Cited by 183Maternal Mental Health During Pregnancy and PostpartumMental Health Treatment and AccessGlobal Maternal and Child Health

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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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Chowdhary, Neerja, Sikander, Siham, Atif, Najia, Singh, Neha, Ahmad, Ikhlaq, Fuhr, Daniela C., Rahman, Atif, Patel, Vikram·2014·Best Practice & Research Clinical Obstetrics & Gynaecology

DOI 10.1016/j.bpobgyn.2013.08.013PMC PMC3893480

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Abstract

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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Method
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Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr2
Author comment: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R0/PR1
Mhango, W. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr1
Author comment: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R2/PR11
Mhango, W. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr11
Recommendation: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R2/PR13
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr13
Author comment: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R1/PR6
Mhango, W. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr6
Recommendation: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R1/PR9
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr9
Decision: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R1/PR10
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr10
Decision: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R0/PR5
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr5
Review: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R1/PR7
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr7
Review: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R1/PR8
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr8
Review: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R2/PR12
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr12
Review: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R0/PR3
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr3
Decision: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R2/PR14
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr14
Recommendation: “I felt I needed help, but I did not get any”: A multiple stakeholder qualitative study of risk and protective factors, and barriers to addressing common mental health problems among perinatal adolescents in Malawi — R0/PR4
Mhango, W., Michelson, D., & Gaysina, D. (2023) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2023.64.pr4
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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: Chowdhary, Neerja
Sikander, Siham
Atif, Najia
Singh, Neha
Ahmad, Ikhlaq
Fuhr, Daniela C.
Patel, Vikram
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)
DOI: 10.1016/j.bpobgyn.2013.08.013
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
Licence: cc-by
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
creativecommons.org/licenses/by/3.0/ (vor)
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
Health Sciences › Medicine › Psychiatry and Mental health › 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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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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