The content and delivery of psychological interventions for perinatal depression by non-specialist health workers in low and middle income countries: A systematic review
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Psychological interventions delivered by non-specialist health workers are effective for the treatment of perinatal depression in low- and middle-income countries. In this systematic review, we describe the content and delivery of such interventions. Nine studies were identified. The interventions shared a number of key features, such as delivery provided within the context of routine maternal and child health care beginning in the antenatal period and extending postnatally; focus of the intervention beyond the mother to include the child and involving other family members; and attention to social problems and a focus on empowerment of women. All the interventions were adapted for contextual and cultural relevance; for example, in domains of language, metaphors and content. Although the competence and quality of non-specialist health workers delivered interventions was expected to be achieved through structured training and ongoing supervision, empirical evaluations of these were scarce. Scalability of these interventions also remains a challenge and needs further attention.
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For a psychological intervention to be acceptable, emphasis has to be laid on its cultural appropriateness, contextual relevance and usefulness to the target population.
“A recent systematic review has highlighted that for a psychological intervention to be acceptable, emphasis has to be laid on its cultural appropriateness, contextual relevance and usefulness to the target population [38].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [38]
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- Authors
- Chowdhary, N., Sikander, S., Atif, N., Singh, N., Ahmad, I., Fuhr, D. C., Rahman, A., & Patel, V.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Human Development Research Foundation (PK)
- Sangath (IN)
- Corresponding author
- Patel, Vikram
- ORCID
- Venue
- Best Practice & Research Clinical Obstetrics & Gynaecology
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 28
- Issue
- 1
- Pages
- 113-133
- ISSN
- 1521-6934 (ISSN-L)
- PMC
- PMC3893480
- OpenAlex
- W2110682430
- Cited by
- 183
- References
- 36
- Citations by year
- 2026: 11 · 2025: 8 · 2024: 11 · 2023: 31 · 2022: 19 · 2021: 27 · 2020: 17 · 2019: 18 · 2018: 13 · 2017: 11 · 2016: 9 · 2015: 7 · 2014: 1
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Best Practice & Research Clinical Obstetrics & Gynaecology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Funders
- National Institute of Mental Health
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Keywords
- perinatal depression, psychological intervention, non-specialist health workers, low- and middle-income countries, maternal and child health services, prenatal care, postpartum care, family involvement, women's empowerment, cultural adaptation, intervention scalability, health worker training and supervision
- MeSH terms
- Workforce, Allied Health Personnel, Community Health Workers, Community Mental Health Services, Delivery of Health Care, Depression, Developing Countries, Female, Humans, Mothers, Pregnancy, Problem Solving, Volunteers, Cognitive Behavioral Therapy, Depression, Postpartum, Peripartum Period
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