Training and pilot implementation of the World Health Organization’s caregiver skills training program in Egypt

There are numerous challenges in the Eastern Mediterranean Region to access timely and appropriate autism-related care. The small body of research in Egypt finds a dearth of adequately trained professionals and services for young autistic children and their caregivers. This brief report summarizes e...

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Published inResearch in Autism Vol. 127; p. 202659
Main Authors Dababnah, Sarah, Ibrahim, Alaa T., Yusuf, Afiqah, Gaber, Eman, Elshafey, Hadeer, Kotb, Heba W., Elsabbagh, Mayada, Ramzy, Sherine, Eskander, Stephanie, Theis, Andrea, Elsherif, Aya, Dixon, Pamela
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.09.2025
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Online AccessGet full text
ISSN3050-6565
DOI10.1016/j.reia.2025.202659

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Abstract There are numerous challenges in the Eastern Mediterranean Region to access timely and appropriate autism-related care. The small body of research in Egypt finds a dearth of adequately trained professionals and services for young autistic children and their caregivers. This brief report summarizes efforts to engage local and global partners to train Egyptian professionals to deliver the World Health Organization’s Caregiver Skills Training program, a caregiver-mediated intervention (nine group and three individual sessions) designed explicitly to fill in the global gap of autism services. We used qualitative and quantitative methods to assess local professionals’ perspectives on the intervention, the implementation climate, intervention delivery, and future training of non-specialists. We trained 16 full-time public health employees on the intervention, who reported on their confidence to deliver the intervention, strategies to train non-specialists, and knowledge of which children would benefit. They also reported on potential barriers implementing the intervention. Our research underscored the value of having a range of local and global partners to collectively address provider and intervention shortages in resource-limited countries. •Services are limited for children with autism and their families in Egypt.•Egyptian and global partners trained providers on the WHO Caregiver Skills Training program.•Providers felt confident using the program for parents of young autistic children.•Global and local partners can work together to address resource limitations.
AbstractList There are numerous challenges in the Eastern Mediterranean Region to access timely and appropriate autism-related care. The small body of research in Egypt finds a dearth of adequately trained professionals and services for young autistic children and their caregivers. This brief report summarizes efforts to engage local and global partners to train Egyptian professionals to deliver the World Health Organization’s Caregiver Skills Training program, a caregiver-mediated intervention (nine group and three individual sessions) designed explicitly to fill in the global gap of autism services. We used qualitative and quantitative methods to assess local professionals’ perspectives on the intervention, the implementation climate, intervention delivery, and future training of non-specialists. We trained 16 full-time public health employees on the intervention, who reported on their confidence to deliver the intervention, strategies to train non-specialists, and knowledge of which children would benefit. They also reported on potential barriers implementing the intervention. Our research underscored the value of having a range of local and global partners to collectively address provider and intervention shortages in resource-limited countries. •Services are limited for children with autism and their families in Egypt.•Egyptian and global partners trained providers on the WHO Caregiver Skills Training program.•Providers felt confident using the program for parents of young autistic children.•Global and local partners can work together to address resource limitations.
ArticleNumber 202659
Author Dababnah, Sarah
Theis, Andrea
Dixon, Pamela
Yusuf, Afiqah
Gaber, Eman
Eskander, Stephanie
Kotb, Heba W.
Elshafey, Hadeer
Ramzy, Sherine
Ibrahim, Alaa T.
Elsabbagh, Mayada
Elsherif, Aya
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  surname: Dababnah
  fullname: Dababnah, Sarah
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  organization: University of Maryland, Baltimore, MD, USA
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  givenname: Alaa T.
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  givenname: Eman
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  organization: Egyptian Ministry of Health and Population, General Secretariat for Mental Health and Addiction Treatment, Cairo, Egypt
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  givenname: Hadeer
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  organization: The American University in Cairo, Cairo, Egypt
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  givenname: Mayada
  surname: Elsabbagh
  fullname: Elsabbagh, Mayada
  organization: The Montreal Neurological Institute-Hospital, McGill University, Montreal, Quebec, Canada
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  givenname: Sherine
  surname: Ramzy
  fullname: Ramzy, Sherine
  organization: The American University in Cairo, Cairo, Egypt
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  givenname: Stephanie
  surname: Eskander
  fullname: Eskander, Stephanie
  organization: The American University in Cairo, Cairo, Egypt
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  givenname: Andrea
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  organization: University of Maryland, Baltimore, MD, USA
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  surname: Dixon
  fullname: Dixon, Pamela
  organization: Autism Speaks, Washington DC, USA
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Copyright 2025 The Authors
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Keywords Parenting
Early intervention
Autism
World Health Organization
Health inequities
Egypt
Neurodevelopment
Caregiver skills training
Developmental delay
Developmental disabilities
Language English
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Snippet There are numerous challenges in the Eastern Mediterranean Region to access timely and appropriate autism-related care. The small body of research in Egypt...
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StartPage 202659
SubjectTerms Autism
Caregiver skills training
Developmental delay
Developmental disabilities
Early intervention
Egypt
Health inequities
Neurodevelopment
Parenting
World Health Organization
Title Training and pilot implementation of the World Health Organization’s caregiver skills training program in Egypt
URI https://dx.doi.org/10.1016/j.reia.2025.202659
Volume 127
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