≥ 3);
5. Both oral and written informed consent to enter the study.

Exclusion Criteria:

1. Presence of any mental disorders according to DSM-V and ICD-10, as shown by a positive M.I.N.I.;
2. Acute medical conditions contraindicating study participation, based on clinical judgment of the health care professional with a clinical background who performs the screening;
3. Clinical evidence of imminent suicide risk or suicide risk scored as "moderate or high" (or a positive suicidality behaviour disorder) by the M.I.N.I. (section SUICIDALITY);
4. Clinical evidence that the decision-making capacity is impaired.
C: Inclusion Criteria (Mother):

* 16 years or older
* Currently pregnant
* Attends C-PrES groups at the time of the baseline survey (West Mamprusi and Nabdam District)
* Plan to maintain residence in the community for at least 6 months
* Agrees to voluntary participation

(The participation of the child falls under the mother's consent. Once born, the child will be followed along with its mother as long as the mother continues participation in the study.)
D: Inclusion Criteria:

* In the 2nd or 3rd trimester of pregnancy
* Aged 18 years and over
* Intending to reside in the selected areas of the intervention delivery for the entire duration of the study (mothers intending to be away for more than 2 months during or after the period of child birth will be excluded).

Exclusion criteria:

* Mothers requiring immediate inpatient care for any reason (medical or psychiatric)
* Mothers who do not speak any of the following languages: Konkani, Hindi, English, Marathi
* Mothers whose expected date of delivery is within 3 weeks of their screening date
* Previously screened using the PHQ-9 within the last month
* Mothers with difficulty hearing/speaking which makes the assessment difficult

Answer: C