The aim of this study is to support and equip fathers and mothers with cognitive behavioral tools and knowledge about child development to be effective in their role as co-parent and partner, leading to improvement in paternal depression. Objectives: * To evaluate the clinical and cost effectiveness of the Learning Through Play+ (LTP + ) intervention in reducing depression in fathers and mothers. * To evaluate the effectiveness of the LTP+ intervention in improving child outcomes. * Process evaluation and identifying challenges in transition to scale up of the intervention across Karachi, Pakistan from the perspective of fathers, mothers, and other stakeholders.
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Hamilton Depression Rating Scale (HAM-D) (Hamilton, 1960)
Timeframe: Changes from baseline to 4th and 6th month