1. Associations of social stressors and environmental characteristics with positive psychotic symptoms
   1. Social stressors
      1. Life events (divorce, lose of a loved one e.t.c)
      2. Social isolation or loneliness
      3. Discrimination and stigmatization
      4. Childhood trauma
   2. Environmental characteristics
      1. Urbanicity (urban vs. rural residence)
      2. Residential instability
      3. Exposure to environmental toxins or pollutants
      4. Access to health facility
      5. Migration and acculturation
   3. Outcome variable (psychosis symptoms)
      1. Hallucinations (auditory, visual, tactile)
      2. Delusions (persecutory, grandiose, bizarre)
      3. Disorganized thinking or speech
      4. Thought disorder
2. Meta-analysis on prevalence, risk factors and treatment outcomes related to depression and anxiety in the African population
   1. Prevalence rates
      1. age groups
      2. gender
      3. urban/rural
   2. Risk factors
      1. socioeconomic status
      2. marital status
      3. chronic illness
      4. education level
   3. Treatment outcome
      1. remission rates
      2. relapse rates
      3. changes in severity of symptoms
   4. Process
      1. Literature search
      2. Inclusion criteria
      3. Data extraction
      4. Quality assessment
         1. use established assessment tools (e.g., Newcastle-Ottawa Scale for observational studies).
         2. Also consider factors like study design, sample representativeness, data collection methods, and statistical rigor
      5. Data synthesis
         1. use of appropriate meta-analytic techniques (random-effects models) to account for heterogeneity across studies.
      6. Subgroup analysis
      7. Publication bias assessment
      8. Interpretation of findings
      9. Reporting
3. Assess availability, accessibility and quality of mental health data in the African setting: Focus on Psychosis, Depression and Anxiety
   1. Data source type
      1. Hospital record
      2. Academic research
      3. Routine surveys
   2. Data Quality
      1. Validity
      2. Reliability
      3. Recency
         1. Time frame
            1. Studies published within the last two decades
            2. Studies with relevant data collected during a specified time period
   3. Data Availability
      1. Data sharing/access
   4. Data Completeness
      1. % of missing data /incomplete
   5. Type of study
      1. Peer-reviewed research articles
      2. Epidemiological studies
      3. Longitudinal studies
      4. Cross-sectional studies
      5. Case-control studies
      6. Cohort studies
   6. Geographical focus
      1. African setting
   7. Study Populations
      1. Individuals of all ages
      2. Inclusion of diverse demographic groups
   8. Outcome measures
      1. positive Depression, Anxiety , Psychotic symptoms
   9. Language
      1. published in English or with available translations
   10. Search terms
   11. TBD
4. Develop and Implement a harmonization framework that standadizes and integrates diverse mental health datasets collected from various sources across African Countries
   1. creating a unified and interoperable data structure for cross-comparisons and in-depth analyses